- 13 hours ago
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GamingTranscript
00:00Did he say Lindlaker?
00:02I knew somebody at university with the same surname.
00:05It's quite unusual, isn't it?
00:06What's this?
00:07I'm testing myself.
00:08I came into contact with a strep A patient.
00:10Let's just say for a second you're this kid's dad.
00:12You have a right to know.
00:14I'm Teddy, by the way.
00:15Pacey Sullivan.
00:16Ashley.
00:17Come on, Claude, mate. You can't stay there.
00:20Claude?
00:20Can I get some higher blood for you, please?
00:23It's broken.
00:25Whole BED is broken.
00:28Look into it, please. I'm begging you.
00:39Flynn.
00:46Flynn.
00:49Flynn.
00:53This better be important, Ken.
00:57There you are.
00:58Where is she?
00:59In your office.
01:00OK.
01:01Why's your phone off?
01:02Oh, because I ran out of battery and I couldn't find a charger.
01:05You need to shave.
01:06Yeah, but I'm going to wait for 60 seconds. Give me a chance, would you?
01:08The state of this place. Sorry.
01:10It's a six-car pile up and a factory fire. I guess things got backed up, Shaul.
01:14That's what I deal, is it?
01:16Well...
01:17Shh.
01:17Yes, sir.
01:18Just...
01:20Okay, a deep breath.
01:21Okay.
01:21Can you smile?
01:24Come on.
01:25Come on.
01:26There's nothing in there. Come on, where is she?
01:28Let's have a room, let's have a room.
01:30Does the look okay?
01:31Sure.
01:32Hi.
01:33Aha.
01:34I'm so sorry to keep you. I was with the patient. Flynn Byron, clinical lead.
01:38Kerry Malin, CQC.
01:39Pleasure.
01:40Kettle's boiled, if anyone wants tea, coffee.
01:42I'm... I'm really sorry. Somebody should have offered.
01:44Oh, don't be silly. I can see how busy you all are.
01:47We are.
01:47And we're... to be honest, we weren't expecting a visit from CQC.
01:52Concerns have been raised.
01:53I understand another patient died in your waiting room.
01:58I'm here to do a spot inspection.
02:02Make sure you're safe to stay open.
02:04Bye.
02:33I'm sorry. It's not normally this messy. I'm trialing a new filing system.
02:39And, er, it's my daughter's birthday.
02:42How old is she?
02:46Very good.
02:50Um...
02:51Miss Mayland, um...
02:53Kerry, if I may.
02:55What happened with Claude Thompson was obviously regrettable,
03:00but totally different circumstances to what happened with Gloria Scott.
03:04So, er, full spot inspection...
03:06It's not a full inspection. The focus is purely on patient safety.
03:11The incident happened on the first day of your new residence rotation.
03:15Er, er, yes, it did.
03:17But, er, to be clear, neither resident was at fault.
03:21We have an extremely robust mentorship programme.
03:25They are shadowed by a senior member of staff every second of the day.
03:29I have no wider concerns about patient safety and certainly no concerns about my new residence.
03:35OK, good. Sounds like it's going to be very straightforward.
03:41OK, good.
03:46Yeah, yeah, she's cool. Er, she's a little bit intense.
03:50She asks loads of questions.
03:52Where I grew up, about my family.
03:55Er, OK, OK, so, Mr Gowen, where were you on the night of the 15th?
04:00She just doesn't need to know everything yet, though, does she?
04:02You know, we have only just met.
04:04But, like, haven't you seen her, like, three times this week?
04:08I mean...
04:10Yeah...
04:11What's your point?
04:12Looks like things are moving pretty quick.
04:14That's what I'm just saying, you know?
04:17All right, this mental health call-out, what's the house number again?
04:20Er, it's number 26, Brian Lee Henderson.
04:24Control 3006, we've got a cat one-nearing you, standing you down now and devoting you.
04:29It's a major incident at Wyvern Lake, over.
04:33Copy that.
04:37No, wait, please, come on, come on!
04:39Mate, sorry, mate, we've got an emergency, mate, sorry.
04:42Stop, please!
04:43Wait, wait, wait, wait!
04:44OK, go, go, I will take control.
04:48Hey!
04:49Hey!
04:49Hey!
04:50You OK?
04:51Control, we're going to have to divert from that cat one-nearing you.
04:54I'm fine, I'm fine.
04:55Just help her, I don't want her to...
04:58All right, mate, all right, all right, try and relax.
05:01What's your name?
05:03Kyle.
05:03Kyle?
05:04OK, Kyle, I'm Jacob.
05:07OK, are you Ryan's son?
05:08Please, please, you've got something.
05:09All right, all right, all right, just try and relax, try and relax, try and relax.
05:11OK, we're here.
05:13OK, all right, deep breaths, deep breaths, try and relax.
05:16Let me have a look at this knee, OK?
05:19Hey, do you want to go home?
05:21I was going to ask you.
05:23This shouldn't be happening.
05:25I called back, I told them it was a mistake.
05:27They all seem worried.
05:29I can fix this.
05:30Come on, hurry up.
05:32I don't want to keep everybody for long, but I wanted to introduce Kerry Mayland from the CQC.
05:37She's here to carry out a spot safety inspection.
05:40I'm sure you've all done one before, there's nothing to worry about.
05:43She'll be moving through the department, observing, maybe asking some questions, and other than that, it's business as usual.
05:52Please.
05:53Promise I'll try not to get in your way.
05:56Where would you like to begin?
05:57Recess?
05:59I'll take you.
