- 8 hours ago
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00:00I was raped.
00:00Siobhan.
00:01I was walking home on my own.
00:03Stop!
00:04Stay where you are, please, sir!
00:05What?
00:06You're being detained for the purpose of a search.
00:07Ashley, it's me.
00:08It's me.
00:09Take her.
00:09Take a step back!
00:10You said to me that you want to make it in the ED?
00:12Yes.
00:13I do.
00:13Right.
00:14Then I need you to work on growing a thicker skin.
00:15So what is it?
00:16What have I done?
00:17It's me!
00:18I'm your dad.
00:19I've got a dad.
00:20Thanks.
00:20Patients still need a safe place to seek treatment.
00:23I'm triggering a full inspection.
00:25And in 30 days I'll be back to see if things have improved.
00:31All I'm saying is that you really have to make a complaint.
00:34I know you're upset, but so is she.
00:35Yeah, people tend to be upset when they get in trouble.
00:37Couldn't do anything wrong.
00:38She had reason to suspect him.
00:41She's obviously not racist.
00:42Well, I'm sorry, but what do you do?
00:44You know what it's like on a job.
00:45You have to make a split-second decision.
00:53Hi, mate.
00:53You the one that called us?
00:54I don't know if I'm being, like, well, dramatic,
00:56but I deliver here every day.
00:57Okay.
00:58Then yesterday, nothing.
01:00Today, nothing.
01:01Well, it's nice that you came, anyway.
01:03I passed the food through the window when Neil and I chat, you know?
01:08Neil?
01:09Can you hear me?
01:09It's paramedics.
01:11Lads at work have a bet why he's so private.
01:13Because I've never actually seen his face.
01:15Okay, could he have just gone out?
01:16Neil, can you hear me?
01:17It's paramedics.
01:18We're checking to see if you're all right.
01:19I've delivered here for like a year.
01:20Even on Christmas Day.
01:22Something's happened.
01:24Okay.
01:25Um, Control, this is P006.
01:28Uh, we're gonna force entry.
01:30Can you get the police running?
01:31Live status on none.
01:33Receive that.
01:33Over.
01:49Be careful.
01:51Okay.
02:04Enter your car.
02:05Oh.
02:06Oh.
02:06Oh.
02:06Oh.
02:09Oh.
02:11Oh.
02:29Neil?
03:00No, 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.
03:11Should 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 nice.
03:21Wow, what's wrong with you? You're a bit.
03:26Yeah, yeah, I'm here.
03:29Well, then why has nobody turned up?
03:32Yeah, I'm whole.
03:55Me, I don't know when the CQC arrived, but don't tell me anything, mate.
04:07Dr. Kiel?
04:10Dr. Lynn Laker.
04:12You okay?
04:14Okay, well, I... I... I see that you want to change men's war.
04:17Uh, why would I want to do that?
04:21Well, I don't know.
04:22Look, I'm fine. It's all good.
04:25You're a perfectly adequate mentor.
04:29Okay, you've got a few months left of your orientation, and I guess we've just got to get through that,
04:33right?
04:34Yep.
04:38Uh, is there any news, Finn?
04:39Uh, no. Nothing. I don't know anything.
04:42Well, I think we need to call them.
04:43You all right?
04:46Just taking a leave out of your book.
04:50Look, did he tell you how the CQC went? Has he been in yet?
04:54No.
04:55I didn't ask.
04:58I still haven't told my mum about him.
05:00Why not?
05:02Because she didn't want him in our lives for a reason, you know?
05:04Yeah, yeah, yeah, yeah.
05:06Yeah, well, it doesn't seem like an unstable alcoholic.
05:09No offence, Kim, but what do you know?
05:18Why are you in my house?
05:20Well, like I said, we're paramedics and we're here.
05:22Jacob, he's got a pair of drunk breath.
05:25Neil, are you diabetic?
05:27Yeah, but I do my injections.
05:31Do you live alone?
05:34Yeah.
05:37It's all right.
05:38I've got you.
05:41Okay, uh, we need to get you to hospital.
05:43What?
05:44I can't.
05:45No, Neil, we have to.
05:46You're in diabetic ketoacidosis.
05:48That means your blood sugar and your ketones are dangerously high.
