- 13 hours ago
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00:00Mum binned off the sperm donor.
00:01Apparently it was an alky, unreliable, selfish.
00:05Any word on the result?
00:06It indicates a very likely chance of paternity, about 99.9%.
00:10If we do not grip this and show some serious change, the CQC are going to shut us down.
00:16I'm well aware.
00:17I'm pregnant.
00:19Right.
00:20Everything that happens here is your choice.
00:23After a sexual assault, it's important that you know your options.
00:27We're here to help you move forward.
00:29Siobhan?
00:33Hey guys, come with me.
00:35I want you to meet Dr Clements, a friend of mine from the MOD, stationed at a research facility.
00:41She is an expert in dangerous pathogens, the type used in biological warfare.
00:45Sorry mate.
00:46In your careers, you will never get to her level.
00:49Trust me, not even close.
00:50You don't have a fraction of her intelligence.
00:53I know you might think you do, but trust me, you don't.
00:55Today I want you to watch, learn, and do exactly what she tells you.
01:00We're about to enter a simulation.
01:02Viral encephalitis has been weaponized.
01:04You must treat patient zero before the outbreak spread.
01:07Now, I'm leaning on the floor today, so Dr Clements will be both your patient and your assessor.
01:12Take this exercise seriously.
01:14It's imperative.
01:15You treat this as though it's real.
01:17This isn't just about contingency planning, okay?
01:19CQC have been absolutely breathing down my neck about training you guys properly.
01:22So over my dead body, or more preferably one of yours, I will ensure that you leave here better doctors
01:28than when you came in.
01:30Off you go.
01:42Welcome, boys and girls, to what might just be the worst day of your lives.
01:49Me.
02:07I don't understand my fault.
02:07I think I don't know.
02:07Is it a young girl that the M.C. has been Chapter 3?
02:09What would you do?
02:09Bye.
02:09No, I'm sorry.
02:11I'm not.
02:11No, I'm not.
02:17I'm not.
02:18I'm not.
02:20I do accept that with hindsight, maybe taking the swab was...
02:24Ridiculous. A bit unethical.
02:26This guy is.
02:28But, you know, Sarah, his mum, has had my details for the whole of this time,
02:32and she chooses not to tell me.
02:34Life would have been so different, Stevie.
02:36Yeah, but, Dylan, it can be different now.
02:38Sorry, that's mine.
02:40Three sauce, three, please, now.
02:45Uh, Mrs Sanderson.
02:49Hey, Mrs Sanderson, no.
02:51No, need a little in a haste, though.
02:52As far.
02:54Flynn, um, I'm pretty sure the CQC inspection recommended that we have more stuff rather than fewer.
02:59Where are the residents?
03:00Oh, hold on.
03:01They're a rare scenario training so that they can handle anything that's thrown at them in the field.
03:04Sounds like scientists.
03:06Well, Dylan, I have to honor their training, don't I?
03:09I mean, you'll thank me in a couple of weeks when we pass the next inspection.
03:11Hold on.
03:11Hey, hey, hey, hey, hey.
03:12It's fine, I'm fine.
03:14Come on, come on.
03:14Mr. Polly, can you just deal with this first piece?
03:16No, it's what we need to do.
03:17No, it's not a request.
03:19We need to just deal with it.
03:19I will take over and resource.
03:21The team can manage, okay?
03:22Okay, Flynn, Flynn.
03:23She won't.
03:24I do not need special treatment, okay?
03:27Okay.
03:33Is this the only size?
03:35It's not going to fit me.
03:36You've got plenty of room in there.
03:38Quickly secure it.
03:42Okay, aerosol exposure of this bioweapon can lead to rapid invasion of the nervous system.
03:48After we've ensured our own safety, we should start with an intravenous course of antiviral
03:52medication.
03:54Can we get moving, please?
03:56We're on the highest alert we've been in decades.
04:00The threat of a bioterrorist act is credible, and take it from me, you don't want to be
04:05doing this for the first time when the real thing happens.
04:08It's hell on earth, and you'll be right in the fire.
04:13Really?
04:14But you want us to take this seriously when the PPE's out of date?
04:19Don't put it on, then.
04:20Everything can right, need it.
04:25Matty, think of the CQC.
04:27This isn't even an official CQC thing.
