- 2 days ago
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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.
02:18I have to enter.
02:20I really want to go.
02:30Neil?
03:01No, no, no. Hold on. We were told that somebody was coming today.
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'll hold.
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.
04:19Er...
04:19Why would I want to do that?
04:22Well, I don't know.
04:23Look, I'm fine. It's all good.
04:25You'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?
04:40Er, 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 him.
05:01Why not?
05:02Because you didn't want him in our lives for a reason, you know?
05:05Yeah. Yeah. 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.
05:28But I do my injections.
05:31Right, well.
05:32Er, do you live alone?
05:34Yeah.
05:38It's all right.
05:39I've got you.
05:42Okay, er, we need to get you to hospital.
05:44What?
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 it sounds alarm.
05:56People will see me.
05:57I'm sorry, but we need to see what we're doing.
06:03It's all right.
06:04It's all right.
06:04It's all right.
06:05It's all right.
06:05It's all right.
06:06It's all right.
06:07It's all right.
06:07It's all right.
06:08It's all right.
06:09It's all right.
06:10It's all right.
06:10It's all right.
06:11It's all right.
06:13It's all right.
06:16It's all right.
06:19It's all right.
06:21It's all right.
06:36PHONE RINGS
06:56PHONE RINGS
06:58Is this your mum?
07:02The pizza guy told me that you lost her last year.
07:05I'm really sorry.
07:09Ooh, and 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. Over.
07:303-0-0-6 to control.
07:32We're gonna 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,
07:48she said I had bigger tits than her.
07:50But so what?
07:54Mum was ill.
07:55Are 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.
08:05You 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, friends?
08:18No.
08:19No.
08:19No, you can't say anything.
08:21Not that Mum's gone.
08:34No.
08:39No.
08:40No.
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, 33 years old.
08:53She dragged underneath her car.
08:55Matty, listen up, please.
08:57She's got left arm degloving from her wrist to her elbow.
09:00Bruising around her umbilical region.
09:01Bed three, please.
09:02Okay.
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 ivy and paracetamol.
09:12Four milligrams of ondansetron.
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.
09:22Okay, on lift, please.
09:24Ready?
09:24Brace, lift.
09:26Slide.
09:28So she's deteriorating, isn'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.
09:38Let'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 low neck.
09:47So, in time, we'll need to do CT for the trauma, obviously,
09:50and angiography on the arm.
09:52Let's do a FOS.
09:52Oh, you're doing a FOS, Kim.
09:54Siobhan, can we check these parts?
09:55Mm-hmm.
09:56Okay.
09:57Absent long slide, then, and long point.
10:00She has a pneumothorax.
10:01Okay, so, good spot.
10:02What are we going to do?
10:03Chest drain.
10:04Yes, let's set up for that, then, please.
10:08Sorry, I snapped.
10:09Good 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.
10:27No.
10:28This is reversible with the right treatment, you know.
10:31Neil, 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, your mum would not want you wasting your life wearing this dark
10:45green, would she?
10:51You really want to help me?
10:54Take out my rubbish.
10:58Okay, look, Neil.
11:00High blood sugar is dangerous.
11:02Low blood sugar is dangerous.
11:04DKA?
11:05Fatal.
11:07Now, 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?
11:39I had a word with orthopedics and the boy in resus two should be fit to be moved in
11:43about ten minutes.
11:44Right.
11:45Okay.
11:46Look, stop worrying about the CQC.
11:47They'll come tomorrow.
11:48Just 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?
11:59The guy here is...
12:05Shouldn't we do a lot longer, apparently.
12:07I don't know why I'm even here.
12:09It's stopped bleeding.
12:15So, is the nursery painted?
12:17Is it all finished?
12:18Yeah, yeah, it's all done.
12:19We've just got the cot to build but the kids want to help with that, so...
12:22As brilliant as it is sharing with your best mates, I honestly don't know how I'll be able
12:25to afford a place on my own.
12:26Might be alright, though, for a doctor.
12:28Not this doctor.
12:29I'm still renting.
12:33Okay.
12:34You alright?
12:34You should head home as well.
12:36I haven't made an arrest.
12:37Okay.
12:38Somebody's recognised the ear fit and his DNA's on my uniform.
12:42Are you kidding me?
12:42This 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.
12:49He's gonna face justice.
12:50Okay.
12:51Hey, hey, hey.
12:51That's because of you.
12:53Okay?
12:54No, don't.
12:55I'm out to seek you to see.