06:00Thank you, really.
06:03Guys, guys, huddle here.
06:05Listen, focus on clearing the corridors, OK?
06:08And unloading the ambulance crew as quick as possible.
06:10Come, can you bring the bed floor team, please?
06:12And tell them what's happening.
06:14Maybe they'll take pity on us, OK?
06:16Let's get on top of things, please.
06:19Alright, calm down a little bit.
06:21Don't freak everybody out.
06:22She's a suit ticking boxes.
06:23I mean, we can handle that, can't we?
06:25If you thought we'd put a CQC inspection a bit before, it's not quite like that.
06:28Yeah, she's more than just a sit.
06:30She was, like, managing clinical director of major trauma until 2022.
06:33Really?
06:34Yeah, it's not in this word, but it gets me going.
06:36What she's doing at the CQC is anyone's guess.
06:39Whatever she's told you, this is not a box-ticking exercise, OK?
06:43The outcome can affect the funding, trauma centre status.
06:46Well, you know, provision of any service.
06:48Which means job losses, the ability to carry her as a teaching hospital.
06:52We need to take it seriously.
06:53OK, OK, I'm taking it seriously.
06:55Good.
06:55Dr Byron.
06:56Dr Byron, anything I can do.
06:58Anything at all.
06:59Ah, yeah, thank you.
07:00You're going to be in recess with Dr Keogh today.
07:02He's going to be mentoring.
07:02No, no, no, no.
07:04I just told them how good the mentoring programme was,
07:06so make it convincing, please.
07:09You two, can you take the ambulance crew, and I'm going to take the corridor.
07:13I'm going to take the crew.
07:19We have an injured 15-year-old with a suspected fracture of patella and a possible head injury. Over.
07:23Police said they couldn't do anything.
07:25She's not in a public place.
07:27OK, mate.
07:28Nice deep breaths on that, all right?
07:29It might make you feel a bit giddy, but it'll help with the pain, OK?
07:32OK.
07:34So I take it she's been sectioned before?
07:37Three times.
07:40If anything happened this morning that might have set her off.
07:43She was like it when I woke up.
07:45She got all worked up about the school being closed.
07:48Ah!
07:49Ah!
07:51The roof fell in.
07:52See you at Hobie Grandma.
07:54You're having a bit of a week, aren't you?
07:55Don't tell her I'm hurt.
07:57She'll freak out.
07:58All right.
07:59I'm going to have a check on her for you.
08:00You know what?
08:02Why don't we try and get her outside and now radio in?
08:05And make sure we get police back up.
08:06Sounds good.
08:08OK.
08:09All right.
08:10All right, mate.
08:11Let's get this.
08:12All right.
08:14OK.
08:20Brian here?
08:26Brian here?
08:28I'm so sorry.
08:29I didn't mean to scare you.
08:31My name's Teddy.
08:32If you look, I'm a paramedic.
08:33I'm a bit busy right now.
08:35I can see.
08:40So, erm, what is it you're up to?
08:43Bake sale.
08:44To raise money for the school roof.
08:45We've got to get it fixed.
08:47The kids are never going back.
08:48Kyle!
08:49Where is he?
08:51Did you hear what happened?
08:52Awful.
08:53Awful.
08:54Yeah, I heard.
08:55Poor kids.
08:56Poor teachers.
08:58Oh, you OK?
09:00Yeah, yeah, yeah.
09:01Yeah, I'm fine.
09:02I've been on the go up all night.
09:04Cash and carry.
09:05Party supply store and then supermarket.
09:07Well, why don't you take a break?
09:09Come outside and I could check you over.
09:11No, no, no.
09:12No time.
09:13All right.
09:13Brian here.
09:14What?
09:14What?
09:15What do you want?
09:16I said I'm busy.
09:17I'm really sorry.
09:19I just want to help.
09:20You want to help?
09:21You want to help?
09:23Yeah.
09:23Then find me the icing sugar.
09:29No, no.
09:30Swap one would be just, like, too weird.
09:32Well, it's quite weird at the moment.
09:33Yeah, but, you know, for you, but, you know, for me, I'm finally getting a grip on mine.
09:38I think she's responding to my tough love approach.
09:39OK, well, yeah.
09:40Mine's not quite as resolved.
09:42You know the Strep A test that he took in the staff room?
09:44Well, I might have taken that and sent it for a DNA, so I'll put the results back any
09:48minute.
09:50Give me a sec.
09:51Thanks.
09:53You stole the kid's DNA.
09:55Are you in your friggin' mind?
09:57Are you gonna swap with me?
09:59No.
09:59No thanks.
10:01OK, so, uh, cubicle sevens, uh, query, neck of femur, but the x-ray's not back.
10:07Um, we can...
10:08I'm sorry, am I keeping you from something?
10:11No.
10:12Sorry.
10:12OK.
10:13Less focus on phone, more focus on cables.
10:16Are you safe?
10:16Are we going?
10:17Will you be able to get them off?
10:18Yeah, yeah, yeah.
10:19This is, er, I was...
10:22I'm playing a test here before collapsing about 40 minutes ago.
10:26Er, G says 14 on arrival, dropped to nine on route, but he's tolerating super-classic
10:30airway.
10:31ECG's showing ischemic changes.
10:34He's badly at 42.
10:35Pay forward.
10:36BP's 88 over 60.
10:38Staple!
10:39That's 400 micrograms of GTN, 300 milligrams of aspirin.
10:43That's the second thing we'll call a sort of fluid going through.