04:29This is Dr Byron's sick fantasy.
04:33All right.
04:34All right.
04:36What were your symptoms again?
04:38Reckon we can get you to ITU by lunchtime?
04:40I'm already starving.
04:46I was going to say thank you.
04:51I, actually, Chris, can you take this?
04:53Yes.
04:54I'll see the outside.
04:55Let's get outside.
04:55Yeah, we've been discharged.
04:57This?
04:57What?
04:58I'm just, I'm having a basis.
05:00It's important.
05:03Uh, sure, it's going to have to be quick.
05:05Let's go over here.
05:08Uh, look.
05:10I've been thinking.
05:12Mm-hmm.
05:13Maybe, maybe we should get back together.
05:17What?
05:18Yeah, you know.
05:19Make a go of it.
05:20What, with the baby and...
05:22Ian, you've clearly said before...
05:25I know.
05:26I know what I said, but I, I was...
05:28Yeah, well, and, and now, and now you love me, and you want to raise a baby together?
05:37Or is it just the baby that you love?
05:40Control 3-0-0-6.
05:42Cat 2 check-in is in the Shackstead area.
05:44Over.
05:46Maybe I'm not the one that's broken, Ian.
05:48You ever thought about that?
05:50I'll find somebody else to fix.
05:55Just try, try and keep it nice, nice, nice and calm.
05:59Please, please, please.
06:00I think we're looking at a sternoclavicular dislocation.
06:03Upper chest, yeah.
06:04Erica, Erica, can you just try and send anything calm for me?
06:07I can't.
06:09Karen, let's, let's prep five milligrams of morphine.
06:12Yeah, she's got, um, chest pain.
06:15Uh, her respirator's up to 25, so it's 97%, and, uh, yeah, complete pain on her left arm's locked.
06:21Okay, is there anybody here, her parents or anything?
06:23Um, she lives with mum, so someone's making the call.
06:25Can you have a go, try and get her calm for me?
06:29Hi, Erica, I'm Faith.
06:31We really need to examine you, darling.
06:33I know, I know.
06:34Just look at me, look straight at me.
06:36I know it really hurts, but everything's going to be all right.
06:39Okay, take a big deep breath, and lay back for me.
06:42There we go.
06:43Okay, cool flush going in.
06:47I know, I know, I know.
06:49I'm really sore, you're doing really well.
06:51Right, I'm just going to take a look at your collarbone, okay?
06:53I'll be really gentle.
06:55Okay, let me have a wee look.
06:58How did this happen?
07:00Rugby.
07:01Someone stamped on me.
07:03Morphine going in?
07:04Oh, Mum.
07:05Mates me playing.
07:07She said something like this would happen.
07:09Yeah, Mum's no best, don't they?
07:12And was this at school?
07:14Don't have a school.
07:16Not since the roof fell in.
07:19Okay, uh, yes.
07:21There are no clavicular joints, depressed.
07:22Right, okay, what about the arm?
07:23Can you move your fingers?
07:25What about your thumb?
07:26No.
07:27I'm just going to put pressure on your nail, okay?
07:29Can you feel that?
07:30No.
07:32Right, delayed cap refill and the arm's really cold.
07:35Right, okay, let's get a second line in and we'll get a full set of trauma bloods.
07:38Maria, can we get a CT?
07:41We'll do CT angio and left upper limb.
07:43And I'm going to give vascular heads up, Faith.
07:45Okay, all right.
07:46What's happening?
07:47Right, the dislocation is really close to the vessels in your chest and any movement that
07:52could damage the vessels, yeah?
07:53So we need you to stay really still.
07:55It's really important.
07:56You'll stay with me.
07:58Of course.
07:58I'm right here.
07:59So you've received my ACG results, but now I'm seizing.
08:03What is the cause?
08:04What is the treatment?
08:05Kim?
08:07Is it your autoimmune response?
08:09We need to assume infection, right?
08:11So we need to treat the seizures with lorazopam and cover for infection with kefetaxime and
08:16acyclovir.
08:16We also need to ensure it's not cardiogenic.
08:19So you do have capacity, Dr. Lynn Laker?
08:22Most of the time, yeah.
08:23Apart from match days when never pull a play in.
08:27What further complications could the seizures indicate?
08:31You're sky high.