05:52Right.
05:53I know, I know.
05:54It sounds alone.
05:55People will see me.
05:56I'm sorry, but we need to see what we're doing.
06:02Hey, it's all right.
06:03It's okay.
06:15It's okay.
06:17It's okay.
06:40It's okay.
06:57Is this your mum?
07:02The pizza guy told me that you lost her last year.
07:04I'm really sorry.
07:09And who's this handsome couple?
07:14It's me and my girlfriend.
07:17Ex-girlfriend.
07:20Here, give me a mood.
07:24Control to 3006.
07:26You still need a second truck.
07:28Over.
07:293006 to control.
07:31We're going to need P2 backup from another crew.
07:34And I don't want to vacation assistance.
07:36I haven't always been this bad, you know.
07:42My ex left me, but when I started putting on weight, she said I had bigger tits than her.
07:49But so what?
07:53Mum was ill.
07:55I nursed her for ten years.
07:57I couldn't just leave her on her own.
08:06How long have you had these sores?
08:10A few months.
08:11Is there anybody else who can help you?
08:14Family?
08:15Friends?
08:17No.
08:20Not now.
08:21Mum's gone.
08:23OK.
08:24Hey.
08:24Thanks for the assistance.
08:25Hey, guys.
08:31OK.
08:31Backup is on the way.
08:33OK.
08:34Now, my guess is that they're going to bring a winch.
08:36And they're going to take a...
08:37A winch?
08:38No.
08:39No, I can't.
08:40I can't.
08:42You can't make me.
08:44Just give me some insulin.
08:46Leave me alone.
08:49This is Debbie, 33 years old.
08:52She's grabbed underneath the car.
08:53Ten litres at 18...
08:54Matty, listen up, please.
08:56She's got left arm degloving from her wrist to her elbow.
08:59Bruising around her umbilical region.
09:00Bed three, please.
09:01Heart rate's 145.
09:03BP's 77 over 40.
09:05Sat's 99% on 10 litres.
09:07Rest at 24.
09:08A GCS is 10.
09:09She's had a gram of ibm paracetamol.
09:11Four milligrams of ondansetrant.
09:13A gram of TXA.
09:15500 mils of saline.
09:17Seven and a half milligrams of morphine.
09:19And 1.2 grams of coimoxicab.
09:21OK, on lift, please.
09:23Ready?
09:23Brace, lift.
09:25Slide.
09:27So she's deteriorating, hasn't she?
09:29So, Matty, do you want to take the primary survey?
09:31Um, she's hypertensive, presumably hypervolemic.
09:34So we need to find out where that bleed's coming from, don't we?
09:36Yeah.
09:36Yeah.
09:37Let's activate the major hemorrhage protocol then, please.
09:39Siobhan, could you set up the rapid infuser?
09:41As soon as you can.
09:42Kim, blood from the fridge, please.
09:44Two units FFP, two units O'Neck.
09:46So in time, we'll need to do CT for the trauma, obviously,
09:50and angiography on the arm.
09:51Let's do a FOS.
09:51Oh, you're doing a FOS, Tim.
09:53Siobhan, can we check these pills?
09:55OK.
09:56Absent long slide, then, and lung point.
09:59She has a pneumothorax.
10:00OK, so good spot.
10:01What are we going to do?
10:02Chest drain.
10:03Yes, let's set up for that, then, please.
10:07I'm sorry I snapped.
10:08Good work, Matty.
10:09Wasn't it good, Dr Keogh?
10:11Yeah, perfectly adequate.
10:18The backup is here, Neil, and believe me, everybody wants to help you.
10:23We can bring the stretcher in and go.
10:31Neil, you need proper electrolyte monitoring and insulin infusion,
10:35neither of which we can do in this living room.
10:36I know.
10:39From what you've told me,
10:41your mum would not want you wasting your life
10:44wearing this dark green, would she?
10:50You really want to help me?
10:53Take out my rubbish.
10:57OK, look, Neil.
10:59High blood sugar's dangerous.
11:01Low blood sugar's dangerous.
11:04DKA, fatal.
11:06Now, if we walk out of here,
11:07which we're probably going to have to because you do have capacity,
11:10then you are going to die.
11:13So the question is, Neil,
11:15do you want to live or do you want to die?