10:46OK, er, sorry, who's this?
10:48Oh, it's Kelsey.
10:49It's Courtney!
10:50Courtney.
10:51Hello, Courtney.
10:52Um, and this is what it appears to be, is it?
10:54It is exactly what it looks like, yeah.
10:57OK, sorry, do we have the keys for these?
10:58No, I lost it when he was...
11:03OK, so we need to get these off, don't we?
11:05We need bolt cutters or something similar, because, yeah.
11:07Er, maybe, Matty, can you go and find those for me?
11:10Me?
11:10Why me?
11:12Sorry, so the patient's peri-arrest, right?
11:14If we shock him with those on, we're gonna electrocute her, aren't we?
11:16So...
11:16What?
11:17Er, don't worry, he's gonna find bolt cutters or something similar, yeah?
11:20Please?
11:21I-I don't know where to...
11:22Dr. Kirill, come on, now.
11:23Surely you can show some initiative, Dr. Linlake.
11:25No problem.
11:25OK, is it the...
11:26No, no, no, no.
11:27Come on.
11:28No, no, no, no, no.
11:28Right, let's get rid of the bed, then.
11:30Er, Indy, you all right on the airway?
11:32Yep.
11:32Can you get on the chest, please, Jodie, and let's stand by with, er, adrenaline and amyotone,
11:36please?
11:36Dr. Kirill, please, I don't even...
11:38I don't know, try the...
11:38Try the second floor, try the facilities on the second floor.
11:41Now, now, now!
11:41We will, just as soon as we get the...
11:43Let's try and stay calm.
11:45Anyway, do you need...
11:56Where's the rest of the...
11:58OK, um...
11:59Just...
11:59Hang on a minute, yeah?
12:02Hi.
12:03Hi.
12:04Um...
12:05So, we're kind of dealing with an acute mental health crisis, so, um...
12:10I-I just feel the sense of a more...
12:13Mmm...
12:13...experienced.
12:15Oh, you've got me.
12:18And, just so you know,
12:20she does sound very erratic.
12:22Yeah, I've got it.
12:24OK.
12:25Hiya.
12:26I'm PC Sullivan.
12:27Are you Kyle?
12:29Ooh, that looks nasty.
12:31Wouldn't have happened if you'd just come when I rang.
12:34I'm really sorry that no-one came.
12:36But I'm here now.
12:37Do you know how many people it took to take her in last time?
12:40I'm hoping it won't get to that this time.
12:43Then you can stay together.
12:46If that's what you want.
12:59You've done really well, Kyle.
13:03You can relax now.
13:05We're gonna take care of both of you, right?
13:08But as you know, we need to get her outside first.
13:12OK?
13:20Put your back into it!
13:26Look, if it's your meds that are making you feel sick,
13:29you can try on some new ones, you know?
13:33Bryony?
13:39What's that?
13:40You on your own?
13:42You're working hard.
13:44I'm trying to get through to her.
13:46It's not working.
13:47And this talk ring's coming up so I'd section her,
13:50then I can get her help.
13:52Do you think she's safe to see you?
13:55Who are you?
13:56It's OK. This is...
13:57Hi, Bryony. I'm PC Sullivan.
13:59You're not arresting me.
14:00No, no, I'm not arresting you.
14:01I've got to sell all these cakes.
14:03She's raising money for her school roof.
14:05Oh.
14:07Can I buy one of these?
14:08Yeah.
14:10A pound each.
14:11Only a pound?
14:12Yeah.
14:13I'll give you two.
14:14It's for a good cause.
14:16Can I just take any of these?
14:18Yeah.
14:19Wow, they just... they look amazing!
14:21Sorry!
14:22Why are you here?
14:23In my house?
14:24I don't understand!
14:27Is Carl all right?
14:28Is he in trouble?
14:29No, no, no.
14:30He's not in trouble.
14:31He's just outside.
14:34He's really worried about you.
14:36Oh.
14:37He worries too much.
14:40I can see how much you love him.
14:42Going to all these lengths to help him.
14:44He's had a lot to deal with.
14:46Mm.
14:48He's a lovely lad.
14:50You've done a really good job bringing him up.
15:03I've forgotten what I'm doing next.
15:06Well, why don't you pop some shoes on?
15:09And we'll go outside so that Kyle knows you're okay.
15:12And we can make a plan together.
15:15Yeah?
15:17Yeah.
15:17Yeah.
15:19Okay.
15:25What was the reason?
15:26Mm.
15:28Am I still seeing you later?
15:29Yeah, of course.
15:30All right.
15:31I've never seen a dead body before.
15:33Not dead yet.
15:34We're still treating him.
15:35But what if he does die?
15:36And I'm still...
15:37Can you not do that, please?
15:39What is it taking so long?
15:40Um, you know, it's a relatively unusual set of circumstances.
15:42We don't tend to have bolt cutters in the department.
15:45Oh, do we have burnt nested kid details?
15:47Yeah.
15:47His wife is on the way in.
15:48I never thought about having a wife.
15:50The amount of money I've taken off him over the years.
15:52I actually have never thought of him as a real person until now.
15:54Is that bad?
15:55Got him.
15:56All right, let's get these up then.
15:57Quickly as we can, please.
16:02Oh, thank you.
16:03Oh, my God.
16:07Shall we...?
16:08Yeah.
16:10So, charge to 150, please.
16:15Defend charging.
16:16Everybody clear?
16:17Yeah, clear.
16:18Yeah, clear.
16:21Shocking?
16:22For a pulse check, please, Jodie.