08:34And tachycardic.
08:35How?
08:36This isn't real.
08:37But these results are.
08:38I appreciate your diligence, but don't worry.
08:41I've been a bit under the weather recently, some back pain, but that's all.
08:44See?
08:45Aspiration pneumonia.
08:47Complications from the seizures.
08:50Good.
08:57Listen up if you can.
08:59All our ambulances are utilized at the moment, but I'll get the clinical desk to triage us
09:05as many as they can.
09:06But keep me across any cat ones that come in.
09:09Okay?
09:10We'll get through this.
09:11Auntie Jan.
09:12Hiya, love.
09:13Shouldn't you be out on the road?
09:14Oh, the chucks got a flat tyre.
09:16Oh.
09:16Hey, don't worry.
09:17I'm sorting it.
09:19You are on an early, though, aren't you?
09:22Why?
09:23Ashley thinks she's going to be discharged later, but I'm on a late.
09:26Would you want to give her a lift?
09:28Not a ready taxi, Ted.
09:29I know, I know, but, you know, I thought you wanted to get to know her.
09:33Jan, Jan, could you take this one, please?
09:41Ambulance service.
09:43Is the patient freezing?
09:44Daddy won't wake up.
09:47Okay, I can help you.
09:49My name's Jan.
09:50What's your name?
09:52Asa.
09:53Hello, Asa.
09:55Asa, is there anybody else there with you and your daddy?
09:58No.
09:59Okay.
10:00Is he lying on his back?
10:03Yes.
10:04Have you tried waking him?
10:06Can you give him a gentle little shake?
10:16Asa, have you done that?
10:18Yes.
10:19Can you put your hand by daddy's mouth and check if you can feel the breath coming out?
10:27Yes.
10:28Okay.
10:29Is he making any funny noises?
10:32No.
10:33Asa, I need you to make sure that his chin is off his chest.
10:39Okay?
10:46Have you done that?
10:48Ambulance.
10:49I'm going to get an ambulance to you as quick as I can.
10:53What's your address, Asa?
10:55I don't know.
10:57Do you know the name of your road?
11:01Or, uh...
11:03Have you got a house number?
11:06Asa, I'm going to go really quiet now, but I want you to stay on the phone.
11:10I'll be back really quickly.
11:12Okay?
11:13You stay on the phone.
11:15That's another one.
11:17It's getting ridiculous.
11:19Uh, 3006 to control.
11:21Go ahead.
11:223006.
11:23We've just arrived at 30 Shackstead Road.
11:25Spoke to the couple in Ibby.
11:27Thomas Delaware and Bryn Ellis.
11:29Let him call 999.
11:31Another prank call.
11:32Teenagers, apparently.
11:35Oi!
11:36Loses!
11:41Well, if you're clear there, I need you on another job.
11:44Yep.
11:44What's the address?
11:45That's the problem.
11:46We don't have one.
11:47Give me a sec.
11:48Gant.
11:49Asa?
11:50Is there anything that you live near to?
11:53Uh, is there a shop that you and Daddy like to walk to?
11:57Are there any trains that go near your house?
12:01Where do you like to play?
12:03The big park.
12:04And, uh, does it have a playground?
12:07Red slide.
12:09Red slide.
12:11Control to 3006.
12:13Go ahead.
12:13I'm patching you through now.
12:15I've got to warn you that the caller is a little boy.
12:17It sounds like his dad is having a seizure.
12:20Make your way to Obby Wreck.
12:22Over.
12:23Lisa, can you clear as much space around him?
12:28We don't want him banging into anything and hurting himself.
12:33Have you done that?
12:34I'm scared.
12:38Next, you'll want to start thinking about a CT scan and a...
12:42Ah, sorry.
12:44A CT scan and a possible lumbar puncture.
12:48Do you want a girl supporter?
12:50Yeah, I'm more toward...
12:54Yeah, come on.
12:55Sit back.
12:56Catch your breath.
12:57Stand back.
12:59This isn't funny.
13:00Is this real?
13:00Must have been exposed at work.
13:03Exposed to what?
13:10I'm not sure.
13:11I work with multiple pathogens every day.
13:15Most of them contagious.
13:18Perotum elimination.
13:19A CT confirms a posterior sternoclavicular joint dislocation
13:23and there's a small haematoma as well.