11:17It's really that simple.
11:20Come on, Neil.
11:22Should we go?
11:38I, um, had a word with orthopedics,
11:40and the boy in resus two
11:41should be fit to be moved in about ten minutes.
11:44Right, OK, thank you.
11:45Um, look, stop worrying about the CQC.
11:46They'll come tomorrow.
11:47Just go get some sleep.
11:49Well, Stevie, you're in danger of being nice.
11:51Yeah, I'm really not, though.
11:52This is Siobhan.
11:54Who is it?
11:59Do you get out of here?
12:04Shouldn't be too much longer, apparently.
12:07I don't know why I'm even here.
12:08It's stopped bleeding.
12:14So, is the nursery painted?
12:16Is it all finished?
12:17Yeah, yeah, it's all done.
12:18We've just got the court to build,
12:19but the kids want to help with that, so...
12:21As brilliant as it is showing with your best mates,
12:23I honestly don't know how I'll be able to afford a place on my own.
12:25Might be all right, though, for a doctor.
12:27Not this doctor.
12:28I'm still renting.
12:32OK, you all right?
12:34You should head home as well.
12:35They've made an arrest, OK?
12:37Somebody's recognised the ear fit,
12:39and his DNA's on my uniform.
12:41You're kidding me.
12:41This is good news, right?
12:43Well, I mean, sorry,
12:44it obviously didn't change anything that happened.
12:46No, no, it's great news.
12:47He's off the street.
12:48He's going to face justice.
12:49OK.
12:50Hey, hey, that's because of you.
12:52OK?
12:53Oh, no, don't turn around to CQC.
12:57You're kidding me.
12:58I just sent everybody home.
12:59It's OK, we can do it.
13:00OK, you've got this, OK?
13:01Just keep going.
13:02Kerry, welcome back.
13:04It's good to be back.
13:06I hope.
13:15Pete's guy still here?
13:16Yeah.
13:18OK, nice and easy, guys.
13:21Nice and easy, guys.
13:22Nice and easy.
13:25Still here, Neil.
13:27All right.
13:36Hey, it's OK.
13:37It's OK.
13:39Everyone ready?
13:40Yeah.
13:41Let's go.
13:41OK, push.
13:44Neil.
13:45I knew it.
13:47Neil, mate.
13:49I don't think there's a blanket big enough.
13:51Keep going.
13:51Keep going.
13:52Keep going.
13:53When you get back, chubster,
13:55let's go down to two large pizzas, shall we?
13:57And only one portion of wings.
13:59I'm so sorry.
14:00I'm really, really sorry.
14:03Hey, hey.
14:04Back on.
14:04Jacob.
14:05Jacob.
14:06It's not worth it.
14:07Wait until everyone sees this.
14:09No, no, no, no.
14:14Can you feel this?
14:17Yeah.
14:20It's OK.
14:21It's OK, love.
14:21It's OK.
14:22Focus on me.
14:23Plastics will be down soon.
14:25That man did a real number on you, I'm afraid.
14:27He had such hatred in his eyes.
14:30I mean, everyone hates traffic wardens,
14:33but he just lost it.
14:35Because he gave him a ticket?
14:37I know people think we're busybodies,
14:39but the rules keep us all safe.
14:42I couldn't agree with him more.
14:44Problem is, some people think the rules don't apply to them.
14:48Don't they?
14:49Chabot?
14:51Well, yeah, that's good.
14:52They'll do the rest in the theatre.
14:55How was the scan?
14:57Like Dr. Keir thought,
14:59grade 4 splenic lack,
15:00and blood in the peritoneal cavity.
15:02Shall I chase upstairs,
15:04see how quickly they can take her?
15:05I'll go and speak to surgery.
15:07You, yeah.
15:09Can I call somebody for you?
15:11My parents are aware.
15:13I don't want to worry her.
15:14OK.
15:15Kim, could you give me a hand?
15:16We'll get you more comfy.
15:18OK.
15:18Can you lift her up, please?
15:23That's it.
15:23Are you OK?
15:25We don't all hate traffic wardens.
15:41Hiya, this is our pre-alert Neil.
15:43He's 43.