16:26Yeah, pulse.
16:27Really?
16:27Yeah.
16:28OK, so we've got Ross, but he's not out of the woods yet.
16:30Let's return those to wherever they belong.
16:33We should repeat the ECG then, and let's prep for an RSI as well.
16:38Where did you find them?
16:40Oh, er...
16:41Sight maintenance.
16:42Was there not a porter who could have gone?
16:44It's a shame you missed participating in an arrest scenario.
16:48I would have thought that was a good training opportunity.
16:50I...
16:50I volunteered.
16:52I thought it'd be quicker.
16:53Perhaps you can tick rapid sequence intubation off your list on the staff room wall instead.
17:03Hey, we need to get him in the van.
17:04Ashley's calmed her down, but they're coming out in a sec.
17:06Mate, I'm a bit worried.
17:07I'm afraid his VP's dropping and his heart rate and the rest is up.
17:09Kyle, where are you?
17:10Bryony?
17:10Kyle?
17:11Oh, my God, Kyle.
17:12Bryony, just wait for me.
17:13What?
17:14What's happened?
17:15Hi, Bryony.
17:15I'm Jacob.
17:16I'm looking after Kyle.
17:17Kyle, what's happened?
17:18What's happened?
17:19Why are they two?
17:20Why are they two?
17:23No, no, no, no, no.
17:25They're Kenny's back!
17:27Tech, Tech.
17:27Zero, zero.
17:28I can see you in the back of the truck.
17:30Officer in pursuit north.
17:31Hey!
17:32Okay, this is Kyle.
17:34Right, this one for me?
17:35Yeah, he's going with you guys.
17:36So, I don't know whether you know this, er, Matty, but Kerry here wrote the book on emergency airway management.
17:44In fact, you wrote two, didn't you?
17:47Yeah, so, no pressure.
17:49Right, let's get that BVM off and the IGEL out, please.
17:54There we go.
18:01Okay.
18:06There's no light.
18:07The batteries should be...
18:08No.
18:09You've got to wait for it.
18:10There you go.
18:12There you go.
18:16Right.
18:16That's nice and easy.
18:17So, we're remembering to lift rather than tilt.
18:20No, no, no, no, you're tilting.
18:21You're tilting.
18:22Right.
18:22Okay, so, get lower in the hips.
18:24Yeah.
18:25That's it.
18:26Right.
18:26And if you pick a spot on the ceiling up there, say, and just aim at that, that's it.
18:30And you lift towards that.
18:33There you go.
18:33There you go.
18:34That's it.
18:34That's it.
18:35Can you see the vocal folds?
18:38Er...
18:38Yep.
18:38Okay, good.
18:39So, it's time for the...
18:40Bougie.
18:41The bougie.
18:41That's it.
18:44Nice and smooth.
18:45I'll do the tube.
18:47Okay.
18:54So, I've got the bougie.
18:58I've got the tube.
18:59Bougie out.
19:00Okay.
19:02So, attach to the VM, please, Jodie.
19:04And inflate the cuff, please, Dr Keo.
19:05I will do that.
19:09Okay.
19:10That is the cuff inflated.
19:18Yeah.
19:19No end tidal waveform.
19:22Er...
19:23Yeah.
19:24Yeah.
19:24Okay.
19:25Yeah.
19:25We're...
19:25Yeah.
19:25We've gone into this office.
19:26Okay.
19:27We're just...
19:27We're just blowing air into the stomach.
19:29Um...
19:30Okay.
19:30Let's extubate, then, please.
19:32He's deflating the cuff there.
19:36Er...
19:36Jodie, can you maintain the airway for me, please?
19:39Did you...
19:39Did you feel the clicks?
19:41Clicks?
19:41On the larynx as you go through?
19:42No.
19:43No, you should feel the clicks from...
19:44The...
19:44The...
19:45The...
19:45The tracheal cartilage when you...
19:46No.
19:47Okay, never mind, never mind, never mind.
19:48I'll tell you what, let's do it again.
19:50I'll do it.
19:50I'll do it.
19:51Fine.
19:52So, can I have the laryngoscope, please?
19:54Fine, okay?
19:56I'm gonna get her somewhere safe.
19:57Yeah, try not to worry, mate.
20:00Okay.
20:01Control to zero zero eight nine.
20:02Requests to see this update.
20:06Come on.
20:07Come on, I've seen it.
20:08Please respond.
20:09Over.
20:10Why is she not responding?
20:11Okay.
20:12I'm gonna try and find her.
20:13Okay, I'll come with you.
20:14Alright.
20:28Go.
20:40Ashley!
20:42Rainy!
20:46Rainy!
20:48Ashley!
20:54Okay.
20:55Chris Banfield.
20:56Yes.
20:57Go.
20:58Go.
21:03Yeah, that's it, guys. Follow me.
21:05Hi. Hi. Sorry. Are you a doctor?
21:08Um, one of them has swallowed a battery.
21:11You know those little button ones?
21:13OK. Which one?
21:17I don't know.
21:27Ashley!
21:37Ashley!
21:43Ashley!
21:51Ashley!
21:59Ashley!
22:00Ashley! Oh, my God, what happened?
22:03I...tri...
22:06All right, all right, it's all right, let me have a look.
22:08All right, all right, all right.
22:12Come here, all right.
22:14Come here, come here. Let me see it properly.
22:16All right, I'm gonna need to put pressure on it.
22:19I know, I know, I know, I'm sorry, I'm sorry.
22:22Jake, Jake, I'm in Penny.