13:25Okay, is it stable?
13:27For now, but yeah, the collarbone's way too close to the blood vessels to supply the arm.
13:32That's my worry.
13:33She's tacky and her pulse is really weak.
13:35All right, then.
13:36We don't have much time in the arms at risk.
13:37Vascular?
13:39No.
13:39They've got an aneurysm, so they're going to be a few hours.
13:41Haematoma's going to make it tricky, but I think we only have a small window before full-blown vascular disasters,
13:46so let's prep to put it, please.
13:48Okay, I'll get some cap.
13:48All right, absent radio calls.
13:51Okay, sweetheart, listen, we're going to have to put the collarbone back in place now.
13:55Mom!
13:55I know, Mom is on her way.
13:57Gary, look at me, look at me.
13:59I'm here with you.
14:00I know it's scary doing it without your mom, but I'll be here, okay?
14:03I think we can do this.
14:05Okay?
14:06Okay, okay, we're good to go.
14:08Okay, Erica, my name's Dr. Byron.
14:10My colleague here's going to give you something so you're not aware of what's happening, okay?
14:16Do you need to get there?
14:18No, I do not.
14:19It's the message that can wait.
14:21Come on, come on, come on, come on.
14:24I can't get through, he's not answering.
14:26Try getting through to the ED.
14:28Okay, um, there's a shock pack on its way.
14:31I'm just going to go and get Dr. Byron myself.
14:32No, you can't.
14:35No one comes into it out.
14:37We can't risk this spreading.
14:40What spreading?
14:44You know I can't say.
14:47National security.
14:48Look, how are we meant to treat you if we don't know what's wrong?
14:52I should have made you wear the mask.
14:54Matty?
15:07What do you think it is?
15:09I don't know.
15:10Please.
15:11You must have an idea.
15:13You always do.
15:14Ebola.
15:16Crimean Congo.
15:17Lassa fever.
15:18They all fit the symptom profile.
15:21Transmit it through contact with infectious fluids.
15:27You'll be okay?
15:31Will I?
15:35Ready?
15:36Mm-hmm.
15:37Okay.
15:38One, three.
15:40One, two, three.
15:49I'm going to try the vascular compression, where I've nicked the hematoma.
15:52I'm done.
15:55Okay.
15:55Now, bands on the neck aren't distended.
15:56She's perfusing, so.
15:59All right.
16:00Can we get the emergency airwitch rolly over here, please, in case we need it?
16:03Let's fast scan in the meantime.
16:04Mm-hmm.
16:11Okay.
16:12Ready?
16:12Yeah.
16:19Pericardial fluid.
16:21No tamponade, no obvious rupture.
16:23Okay, so it's mechanical.
16:24The joints are pressing on something.
16:26Let's try again.
16:27Dr. Byron.
16:28Dr. Clemence has fallen ill.
16:29Eh?
16:30It's a simulation, can't?
16:31Yeah.
16:31Dr. Chang says it's real.
16:33They've activated major hemorrhage protocol.
16:34They can't get her up, saying she might be contagious.
16:36Um, hold up.
16:38Right, let's try again, please.
16:39One, two, three.
16:41Okay.
16:47Pulse check.
16:50Yep, it's John Pulse.
16:51Yeah?
16:52Right.
16:53Stay with me if you don't mind.
16:55Take him over.
16:56That's all right.
16:57See you to the kids.
16:58Yep, fine.
16:59Okay, uh, let's, uh, let's get a repeat and Joe.
17:01Make sure there's no further damage.
17:04You okay?
17:05Yeah.
17:05Yeah.
17:06Fine.
17:19Hey.
17:20What's going on?
17:21Uh, patient is short of breath, respiratory rate up, sats dropping, bleeding from her lacrimal duct and nose.
17:29Possible exposure to viral hemorrhagic fever pathogens, but we don't know which ones.
17:35She's unable to disclose which pathogen she's been working with.
17:38Grace, you're kidding me.
17:40Come on.
17:40You know not to ask that of me.
17:45Okay, okay, uh, we're going to activate the high-consequences infectious diseases plan because you've got blood, right?
17:52You're going to have to give her an x-ray and you're going to have to do it there in
17:54the room.
17:55Dr. Byron?
17:56Yeah?