12:58You're kidding me.
12:58I just sent everybody home.
13:00It's okay.
13:00We can do it.
13:01You've got this, okay?
13:02Just keep going.
13:03Kerry, welcome back.
13:05It's good to be back.
13:07I hope.
13:07No, we'll go.
13:08No...
13:15...the pizza guy's still here?
13:17Yeah.
13:17Yeah.
13:19Okay, nice and easy, guys.
13:22Nice and easy, guys.
13:23Nice and easy, guys.
13:25Nice and easy.
13:26Still here, Neil.
13:29Hey, sorry.
13:37It's okay.
13:40Everyone 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.
13:52Keep going, keep going, keep going.
13:54When you get back, chubster, let's go down to two large pizzas, shall we?
13:57And only one portion of wings.
14:00I'm so sorry.
14:01I'm really, really sorry.
14:03Hey, hey.
14:05Back on.
14:05Jacob, Jacob.
14:06Jacob, he's not worth it.
14:08Wait until everyone sees this.
14:15Can you feel this?
14:18Yeah.
14:21It's okay, it's okay, love.
14:22It's okay, focus 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.
14:35Because he 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, don't they?
14:50Siobhan?
14:52Well, yeah, that's good.
14:53They'll do the rest in the theatre.
14:56How was the scan?
14:58Like Dr. Kier thought, grade 4 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 to surgery.
15:10Can I call somebody for you?
15:12My parents are aware, I don't want to worry her.
15:15Okay.
15:16Kim, could you give me a hand?
15:17We'll get you more comfy.
15:18Okay.
15:19Can you lift her up, please?
15:23That's it.
15:24Are you okay?
15:26We don't all hate traffic wardens.
15:42Hiya.
15:43This is our pre-alert, Neil.
15:44He's 43, is an insulin-dependent diabetic,
15:48and 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.
16:00Okay.
16:00Neil, my name is Dr. Byron.
16:02We have everything we need ready.
16:03This is Jodie.
16:04She's just going to check your blood glucose and your ketone levels, okay?
16:06Nothing to worry about.
16:08Nicole, can you get another line in?
16:09Bloods and gas and, um...
16:12I'm a little bit concerned about clossing,
16:14so let's get some blood thinners on hand as well.
16:15Yeah.
16:17Hiya, Neil.
16:18Have you set your hand?
16:20It's all right.
16:20It's okay.
16:21That's it.
16:25See you later, mate.
16:29It's all right.
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.
16:45Smash 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, right?
17:04Sound, yeah?
17:06Great idea.
17:11Tara Miller?
17:15Hiya.
17:15I'm Dr. Lynn 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 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 3?
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, how did you do this?
18:04There was too many people in the kitchen at work.
18:07Mm-hmm.
18:07Got distracted.
18:09Was bashed by a cupboard door.
18:11Glew to a phone.
18:13Any loss of consciousness?
18:15Any vomiting?
18:16She's not been quite with it.
18:17And she's been sick twice.
18:19My 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, I'm afraid.
18:30Young people don't do headphones, do 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?
18:42Thank you, Phoebe.
18:44And, er, I'll put a CT request in with the system.
18:47I suppose I could stay a bit longer than you're telling you about when I went to Croatia.
19:06Try 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 to the patient records.
19:15I'm not sure if this evening can help you with today.
19:17Yeah, no, absolutely.
19:18It's fine.
19:20I'll have to look at his name.
19:21Okay.
19:22Yeah, sure.
19:23Uh, Di, he is.
19:26What are you doing here?
19:27Um, I just needed to check your records.
19:30The man we arrested.
19:33Chris Banfield.
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.
19:57Go to a job.
19:58Have friends.
20:00Can everyone else do it?
20:02I mean, yeah, I've got a job and I eat a normal amount, whatever that is, but sometimes I drink
20:10too much and 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 McKenzie?
21:37No.
21:38Absolutely not.
21:39I would have remembered him.
21:41Cam?
21:44Um, imaging was down and I needed someone seeing his advice.
21:47I needed Siobhan's advice.
21:50Remember?
21:50He was, uh, going on about his mate.
21:52His mate left a nail in the wood.
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 because 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 and 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, and believe me, it turns my stomach.
22:53I just wanted to be honest with you.
22:56Let me show you how.
22:59Anything I can do, Siobhan.
23:01Anything at all.
23:03Please, just call me.
23:11We're thinking of walking the Camino de Santiago, but I'm not sure about the hostels, you see.