22:24I've found her, we're in Thunder Pass.
22:26It's a Woodlands Pass.
22:27She's got a penetrating chest injury.
22:30I need the bag, I didn't bring it.
22:32OK, hold on.
22:32I'll find you, all right?
22:34I just grabbed the ammo.
22:44I'm gonna need to seal it somehow.
22:46All right.
22:47I'm gonna need to seal it.
22:53All right.
22:55All right.
22:55Keep going.
22:56Ashley, actually, it's very important.
22:57I need you to put as much pressure as you can on there.
23:00Jacob, Jacob, please, Horan.
23:03All right, keep that on there.
23:05All right, keep that on there.
23:08All right, all right.
23:10All right, all right.
23:12I'm gonna put this on.
23:13There you go.
23:13I know, I know, I know.
23:15Well done.
23:16All right.
23:17You know what we are gonna do as soon as this is over?
23:20Hmm?
23:22We are gonna bake a cake, yeah?
23:25How does that sound?
23:26Hmm?
23:27OK.
23:28That's all right.
23:31Jacob.
23:32Jacob, Jacob, please, worry, please.
23:34All right, all right, I've got you.
23:35All right, all right, okay?
23:41So, when did you notice it was missing?
23:42About 30 minutes ago.
23:44Right, okay, which means you've got, uh,
23:4690 minutes, two hours tops.
23:48Where are they now?
23:48In the relative's room.
23:50There's toys in there, so.
23:51No, no, but they don't need toys.
23:52They need x-rays.
23:53Yes, but I thought I'd better check,
23:55because five of them, that means unnecessary radiation.
23:57No, no, no, no, but it's not unnecessary, Kim.
23:59OK, unless you want to see which one dies first
24:01with the whole burned in its oesophagus.
24:03No.
24:04No, I didn't think so, OK?
24:05Look, I've got a pre-alert.
24:06Can you go get them x-rayed, contact surgery,
24:09make sure they're ready to do an endoscopy,
24:10and it's time-critical, so I've moved.
24:12Hey, would you be nice?
24:14No, I don't have time to be nice.
24:15That's an emergency.
24:15Come on, the CQC want to see
24:16positive mental-mentee relationships, please.
24:19Yeah, well, Stevie Nash wants her mentee to be resilient.
24:22Stevie, be nice.
24:24Yes, with pleasure.
24:26This is Kyle Lindeson, 15, fell down some stairs.
24:29Race, lift.
24:31OK, heart rate's 120, up to 98.
24:34BP's dropped to 94 over 60.
24:36Sachs are 99 on O2.
24:38GCS is 15.
24:40Giving him nitro-toxide, a gram of aviparacetamol,
24:42two and a half milligrams of morphine.
24:44OK, great.
24:45Thank you very much.
24:45Siobhan, will you keep us up to speed if there's anything that we missed?
24:48In the meantime, let's split it in the primary survey.
24:50Rita, can you take the chest?
24:51Matty, why don't you do the abdo for me?
24:52Yep.
24:53Oh, um, acute manic episode, she refused treatment at the scene.
24:59OK, Kyle.
25:00Kyle, I'll see if I can find out what's going on with your mum, OK?
25:03Try not to worry, love.
25:05OK, yeah, some firmness in the upper right quadrant.
25:08OK, so indicative of?
25:10Possible internal bleeding.
25:11Right, so we need to get a hold of radiology,
25:13but for full trauma CT as soon as we can, please.
25:16Yeah.
25:16If you manage to get a hold of mum,
25:18will you let me know if social services need to be alerted, yeah?
25:21Yeah, we'll do.
25:22Poor kid.
25:29Ken, why is a patient in cubicle one still here?
25:32I thought there was a simple laceration.
25:33He is.
25:33I'm just waiting for the x-ray before I stitch him.
25:37What's going on with radiology today?
25:39They're taking an age to hold everything.
25:41Look, if you want to take a look, we might not need it.
25:44OK, Siobhan, do you mind?
25:46Cubicle one?
25:46Yeah, I'll be within two minutes, Kyle.
25:48Hey, listen, what I got you, Kerry is looking for that paperwork
25:51for the CCTV cameras we ordered for reception.
25:53I can't find it anywhere.
25:54We had to put it out to tender first.
25:56Look, the responses are on your desk.
25:58If you look at them now, I'll sort it.
26:00Come out, thank you.
26:01OK.
26:01Right.
26:02Right.
26:03Cam?
26:04Can I walk you?
26:05Yep.
26:23Sorry, Kyle.
26:24Some technical difficulties here, mate.
26:26Won't be a minute.
26:29Good lad.
26:33Whoa.
26:45What's going on here?
26:46I don't know.
26:49What are you doing?
27:03I don't know.
27:06I don't know.
27:06What are you doing?
27:06OK, look, Steve A. I need someone.
27:09you're doing it.
27:09You're doing it.
27:09Can we take this?
27:10Yeah, yeah, yeah.
27:12OK, yeah.
27:19This is Ashley Sullivan 26 right penetrating injuries to the right anterior chest resulting in a sucking chest wound
27:27Temporarily sealed at the scene
27:29Now covered with a proper chest seal. She's tacky at 130. BP's 98 over 64. Resps 32. Sats 92 on
27:35high flow
27:35So the gram of IV paracetamol gram of TXA and five milligrams of morphine. It's alright. We're here now. Yeah,
27:41right lift on three
27:41One two three
27:45Okay, start primary survey Jody. Can you get monitoring on please and here's a let's activate the major hemorrhage protocol
27:52Can we get a first shot pack down and yeah, Alistair, can you get the rapid infeasor, please? And yeah
27:58I'll get an ultrasound in here, please. Thank you
28:00It's alright, I'm here, okay?