17:56Our PPE is out of date. Will we be okay?
17:59I mean, yeah, yeah, it's fine. The date of precaution is, as long as you're wearing it properly, you're not
18:03at any risk, okay?
18:06I wasn't wearing my mask.
18:09Damn it, Matty! I explicitly told you to take this seriously!
18:15Hi. Yes, Dr. Byron. We need a portable x-ray down on D-Ward now. Immediately, please.
18:22Right, Kim. It's okay. It's going to be okay, all right? I'm going to stay here. I'm going to talk
18:25you through everything. Just do as I say.
18:29You're in this, is it? And so...
18:41Hey, sir, I think we've arrived at the playground. Can you still hear me?
18:45How's Daddy? Is he making noises, like snoring?
18:48I don't know.
18:50I know this is hard. You're doing really well. What colour is your house?
18:56White.
18:57Okay, great. And is your house next to the playground, or do you have to cross a road to get
19:02to it?
19:03Cross the road.
19:05Let's try it.
19:06What about cars? Are there any cars parked outside your house?
19:10I'm not at the window.
19:12Yeah, could you go to the window for me? Well done.
19:19Do you know the colour of your door?
19:22White.
19:22What about your front garden? Is it grass or pebbles?
19:26Pebbles and plants.
19:28Okay, I'll start looking.
19:32Are you in the window yet?
19:34Can you see us? We're wearing green uniforms.
19:46Is that you? Can you see me waving?
19:48Yeah.
19:48Oh, mate, you are my hero.
19:51Have you got him?
19:52Yeah, I've got him, Jan.
19:54It's chicken.
19:55Here.
19:55Well done.
19:57I'll leave you to it.
19:57Here we go.
20:00Here we go.
20:04Here we go.
20:05Uh, Mrs. Abbeyworth.
20:08Um, I believe that you, you say that you swallowed a ring.
20:13Oh, we can't find anything on the X-ray.
20:14Um, are you quite sure that you swallowed it, are you?
20:16Is she sure she put it in the glass?
20:18Yes.
20:18I thought you'd sip the bubbles and I'd be down on one knee.
20:22How ridiculous making a show like that.
20:24What on earth will people think?
20:25Who cares?
20:27Um, well, obviously I'd watch out for any tummy ache,
20:29but it should pass through in the normal course of events.
20:32Now, um, there were one or two things on the X-ray
20:34that I was a bit concerned about, though, uh, Mrs. Abbeyworth.
20:37It's Miss Abbeyworth, with a roll of the R.
20:41The first one, not the second.
20:43Your lymph nodes are a little enlarged
20:45and, um, your blood results indicated
20:47that there may be, um, an inflammatory process or two going on.
20:50Resps are a little bit high, heart rate too.
20:52So we're going to ask, uh, Jodie to take a full set of Ops.
20:54I'm going to be back, I think.
20:56Just take your pulse there.
20:58So, uh, how long have you two been, uh...
21:01We've been good friends about a year now.
21:03We're lovers.
21:04Hush!
21:04We first met at school 60 years ago
21:07and then there she was again
21:08in sheltered housing all these years later.
21:11Wow.
21:12What was it?
21:12Were you together back then?
21:13Absolutely not.
21:14It was different times back then, love.
21:17Has she got to stay along?
21:18Only I got celebrations planned.
21:20Celebrations?
21:21I haven't said yes.
21:22Are you in any pain at the moment?
21:24Where do I start?
21:25I'm 76.
21:26Any sudden weight loss?
21:28Clothes are a bit looser, I suppose.
21:29OK, any history of disease in your family,
21:32whether it be heart disease or diabetes
21:34or cancer?
21:35All three.
21:36But cancer mainly.
21:39Dr. Keir?
21:40Yeah.
21:41Sorry.
21:41OK, OK.
21:42Um, let me leave Jodie to take up all the history,
21:44but I really want to have some answers for you
21:46as quickly as possible.
21:47Miss Apiora.
21:50Right, will you speak to me, please, guys?
21:51All right, this is Lee, found unresponsive in his home
21:54after having a tonic-tonic seizure,
21:56you would think that the only witness was his son.
21:58He's got a boggy haematoma on his occiput,
22:00hairways maintaining itself.