23:18Okay, 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.
23:28I'm not someone who moans a lot.
23:30Have you got pain anywhere else?
23:32Like I said, my neck.
23:35Can you, er, can you put your chin to your chest?
23:40No.
23:43Any 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.
24:01So the injury isn't the problem?
24:02It's what caused you to sustain the injury, that is?
24:04Well, what has caused it?
24:06She's developing meninges, isn't it?
24:09Just give us a minute, yeah?
24:14Okay, okay.
24:15Er...
24:16Maybe she had a small bleed, the CT didn't pick up, a 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 surprise?
24:42We don't need Dr Byron.
24:45For a lumbar puncture.
24:46You know what he's like.
24:47He won't thank us for interrupting him.
24:50Okay, call Dr Keo 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.
25:07Hey, you 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.
25:36Yeah, this is going to leave, friends.
25:37Come on, man.
25:37You've got the first round.
25:38No, why do I not?
25:43Alright.
25:44I'll see you in the pub.
25:46You're 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.
26:04I'm sorry.
26:08I am sorry.
26:16Okay.
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 a 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.
27:35Yeah.
27:36Yeah?
27:40I identify the L3 to L4 or L4 to L5 interspace by palpating the posterior superior iliac crests and move
27:50your fingers 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 trips 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?
28:46I can go one space above, right?
28:48L2, L3?
28:54Kim?
28:56Kim?
28:59Yeah.
29:01Sure?
29:03Yes.
29:05Yeah.
29:08There we go.
29:12Okay.
29:15Okay, yeah.
29:18That's much easier, eh?
29:21Okay, we'll get this sorted for you and then we'll get your friend back in a minute.
29:37Told you we could do it.
29:39Yeah.
29:39Yeah.
29:41Yeah.
29:45Yeah.
29:47Yeah.
29:50Okay.
29:56Yeah.
29:57He's good.
29:59wagons, you? Yeah.
29:59Yeah.
30:00Yeah.
30:00Yeah.
30:02Yeah.
30:02Yeah.
30:04Yeah.
30:14please please don't make me do the baby reader pretty please actually why don't you take angry
30:22drunk man instead wow that's like super mean don't worry don't worry we'll come back to you
30:29when we got the results no there's something wrong she's saying she can't feel her legs
30:47all right ted i go you're right you're right
30:54um jacob yeah ashley is really really sorry about what happened and we thought we thought you
31:02accepted it so i'm not understanding why we can't move on right i will get you a drink no i'm
31:11all
31:12right no i'll get you a drink i'm sitting here listening to you two fighting you're fighting
31:16man look teddy i need to protect my son but you don't have to make an example of my girlfriend
31:24doing that do you know that blake hasn't left the house since your girlfriend arrested him
31:29look how far he's come and now he's terrified that this may happen again
31:33maybe in front of carter next time look how she treated that white woman
31:38yeah you know the one with the mental health issues the moment she was compassionate she was patient
31:43but with blake she was different and she was even more scared when i spoke up i don't believe that
31:48why are you still defending it do you know i
31:53you know i am so sick and tired of 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 do you yeah teddy 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 you're more
32:19palatable than me and blake and you know
32:21do 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
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
33:19i can't move
33:21tara
33:22try 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 i've been to last year
33:36part of this group you see
33:37divorce 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 are you okay
34:04we were worried about a leaking cerebral aneurysm
34:07and a small subrachnoble bleed not visible on the ct
34:10just enough please
34:10okay um
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
34:36okay
34:37how about this
34:44no
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 cannot believe
35:04what's going on
35:05um
35:06can 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
35:17i'm going to need to take a ct of your head
35:19and an mri of your spine
35:21but
35:21hopefully 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
35:29well it might
35:31it might be a result of the lumbar puncture
35:33that dr chang and dr lynn laker performed
35:35yes
35:36i'm sorry
35:37i'm so sorry
35:39you two in my office now
35:41go please
35:41hurry up
35:42thank you
35:42um
35:43i'm gonna i'm gonna send a nurse over
35:46we're gonna get you upstairs for that ct
35:48and um
35:50yeah i'm gonna i'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 was 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
36:35see one do one
36:36see one do one
36:37that's the motto around here
36:38and and and you were busy with the cqc
36:41so why didn't you call dr kia
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