28:02I'm gonna look after you
28:03Come on
28:07I'm still here, I'm still here
28:09Is there a next of kin we call?
28:12She's my girlfriend
28:12Okay, okay, okay
28:14Teddy, hmm?
28:16We need to get in
28:18I know about it
28:20But I can't
28:21Teddy, it's fine. We'll look after her. You go, okay?
28:26Alright, okay
28:27Alright, okay
28:29I'll be back as soon as I can
28:30Alright
28:32Thanks
28:40Er, did you get the x-ray?
28:41No, they were about to and then they said the system went down
28:45Shall I take them to St James?
28:48Who wants a ride in a taxi?
28:50Me!
28:50Me!
28:52Oh, I mean even an ambulance?
28:54Me!
28:55Me!
28:56Yes!
28:57I'll take you in a moment
28:58I've got an idea
28:59I'll be back down in the ED
29:00Okay, I'll see you
29:08Hi, erm, do you know what? Could I just email you this paperwork?
29:12Oh, that's fine
29:13Er, what's your contingency plan?
29:16Erm, for erm...
29:18You haven't heard about radiology?
29:27Er...
29:27Hey, hey, have you seen Dr Keogh? Can't find him anywhere
29:30I can't get this to work
29:31What is it?
29:32Metal detector, I got it from security
29:34Well, what do you need the metal detector for?
29:37There you go, no batteries, see?
29:39Oh, this isn't happening
29:41Look, I need to find out which one of those kids followed a button battery
29:43This was my last hope
29:46Yeah, radiology's out, yeah
29:47Yeah, okay, okay, erm...
29:50I know where we can get one from
29:52Come on
29:53Look, I don't even know what's going on in my own department
29:55Okay, I was on my way to tell you
29:57Do we even have a contingency plan for this?
29:59Only for a complete system failure
30:01This sounds like it's going to be down for a few hours
30:03There is no point in evacuating everybody
30:06Okay, what do we do?
30:07What is the fix?
30:09Erm...
30:09Okay, we divert the ambulances till we're back online
30:12And we manage
30:14That is my MOT failed
30:16What?
30:17Great
30:18Just...
30:18I'll leave that one till tomorrow
30:20Yeah, please
30:20Yeah
30:21Flynn, look
30:23We've got this, okay?
30:25We keep calm
30:26And we carry on
30:28We still need a shave
30:33No, sats are still low
30:34Still hypotensive and tacky
30:36Okay
30:37There's hardly any blood going through this
30:40And it's, er...
30:42Yeah, it's not swinging
30:43Maybe the drain's being located incorrectly
30:45Yeah, well, we can't know for sure without an x-ray
30:47Yeah, well, good luck getting one of those any time soon
30:50Okay, erm...
30:51Yeah
30:52So, what are you thinking?
30:54Well, I'm thinking she's got a massive haemothorax
30:56But, er...
30:58The drain's not working properly
30:59Also, possible tension
31:01Okay, let's, erm...
31:02Let's reset the drain
31:02Okay
31:06I know, I know, it's uncomfortable
31:08Just squeeze my hand
31:09That's it, that's it
31:09Oh, thanks, Charlie
31:10Doing really well
31:11Sorry, great, thank you
31:21There we go
31:22Oh, great
31:23You were right
31:24Right, okay
31:25Thank you
31:27Doing right
31:29Okay
31:29Drain going in again
31:31Erm, Hazel, when they've gone through
31:32Can you get two more units up, please?
31:34And, Jodie, can you contact cardiothoracics for me?
31:36Yeah
31:36Thank you
31:38Right, sats are coming back up
31:40Good call
31:40Yeah
31:41If only our good lady inspector was around to see that one
31:45Thank you
31:46No worries
31:47Ah
31:48Dr Kehoe, I was just looking for you
31:50Are you okay?
31:52Yeah
31:52Yeah
31:52Have you heard about radiology?
31:54Yeah
31:54No, I don't know
31:55Well, paediatrics had rather stayed in resource until they got his imaging
32:00But the fast scan is out of action, so
32:02Really?
32:03His heart rate's crept up
32:04His sats are dropping
32:05He's drowsy
32:05There's definitely something going on
32:07What do you want to do?
32:10Dylan
32:11Erm
32:12Er, yeah, sorry
32:13Can you find an ultrasound machine?
32:15Please, Rita
32:16Er, I guess I could get one from
32:18Literally anywhere
32:19Well, I could go
32:20If you
32:20No, no, no, I need you with me
32:22Please
32:25Okay, so we need to, er
32:27We need to start from the top
32:28Full systemic assessment
32:29Try and work out where we
32:30Well, what I missed
32:34Okay
32:38I'll be higher
32:38I'll be higher
32:39I'll be higher
32:40I'll be higher
32:42I'll be higher
32:42Right, er, does anyone else need a wee?
32:44No
32:45No
32:47I missed it
32:48Erm, anything?
32:50I've checked them all and there's no sign of it
32:52Are you sure one of them definitely swallowed it?
32:55Well, I mean
32:57Where is Albie?
33:01Albie?
33:01I, I thought he was with you
33:02No
33:04Oh gosh
33:05Erm
33:07Do you mind?
33:07Yeah, thank you
33:09Albie?
33:10Albie?
33:11Albie?