15:45He's an insulin-dependent diabetic
15:46and presented in DKA
15:48after multiple missed insulin doses.
15:50His first CBG was 29.4.
15:52His ketones were 6.2.
15:53We've given him fluids as per DKA guidance.
15:55Don't.
15:56Don't.
15:57Don't touch me.
15:58They're here to help you.
15:59OK.
15:59Neil, my name is Dr. Byron.
16:01We have everything we need ready.
16:02This is Jodie.
16:03She's just going to check your blood glucose
16:04and your ketone levels, OK?
16:05Nothing to worry about.
16:07Nicole, can you get another line in?
16:09Bloods and gas and, um...
16:11I'm a little bit concerned about clotting,
16:13so let's get some blood thinners on hand as well.
16:14Yeah.
16:16Hiya, Neil.
16:17Can I just set your hand?
16:19It's all right.
16:19It's OK.
16:21That's it.
16:24See you later, mate.
16:28It's all right.
16:31Thank you, guys.
16:33Just give me that on,
16:34and then I can have a look for a vein.
16:38I did not think we were going to get him out of there at one point.
16:42I'm kind of glad you did the bad cop routine now.
16:44Just smashed that fool's bomb.
16:46Me too.
16:47You did really good with him.
16:49What did I mean?
16:56I was thinking that maybe we could team up for the rest of the shift.
17:00With the CQC, we need to be on it.
17:03Right.
17:04Sound, yeah.
17:05Great idea.
17:10Tara Miller?
17:14Hiya.
17:15I'm Dr. Lynn Laker.
17:16This is Dr. Chang.
17:17If you'd like to follow us, please.
17:22Why don't you go?
17:24You've done your ditty.
17:25She's not your mum?
17:26No.
17:27We just work for the same soul-sucking corporate hellhole.
17:32We're just going to go over into cubicle three.
17:36Our boss made her come because she had finished her shift.
17:41Just hop onto the bed for me.
17:43Obviously, we've made changes in all the areas you identified.
17:46And you've also worked with the inpatient teams on Flo?
17:50We have.
17:51I think you're going to find that things are running pretty smoothly.
17:53Ow!
17:54Sorry.
17:55Sorry.
18:00Okay.
18:01Yeah, how did you do this?
18:03There was too many people in the kitchen at work.
18:06Mm-hmm.
18:07Got distracted.
18:08It was bashed by a cupboard door.
18:10Mm.
18:11Glued to her phone.
18:13Any loss of consciousness?
18:14Any vomiting?
18:15She's not been quite with it, and she's been sick twice.
18:18My whole head hurts.
18:19And my neck.
18:21I think we should CT, just to be on the safe side.
18:23Agreed.
18:24Might be a bit of a wait, I'm afraid.
18:30Young people don't do headphones, do they?
18:33Have you had any paracetamol in the last four hours?
18:37No.
18:37Okay.
18:38Er, excuse me.
18:40Er, can we get one gram of paracetamol, please?
18:42Thank you, Phoebe.
18:43And, er, I'll put a CT request in with the system.
18:46I 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.
19:07I think you can use a plastic bag when you need to go on the shower, all right?
19:19I'll have to look at his name.
19:20I'll have to look at his name.
19:21Yeah, sure.
19:22I'll have to look at his name.
19:23Oh, dear, he is.
19:25What are you doing here?
19:26Um, I just needed to check your records.
19:29The man we arrested, Chris Vanfield.
19:33He's saying he was a patient here.
19:48How come everyone else can do it?
19:50Do what?
19:52Do what?
20:04Lose weight?
20:05I don't.
20:05Whatever that is.
20:06But sometimes I drink too much and I make an idiot of myself that way.
20:15I lost my mum last year.
20:18I never went to a funeral.
20:23I thought people looking at me, pointing, laughing, I just couldn't do it.
20:35I didn't say goodbye.
20:37I let her down.
20:39No.
20:41You were grieving.
20:44You...
20:46You can't keep beating yourself up for that.
20:49Yeah.
20:51Your mum would understand.
20:56But she's not here anymore, Neil.
21:02And you are the only one that can get yourself healthy.
21:06You're the only one that can choose life.
21:26It was here.
21:28You did treat him.
21:30Okay, yeah.
21:32I remember him.