36:54so 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 you 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 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 i had to tell them the truth
37:47i know
37:48i know
37:51um
37:52siobhan
37:52listen if you uh
37:54if you need anyone to speak to
37:55no i'm fine can
37:58siobhan
38:02i 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
38:10up shop
38:15where are we going
38:16we're going upstairs
38:18there's your beds ready remember
38:19kim kim
38:20do you mind coming up with us
38:22he was fine for you
38:24neil
38:25i don't feel
38:26neil
38:27i don't feel right
38:28all right neil
38:29dylan dylan i need you
38:30uh okay okay okay
38:33okay what have you got
38:33um this is neil
38:3540s inch independent diabetic
38:36he's been under zk protocol for about three hours
38:39um and his blood sugar's coming down quickly
38:41i have your seizure isn't he
38:42so he's probably hyperbicemia
38:43okay okay
38:43so when was his blood glucose last night
38:46uh it was 20 minutes ago
38:47seven
38:48seven all right
38:49it's beginning to subside i think
38:51yeah all right
38:52so uh let's get him to resus i think
38:54stand by with uh dextrose and lorazepam as well okay
39:00oh wait wait stop this for the door
39:02okay stop
39:03he's struggling to breathe as well
39:04um oh kerry could you help
39:06would you would you give us a jaw thrust here
39:09i'm just here to observe
39:11well okay you can observe him suffocate
39:12or you can lend a hand
39:16do we know where that's coming from
39:18thank you
39:30okay so that's all beginning to stabilize aren't they
39:32fine so as i said through to resus
39:35and let's stand by without dextrose
39:36please i'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 right kim
40:02hiya tara my name's dr nash i'm one of the consultants here in the ed
40:07uh we have your results back and i'm really sorry to have to tell you that you have developed an
40:13epidural hematoma which is a very rare but recognized complication from a lumbar puncture so basically what's happened is that
40:23a clot is formed and that's putting pressure on the spinal cord which is which is why you can't feel
40:28your legs
40:28is it permanent look and we've ordered an urgent referral to neurosurgery so they're going to operate they will remove
40:34the clot they'll try and relieve the pressure and yeah full recovery is possible but i want to be very
40:40clear here that 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 i really
40:52get out
40:55i'm sorry
40:58look let me show you that you're in the best possible
41:00hands upstairs
41:01uh we'll we'll get you ready
41:04i'm gonna contact euro okay
41:12i know i have no right to ask you you've been here for hours
41:17can 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
41:56we fixed the problems that you identified we 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 they 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 i'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
43:01me 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
44:03um i'm sorry if i put you on the spot
44:06no you didn't
44:08it's just
44:10i haven't practiced in a while
44:11that's all
44:132020
44:16okay but
44:17yeah
44:17that was
44:18that was tough on all of us i think
44:20and certainly if my experience was anything to go about
44:23you should try therapy
44:24dr keogh
44:25so i'm here to assess you
44:28not the other way around
44:36goodbye mum
44:37goodbye mum
44:39i do miss you
44:45i don't know any prayers or anything
44:47with him
44:48yeah i don't either actually
44:50um
44:51i mean maybe i could make one up
44:59actually
45:01can i go outside
45:29hey guys
45:33i'm afraid
45:34i'm afraid tonight's inspection didn't go as we would have hoped
45:38the inspectors witnessed the result of an incorrectly performed lumber 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
45:53and stevie and dylan weren't here so
45:55okay uh look there were a number of reasons
45:58okay resident distrust of senior staff
46:03um
46:04um
46:05lack of consultant cover at night
46:06the
46:08um
46:08training exercise that
46:10i thought was a good idea
46:11recently
46:12all of it came in for criticism okay
46:14then
46:15just spit it out
46:17what are they going to do
46:21uh
46:21uh
46:22we are
46:22no longer open to major trauma at night
46:26what
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
46:55staffing safety
46:57leadership
46:58and quality standards
46:59we can invite the cqc back to reassess
47:05yeah
47:06tonight that's it
47:09yeah
47:13yeah
47:14yeah
47:14yeah
47:15yeah
47:15yeah
47:16yeah
47:17yeah
47:25yeah
47:26yeah
47:27yeah
47:53You know, when I first came here, I really thought I 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.
48:13No.
48:14No, we need you.
48:17Leaving's a coward's way out anyway.
48:21We'll fix it.
48:24We have to.
48:28We'll fix it.
48:32We'll fix it.
48:41We'll fix it.
49:06We'll fix it.
49:08We'll fix it.
49:18We'll fix it.
49:21We'll fix it.
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