33:13Hey, wait, wait, wait, wait
33:15Have you seen a little boy come through here?
33:17We think he swallowed a battery?
33:18No
33:21Miss Manon
33:23Do you need a hand?
33:29Sorry, it took so long
33:31Obviously the one time we need it
33:33Everyone and their aunts who want to get their hands on it
33:35Okay, BP's crashing, Abdo's increasingly tense and now peritonitic
33:38Yeah, that sounds like a mesenteric term
33:40Should we just see if Peter will take him?
33:43Er, they won't take a 15 year old boy without confirmation
33:51I don't know if I can do this
33:56Of course you can
33:57Messentery too
33:58You've got this
34:01Yeah, it's not quite what I meant
34:05But...
34:18Anything?
34:19No one saw him leave but security are checking the car park
34:22And don't!
34:23He was choking and then he went all floppy so I just picked him up and ran
34:27Let's get into these cells
34:30It's all right, Albie, it's okay
34:34It's okay, we're quite well done
34:35Dr Byron?
34:38Hey, what's happening? What have we got?
34:39He's swallowed a battery
34:41When I found him, he was being sick and then he started choking
34:44I think he's a respiratory arrest
34:45It's okay, Albie
34:46I'm here
34:47It's okay, it's okay, it's okay
34:49Yeah, he's not breathing
34:51Start resting breaths
34:52It's okay, it's okay
34:54It's okay, it's okay
34:55I'm here, it's my voice, it's okay
34:56Don't worry, you're doing so good
34:58Well done
35:01Dr Byron, I can't feel a pulse
35:03Start CPR, please
35:04Uh, Kerry, in the emergency airway trolley over there
35:06You'll find a laryngoscope and piece of gills
35:08Please
35:21There's a light not working
35:24Come on
35:25Someone's taking the battery out
35:27For God's sake, will I keep going CPR?
35:29Uh, Kerry, um, can you find me another one, please?
35:38Obviously, we're concentrating on the upper right quadrant
35:41And you can see there the...
35:43Excuse me, do you have a...
35:45Sorry, do we have what?
35:46Do we have five minutes?
35:47Do we look like we have any time at all?
35:49What would really improve patient safety would be not having people barge in every five minutes
35:54You know, not having people breathing down our necks while we're trying to treat patients
35:58Can you please go and bother somebody else?
36:00I was just going to say
36:01Do you have a Mach 1 blade and a laryngoscope in here?
36:05Dr Byron needs one with a working light
36:14Thank you
36:20Oh, yeah, okay, so there, there's the, um, the mesoteric bleed is confirmed
36:25I'll let Theatre know, he's on his way
36:45Okay, yeah, I think I can see it
36:51Got it, got it
36:55I'll be...
36:56Hey, little man
36:57Yeah, I'm right here
36:57Everything's okay
36:59What a day we're having, eh?
37:01Dr Chang, can you, er, fast bleep the ENT, please?
37:04He's going to need an exploratory endoscopy in case it's leaked
37:07Marie, can you get a line in, please?
37:10Get this oxygen on him
37:11I'll leave you to it
37:24Look, I know we haven't exactly covered ourselves in glory, but today's been an atypical day, eh
37:32Is there any other kind in an emergency department?
37:37This is not how I wanted today to go
37:39I understand the pressures you're facing, I really do
37:43But patients still need a safe place to seek treatment
37:46Somewhere with working equipment, where doctors don't bite each other's heads off when they're stressed
37:51Yeah, yeah, you're right
37:53Can you honestly say, if something truly unexpected happened, you'd be prepared to handle it?
37:58I don't think you would
38:01I'm triggering a full inspection
38:04I'll email you my report with recommendations
38:07And in 30 days I'll be back to see if things have improved
38:13And, erm, if they haven't?
38:17Let's hope it doesn't come to that
38:23Hey
38:25How are you feeling?
38:27Thank you so much, Teddy
38:29No, no
38:31Don't be silly
38:33Erm
38:35I've been wondering
38:37I'm sorry if it's not the right time
38:40But
38:41Do you still have my loyalty card for the coffee van?
38:46There was a free latte on that
38:49I'm sorry about that
38:51It's alright
38:51You can owe me a coffee, I suppose
38:55I was pretty out of it when we first came in here, but
38:59I've got a vague recollection of, erm, you calling me your girlfriend
39:06Sorry, it was just a situation
39:09You wanna take it back?
39:13Do you want me to?
39:15Not really
39:16Okay
39:17Okay
39:18I won't
39:20Okay
39:34Thanks, Oscar
39:35Kyle
39:36Kyle, love
39:36Yeah, I've got news on your mum
39:38She's at the police station
39:39She's okay
39:40She's fine
39:41They are gonna move us somewhere more appropriate
39:43Yeah
39:44They will look after her
39:46They
39:49She's all I've got
39:51Of course they will, love
39:53Er, this is Liv
39:54She's a social worker
39:55She's going to find us somewhere to stay
39:58Hi
39:58Er, Elvie's parents have arrived on the children's ward, so
40:03Great
40:03Yeah, I er
40:04I just wanted to say
40:05Thank you
40:06Before I went
40:08Where are the rest of your ducklings?
40:09Oh, er
40:09They've all been collected
40:12I've found it hard enough for two, honestly
40:13I don't know how you manage
40:14Not very well
40:16It turns out
40:21Well, I don't think that's true
40:22I mean
40:23You were so calm
40:25Most people would be freaking out
40:26I was
40:27Freaking out
40:29I
40:29I still am
40:32I
40:32I thought
40:33This job was like
40:34Like sticking
40:35And
40:35Gluing
40:36And
40:36Playing
40:37You know, what's the time, Mr Wolf?