22:02Rest 20, stats were 92,
22:04they're now 98 on two litres via nasal and lift.
22:08Hand down, please.
22:09And across on slide, please.
22:10Ready?
22:11Race.
22:11Slide.
22:14All right.
22:15OK, pulse is 55,
22:17BP is 165 over 90.
22:20It was post-ictil,
22:21now his GCS is 14,
22:22giving him four milligrams of endastron.
22:25IV access fire is left ACF.
22:27There's no way we'd have got to him
22:28if it wasn't for young Ace of you.
22:29Hey, Ace,
22:30was Daddy feeling unwell before he fell over?
22:32Oh, you weren't sure, were you, mate?
22:34Right, any medical conditions that we know of?
22:38Daddy!
22:39OK, let's get on to the side.
22:40Faith, can you go on airway?
22:41Yep.
22:42Let's get four milligrams of rurazepam,
22:45and can we draw up some levoteroacetum as well, please?
22:48Is anybody for you to take Ace outside?
22:50Yeah, I can stay with you.
22:51It's fine looking at me.
22:52Come on.
22:53Great, thanks.
22:54OK, and can somebody call the dirty social worker, please?
23:02OK, now take a step back.
23:04I've just heard.
23:05Did we know what we were dealing with yet?
23:06I've spoken to whoever, um,
23:08research facility,
23:09but until I get security approval,
23:10I don't know what pathogens Grace has been handling.
23:12Lean forward for me, then.
23:14Guys, come on.
23:15We don't have all day.
23:16Let's go.
23:16What's their exposure?
23:17Do we know?
23:18Uh, well, Kim will wear PPE,
23:20so she's fine,
23:21but Matty, of course,
23:22thought he was too special to do so,
23:23so he's been exposed.
23:24Eh?
23:25Listen, if you're worried about repercussions
23:27because you're his mentor,
23:28don't.
23:28I will take full responsibility, OK?
23:30Guys, come on.
23:31We don't have all day.
23:32Let's go.
23:33We need one more.
23:34Move it, um, move it left, please.
23:37Yeah, no, it's not that.
23:39Do we know how long
23:40we're going to have to wait
23:41for your approval?
23:42One more time.
23:43I mean, we need to know
23:43what we're dealing with, don't we?
23:45Flynn?
23:46Flynn?
23:47Um, blood.
23:48Guys, you need to get more blood in.
23:50Dylan, talk them through this for me,
23:51would you?
23:52Yeah, yeah.
23:52I'll go follow up with the MRI.
23:53Yeah, OK, OK.
23:55Can you hear me?
23:57You need to get another line
23:58in the right arm.
23:59Yeah, a large IV.
24:13Any news for Matty and Kim?
24:14Nothing yet.
24:15They'll be all right, though, won't they?
24:17As soon as I hear you.
24:19Thanks.
24:25Siobhan, um,
24:27yeah, I'm really sorry.
24:28I'm not going to get those orders
24:29done by the end of the shift.
24:30I'm juggling recess and cubicles.
24:32It's OK.
24:33I can take a patient.
24:34Who have you got?
24:36Uh, amazing.
24:37Um, uh, basics, Louise Perkins.
24:41I triaged her ages ago.
24:42I just haven't had time
24:43to get around to her.
24:44It's OK.
24:48Right, how long's it been?
24:49Uh, four minutes, just over.
24:50Right, OK, let's get the lorazepam.
24:52Thanks, Paula.
24:58OK.
24:59OK.
25:00Wait, I think he's, yeah,
25:01he's self-limiting.
25:03Well, let's get him onto his back.
25:05It's nice and slow.
25:06Uh, we'll keep the lorazepam on standby,
25:07but let's do a full set of bloods
25:09and we'll get a, yeah, head
25:11and C-spine CT.
25:13Do you want to go and update Ian
25:14and the kid?
25:15No, just get someone else.
25:17I'll stay in case you need me.
25:18No, it's fine.
25:19We're good here.
25:20Cass will take over
25:20and just get as much info as you can.
25:22It'd be great to get an ID on this guy.
25:24OK.
25:47Hey, sir.
25:49That's Daddy stopped shaking now.
25:51Yeah, that's good, isn't it?
25:52That's good, mate.
25:53Yeah, yeah, it's really good.