21:33And did he have any contact with Miss Mackenzie?
21:37No.
21:37Absolutely not.
21:38I would have remembered him.
21:40Cam?
21:43Um, imaging was down and I needed someone seeing his advice.
21:46I needed Siobhan's advice.
21:49Remember?
21:50He was going on about his mate.
21:52His mate left a nail in the woods.
21:56Would you have touched him?
21:59Yeah.
22:00That doesn't excuse it, does it?
22:02If anything, that makes it make more sense because now it's not a random thing.
22:06He's, like, followed you home.
22:07Yeah.
22:07Do you know what I mean?
22:08He says Siobhan treating him is how his DNA got in her uniform.
22:15I need you to prepare yourself in case the CPS won't take it any further.
22:20What do you mean?
22:23Well, go on, spit it out.
22:26He reckons he's a young, attractive man and that if he needed sex he'd go on the apps.
22:31Why would he need to rape someone?
22:34Especially someone so much older.
22:43Look, you know, rape is not about sex, okay? It's about power and violence.
22:49Yeah, and believe me, it turns my stomach.
22:52I just wanted to be honest with you.
22:56Let me show you how.
22:58Anything I can do, Siobhan. Anything at all.
23:01Please, just call me.
23:10We're thinking of walking the Camino de Santiago, but I'm not sure about the hostels, you see.
23:17Okay, Tara. Hiya.
23:19Your CT was normal.
23:21No fractures, no bleeding, just the cuts of the head, okay? So...
23:25It's killing me. I'm not someone who moans a lot.
23:30Have you got pain anywhere else?
23:32Like I said, my neck.
23:34Can you put your chin to your chest?
23:39Hmm.
23:42Any more nausea?
23:44Yeah, a lot.
23:51Hey, do you tend to bash into things?
23:54Not really, no.
23:57I think I was feeling a bit dizzy.
24:00So the injury isn't a problem? It's what caused you to sustain the injury, that is?
24:03Well, what has caused it?
24:05She's developing meninges, isn't it?
24:08Just give us a minute.
24:09Yeah.
24:13Okay, okay.
24:14Er...
24:15Maybe she had a small bleed, the CT didn't pick up, a SAR.
24:19You should do a lumbar puncture.
24:21And check for xanthochromia.
24:22It's not 12 hours since the fall.
24:24You can do it after six, right?
24:27You can't leave her.
24:28She'll make her sepsis or brain damage.
24:33Is Dr Byron around to supervise?
24:42We don't need Dr Byron.
24:44For a lumbar puncture.
24:46You know what he's like.
24:47He won't thank us for interrupting him.
24:49Okay, call Dr Keir then.
24:51No.
24:52I'm not calling him.
24:54Okay, if you want to call somebody, call Dr Nash.
24:57Yeah, I didn't think so.
24:59Look, we have trained for this.
25:02Plus, I've done one. Supervised.
25:05Okay?
25:07You supervise me this time.
25:09Come on.
25:10We're a good team.
25:27I shouldn't be here.
25:28I promise you.
25:30He does not want any ag either.
25:32Alright?
25:32I can just apologise and everything's going to go away.
25:35Let's just get with your friends.
25:36Come on, mate.
25:37You've got the first round.
25:38Oh, what are you doing now?
25:42Right.
25:43I'll see you in the pub.
25:45You all right, mate?
25:49Jacob, I owe you an apology.
25:52You and Blake.
25:55I was just trying to do my job, but...
25:57I should have listened to you when you told me he had nothing to do with it.
26:00I tried to tell you that Blake had mental health issues.
26:02I know.
26:04I'm sorry.
26:07I am sorry.
26:14Okay.
26:17Apology accepted.
26:22That's great.
26:33We're going out in a bit if you fancy coming with us.
26:36Nah, sorry.
26:37I've got to catch up with Ian, so...
26:39I've got to finish this as well.
26:41See you in a bit.
26:43Yeah.
26:54No worries.
27:00When do you think you'll call the station?
27:05What?
27:07Mate, I'm not retracting the complaint.
27:11Look, her saying something makes things easier, but the problem's systemic.
27:15An apology's not going to change that.
27:29Okay, Tara.