40:39But, erm
40:43He
40:44He could have died
40:46And it would have been my fault
40:47And I
40:47He didn't die
40:48And it wasn't your fault
40:50Nobody can keep an eye on that many kids every second of the day
40:54Yeah, but that doesn't matter
40:56I
40:56I was
40:59Responsible
40:59For looking after him
41:00And
41:02I
41:03I
41:04I let him down
41:08Well, I think you're being a bit harsh on yourself
41:13Anyway, er
41:15Thanks again
41:17You were
41:18Amazing
41:28Well, judging from the look on everybody's faces, I'm guessing you've all heard the outcome of the spot inspection
41:34Mm-hmm
41:35Yeah
41:36News of a setback like that was bound to travel fast, wasn't it?
41:41Did they say specifically what we failed for?
41:43No, they didn't
41:44Er, well
41:44I mean, it wasn't just one thing
41:47Erm
41:50Listen
41:50And it might be hard to believe this, but I want you to know that this is not a reflection
41:56on you
41:57You were all, without exception, caring, hard-working, outstanding professionals
42:04Well, it's not done much good, has it?
42:07Well, in thirty days' time, we're gonna show them what we're made of, Nicole
42:11I'm confident about that
42:13And I want you all to know that in the meantime, your jobs, your training placements, your hours
42:19Absolutely none of that is at risk
42:20You can't guarantee that though, can you?
42:23Yes, I can
42:25Because whatever the outcome of this process, it is on me
42:27Okay?
42:29I mean, they won't even need to fire me, I will hand in my resignation
42:33That is how confident I am that we are gonna sail through this
42:37Well, so you're offering to be a human shield for the whole department?
42:39Yeah
42:41Yeah, that's exactly what I'm offering
42:45Okay
42:51Okay, look, it's been a really long day
42:53Let's all just go home, regroup
42:56Come in and start fresh tomorrow
42:59Thank you
43:26Yeah, hey
43:27Better get off if you're gonna make Poppy's birthday
43:29No, no, no, come on
43:31I'm gonna, I'm gonna stay
43:33I'll make it up to her
43:34The CQC want me to focus on residence training, on contingency planning
43:38I gotta focus on safety in the reception
43:41I'm gonna order the CCTV cameras as well
43:44If I can find the damn paperwork you said you left out for me
43:46And I gotta make a start on the training plan, there you go
43:48Thank you
43:48I will stay and do it
43:50Hey, no
43:50Shiv, come on
43:52I meant what I just said in there, okay
43:53I'm gonna take care of this
43:54It's on me
43:56End of
43:57It's on both of us, isn't it?
43:58We're a team, aren't we?
44:00Go on
44:01Go and have a nice big piece of cake for me
44:05I mean it
44:06There's no point in both of us staying, is there?
44:07Go
44:08Really?
44:09You sure?
44:10Yes
44:10You sure?
44:11Go on
44:12Thank you
44:13Hey, take this
44:1520 quid, come on, take it
44:16No, no, no
44:16I can't get a cab
44:17Please, it's the least I can do
44:19You don't have your car, it's gonna be late
44:20Just take it
44:21Okay, if you insist
44:22Thank you
44:23Okay, take that ridiculously oversized unicorn with you
44:26You reckon it's big enough?
44:27Yeah, go
44:30Flynn?
44:31Yeah?
44:32We've got this, okay?
44:34For me
44:35Okay
44:36Thank you
44:47Oh, Chef
44:49Can I ask a figure, please?
44:51Yeah, yeah, what do you need?
44:51Would it be okay if I finished a bit early tomorrow afternoon?
44:54It's just, you know, there's an appointment for a dating scan at 4.30
44:59Or the next one's in two weeks, and if I don't, if I don't get tomorrow's two weeks, could take
45:03away my options a bit
45:04Yeah, yeah, of course
45:05Thank you
45:06Yeah, how did Ian take it?
45:09Er, yeah, I haven't told him
45:11Oh, my love, come on
45:13I know it's complicated, but he's got a right to know
45:16Yeah, I know, I know, but imagine how he's gonna feel if he finds out and he didn't even know
45:21you were pregnant
45:22Rip the plaster off best way
45:43Hey
45:43Hey
45:46It's not your fault
45:51It is, son
45:55See you tomorrow
45:57Dylan?
45:58Yeah?
45:59Any word on the result?
46:01Yeah
46:03And?
46:05Erm
46:06It indicates a very likely chance of paternity, about 99.9%
46:14Okay, well that's pretty conclusive
46:15Mm-hmm
46:18So what are you gonna do?
46:20Er, now I go home
46:22Okay, but
46:23Don't be on your own
46:24No, I think I will
46:25It's a disaster, Steve
46:27It's a catastrophe
46:27And I don't know
46:27Oh, okay, it'spose it's perfect
46:27Yeah, quite a bit
46:52He's pretty awesome
47:10yeah hello it's me it's okay you don't have to bring me back I just wanted to let you know
47:15that I've pulled a few strings and someone's coming tomorrow to fit the new CCTV I know
47:21I know I'm a miracle worker everything's gonna be on your desk I've left it there with a sticky note
47:28saying CCTV okay can't miss it and I made a start on those training plans so they'll be on the
47:36shared
47:36drive anyway I hope Poppy had a wonderful birthday and I'll see you tomorrow yeah right nearly
47:51you
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