27:30Just checking that you're still okay for us to perform the procedure to check if there's any blood in your
27:34spinal fluid.
27:34Yeah.
27:39I identify the L3 to L4 or L4 to L5 into space by palpating the posterior superior iliac crests and
27:49move your fingers medially towards the spine.
27:52And that's it.
27:55Now move up into the L3 to L4 space and mark the space with your finger.
28:00You could have let her stay.
28:02One of her stories might have been a distraction.
28:05You thought you might have wanted some privacy.
28:08Don't worry, she'll be back in a minute.
28:10She was telling me in great detail about all the trip 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.
28:29But it's just not going in.
28:34I'm going to go higher.
28:36I'm allowed to do that, right?
28:38Everything alright?
28:39Yeah, yeah. Everything's fine.
28:40Not much higher.
28:42How much higher?
28:45I can go one space above, right? L2, L3?
28:52Kim?
28:54Kim?
28:58Yeah.
29:01Sure?
29:02Yes.
29:04Yeah.
29:06There we go.
29:08There we go.
29:11Okay.
29:15Okay.
29:16Okay.
29:16Yeah.
29:17That's much easier, eh?
29:20Okay.
29:21We'll get this sorted for you and then we'll get your friend back in a minute.
29:36Let me see what you guys are supposed to do now.
29:38I am coming.
29:39No, no, no, no, no.
29:47I'm going with no one at all.
29:48I'm going with no one at all for you.
29:53But I'm going with no one at all.
30:13please please don't make me do the baby reader pretty please hmm actually why don't you take
30:21angry drunk man instead wow that's like super me don't worry don't worry we'll come back to you
30:28when we got the results no there's something wrong she's saying she can't feel her legs
30:46all right Ted oh yeah you're right you're right
30:53um Jacob yeah Ashley is really really sorry about what happened and we thought we thought
31:01you accepted it so I'm not understanding why we can't move on
31:08right I will get you a drink no I'm all right no I'll get you a drink I'm sitting here
31:13listening
31:14to you two fighting we're fighting man look Teddy I need to protect my son but you don't have to
31:22make an example of my girlfriend doing that do you know that Blake hasn't left the house since
31:25your girlfriend arrested him look 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 yeah you know the one
31:38the mental health issues the moment she was compassionate she was patient but with Blake she
31:43was different and she was even more scared when I spoke up I don't believe that why are you still
31:48defending it do you know I know I am so sick and tired of trying not to look angry off
31:58set
32:01try not to give them the room to call me the angry black man I know I get that do
32:05you
32:07yeah Teddy you were raised by a white family so I don't know if you do really funny get it
32:15what mate you're mixed race you're more palatable than me and Blake and you know
32:20do you think people see me and think half white because Jacob Jacob I am telling you now
32:27I'm telling you they see a black person mate you're like family to me and you know that
32:35I'm just saying that sometimes in situations like this you and Blake don't walk in the same
32:38shoes it's not the same if you don't challenge the system then how do you expect it to change
32:48I'm not retracting the complaint
32:52and if you don't get it now then I hope someday you will
33:11tell me exactly how it feels strange tingling I can't move Tara try not to panic okay we'll run some
33:26more tests and I'm sure everything will be fine just try and relax let me tell you about all the
33:33other places I've been to last year part of this group you see divorce women I don't see how I
33:42could
33:42have done something wrong I did exactly what you said it says you can't go as far as L2 to
33:48L3
33:50wait you said that I could
33:56guys you okay
34:03we were worried about a leaking cerebral aneurysm and a small subretion I bleed not visible on the
34:09CT enough please okay so Tara we I'm gonna know anything for sure until we get the results back
34:15okay but the first step is to just stay calm I'm gonna take a look if that's okay
34:18you feel that
34:30no
34:34okay how about this
34:42no
34:53no no I can't feel any of it
34:55I can't move them
34:58I can't move my leg
35:01I can't help me
35:04what's going on
35:05um can you call Dylan and Stevie back please thank you
35:08okay I understand how frightening this must be for you
35:14am I ever going to be able to walk again
35:16I'm going to need to take a CT of your head and an MRI of your spine but
35:21hopefully this is just temporary okay
35:23it might not be
35:25it might be permanent
35:26it's because they put that needle in her isn't it
35:28um well 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 I'm so sorry
35:38you two in my office now go please hurry up thank you
35:42um I'm gonna I'm gonna send a nurse over we're gonna get you upstairs for that CT
35:47and um yeah I'm gonna I'm gonna send somebody straight over okay
35:57I'm so sorry
35:59I know this is a very difficult moment
36:03but would you mind if I asked you some questions
36:13it was my fault
36:15I misread the instructions
36:17I told him to go too high
36:19no it was my fault
36:21Kim didn't even want to do it
36:24and I've done one before
36:26with supervision
36:28I thought I could do it
36:29you've done one before with supervision
36:30I thought I could do it
36:33see one do one right
36:36see one do one that's the motto around here
36:38and and and you were busy with the CQC
36:40so why didn't you call Dr. Keo
36:43Dr. Nash wants me to stand on my own feet
36:47obviously that doesn't mean not asking for help
36:49when you have a legitimate need
36:50when a patient has a legitimate need
36:54so is that it
36:55a young woman might never walk again
36:57because you didn't want to call Stevie
36:59in case she was a little bit sarcastic
37:00is that it
37:01is that what you're telling me
37:03why didn't you come to me
37:05I would have helped you
37:06why would we come to you
37:07after that stupid game you played that training
37:11you let me think I was gonna die
37:13hey I how could we trust you after that
37:21you two had better hope and pray
37:22than how paralysis is temporary
37:27I strongly advise you both
37:30not to pass any further comment
37:33just be quiet okay
37:44I'm sorry I have to tell them the truth
37:46I know
37:47I know
37:51Siobhan
37:51listen if you need anyone to speak to
37:54no I'm fine
37:57Siobhan
38:02I really want to be there for you
38:03look Cam I know you do love
38:05and that means a lot
38:06but we've got the CQC to focus on
38:08so come on
38:09upshot
38:15where are we going
38:15we're going upstairs
38:17your bed's ready remember
38:19Kim
38:19Kim
38:20do you mind coming up with us
38:21he was fine for you
38:23Neil
38:24I don't feel
38:25Neil
38:26I don't feel right
38:27all right Neil
38:28Dylan Dylan
38:29I need you
38:30uh okay okay okay
38:32okay what have you got
38:33um this is Neil
38:3440s inch and independent diabetic
38:35he's been under CTA protocol
38:37for about three hours
38:38and his blood sugar's coming down
38:39quickly
38:40I have your seizure isn't he
38:41so he's probably hyper-ice in it
38:42okay okay
38:43so when was his blood glucose last measure
38:45uh it was 20 minutes ago
38:47seven
38:47seven
38:48all right
38:48it's beginning to subside I think
38:50yeah
38:50all right so let's get him to
38:53recess I think
38:53stand by with dextrose
38:55and lorazepam as well
38:57okay
39:00oh wait wait
39:01stop this through the board
39:01okay stop
39:02he's struggling to breathe as well
39:03um
39:04oh Kerry could you help
39:06would you would you give us a draw
39:07thrust here
39:08I'm just here to observe
39:10well okay you can observe him
39:11suffocate or you can lend a hand
39:15do we know where that's coming from
39:17thank you
39:29okay so that's all
39:30beginning to stabilize aren't they
39:31fine so as I said
39:33through to recess
39:34and let's stand by with that dextrose
39:36please
39:36I'm sorry I didn't mean to bat
39:38it's okay
39:43you sure she's going to want to see this
39:45we need to rebuild a trust in the medical profession
39:49and that begins with all of us holding our hands up
39:53Stevie you ready
39:54yep
39:55right Kim
40:01hiya Tara
40:02my name's Dr Nash
40:03I'm one of the consultants here in the ED
40:06uh we have your results back
40:08and I'm really sorry to have to tell you
40:11that you have developed an epidural hematoma
40:13which is a very rare
40:16but recognized complication from a lumbar puncture
40:20so basically what's happened is that a clot is formed
40:23and that's putting pressure on the spinal cord which is
40:26which is why you can't feel your legs
40:27is it permanent?
40:29look um we've ordered an urgent referral to neurosurgery
40:32so they're going to operate
40:32they will remove the clot
40:33they'll try and relieve the pressure
40:36um yeah full recovery is possible
40:38but I want to be very clear here
40:40that it's not a guarantee
40:42so we could be looking at a permanent injury
40:47it was just a little cat
40:49I'm so sorry
40:50I really
40:51get out
40:54I'm sorry
40:57look let me show you that you're in the best possible hands upstairs
41:00we'll get you ready
41:03I'm going to contact Euro okay
41:11I know I have no right to ask
41:13you've been here for hours
41:16can you please stay a little longer
41:19tell me another one of your stories
41:23I'm not going anywhere
41:26and you can talk about whatever you want
41:28or not talk
41:31it's your call
41:39obviously this is a massive thing to have happened
41:43and on my watch
41:47but it is just one thing
41:49that's what you said last time
41:55we fixed the problems that you identified
41:57we are hitting our target
41:59and this training exercise of yours
42:02you still think that was responsible
42:05yes
42:06yep
42:07they have to learn to operate under pressure
42:10why don't you have more consultant cover at night
42:16we can't afford it
42:20you know the money only goes so far
42:22both times I've been here I've had to step in
42:25and that's not because your teams aren't good
42:27Dr Keogh
42:29despite his manner
42:31is clearly an excellent doctor
42:33but if the consultants aren't on duty overnight
42:37and the residents won't ask for help
42:40your patients still aren't safe
42:51I can't stop seeing Tara's face
42:55when she realised
42:59me too
43:06how could you read that wrong
43:09how
43:11I mean you're a proper brain box
43:13I'm surprised you even use your phone anyway
43:16no blame
43:18obviously
43:20but you know
43:22what happened
43:27anyone can make mistakes
43:32especially under this kind of pressure
43:51I'll be just checking on the patient
43:53yeah yeah
43:54of course
43:55heading in the right direction I think
43:56thank you
43:57not a problem
43:59I'm going this way too
44:02I'm sorry if I put you on the spot
44:05no you didn't
44:07it's just
44:09I haven't practised in a while
44:10that's all
44:132020
44:15I okay that
44:16yeah
44:17that was
44:18that was tough on all of us I think
44:20and certainly if my experience was anything to go about
44:22you should try therapy
44:24Dr Keogh
44:25I'm here to assess you
44:27not the other way around
44:35goodbye mum
44:38I do miss you
44:44I don't know any prayers or anything
44:46with him
44:47yeah I don't either actually
44:49erm
44:50I mean maybe I could make one up
44:57actually
45:00can I go outside
45:04quite
45:27you guys
45:30Yes. I'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.
45:44Well, who was it?
45:47It doesn't... We're not going to start pointing fingers, Nicole.
45:51Well, it wasn't me. And Stevie and Dylan weren't here, so...
45:55OK, look, there were a number of reasons, OK?
45:58There was a resident distrust of senior staff,
46:04lack of consultant cover at night, the training exercise
46:09that I thought was a good idea recently.
46:11All of it came in for criticism, OK?
46:14Fine. Just spit it out. What are they going to do?
46:20We are no longer open to major trauma at night.
46:29From when?
46:31From right now.
46:33This is going to affect our reputation, which in turn will affect our funding.
46:36And what about our jobs?
46:39Yeah. Our jobs are on the line, and most importantly,
46:42our patients will now have to go to St James, which we all know will take longer.
46:45So, to be indelicate about him, lives are going to be lost.
46:50So that's it?
46:52I mean, if we can meet strict staffing, safety, leadership and quality standards,
46:59we can invite the CQC back to reassess.
47:04Yeah.
47:06Tonight, that's it.
47:21I'm not a bad idea.
47:22I haven't gone too long.
47:26I'm not a bad idea, but it's okay.
47:27I don't know.
47:27I don't know.
47:27I don't know.
47:27No.
47:29No.
47:52You know, when I first came here I really thought I could fix this place.
48:02I've made it worse.
48:04You haven't.
48:08I have to resign.
48:09What?
48:10You can't.
48:12No.
48:13No, we need you.
48:16Leaving's a coward's way out anyway.
48:20We'll fix it.
48:23We have to.
48:49.
48:55Details of organisations offering help and support with eating disorders, racism or sexual violence are available on the Action Line
49:02pages of the BBC website.
49:05.
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