25:55We're looking after him,
25:56but we need to know,
25:57has he ever been ill at this before?
25:59Has he been shaken?
26:01Don't know.
26:02You don't know?
26:03That's OK.
26:04What about your second name?
26:08Do you know that?
26:09I don't know.
26:10You don't know that?
26:12OK.
26:16Can you help me?
26:18I really need you access Lee's records.
26:20Hey, Samir.
26:22Do you know how you're, like, really clever?
26:26Do you think you can tell us
26:27your dad's full name?
26:30Lee showed.
26:32You're Sherwood.
26:34You're clever, boy.
26:35There you go.
26:36You are.
26:37You're very clever.
26:39Right, um,
26:41the duty social worker
26:42will be down soon, yeah?
26:54We stand by with FFP and platelets.
26:57Kim, she needs oxygen.
27:00Any news?
27:02I can't keep this on much longer.
27:03I can't.
27:04Matty,
27:05you have to.
27:06Hey,
27:07keep your mask on.
27:09The flare on the x-ray confirms
27:11this is most likely a VHF.
27:13I don't know which strain,
27:14so we have to get Grace
27:15into an isolation cubicle.
27:17Once she's been moved,
27:18you two are going to remain in the room.
27:20Kim,
27:21you'll monitor Matty's symptoms.
27:22Matty,
27:23you let us know
27:24if you start to feel unwell, OK?
27:27Ah!
27:32Grace,
27:33Grace,
27:34if you know what it is,
27:35please just tell me,
27:36just tell me.
27:37Please.
27:38Grace,
27:39Grace!
27:41I'm screwed!
27:46Hi,
27:47Lise.
27:48Guess he was in hospital again.
27:50Ah,
27:51hello?
27:51Oh,
27:52sorry,
27:52nurse is here.
27:53Yeah,
27:54Louise Perkins?
27:54Yes,
27:55that's me.
27:55Yeah,
27:56I can see from triage
27:57that you are having problems swallowing.
28:00Yeah,
28:00I can't really eat anything,
28:02just a few sips of water.
28:04Mm.
28:05And do you feel OK in yourself otherwise?
28:08I've had a bit of a fever,
28:10chills,
28:11muscle ache.
28:12OK.
28:13I wouldn't worry normally,
28:15only you need to take my meds.
28:16Which are?
28:17I've got muscular dystrophy.
28:19Oh,
28:19I see.
28:20Er,
28:21can I just take a quick look on your mouth?
28:24A bit more,
28:24let's have a look.
28:32I can't see anything.
28:33I'm fine to go home
28:34and rest up with some paracetamol.
28:37I don't want to waste anyone's time.
28:39No,
28:39no,
28:39we,
28:40we need to test your swallow,
28:42do some bloods,
28:43x-ray,
28:44and a specialist
28:45will probably want to do
28:46a pulmonary function test.
28:47Of course.
28:48I've got voice notes
28:49to catch up on.
28:51My friends don't look close anymore,
28:52but we're always sending
28:53each other little updates.
28:55I'll fetch a doctor.
28:56OK.
29:05Dr. Keogh,
29:06if it's Ebola,
29:07what happens next?
29:08We don't know what it is yet.
29:10It doesn't help us to speculate.
29:13I bet Flynn's organising
29:14an isolation cubicle
29:15on ITU right now.
29:20I need to know.
29:22I need to be prepared.
29:24Matthew Kim's right.
29:25Don't do this.
29:26Dr. Keogh,
29:27please.
29:32All right then.
29:33You tell me.
29:35Kim!
29:36For a VHF like Ebola,
29:38I think the incubation period
29:39ranges from 2 to 21 days.
29:42In the early stages,
29:43you can expect
29:44flu-like symptoms,
29:46fever,
29:46headache,
29:47fatigue.
29:48You'll then likely experience
29:50gastrointestinal vomiting
29:51and diarrhoea.
29:53Kim,
29:54no.
29:55Ignore him!
29:56To some develop
29:58neurological symptoms
29:59at this point,
30:00like delirium.
30:02How is this helping?
30:03I can handle it!
30:06Severe bleeding,
30:08internally and externally.
30:10Multi-organ failure.
30:12Shock.
30:14And...
30:16And?
30:21Death.
30:27With intervention,
30:28should I call my mum and dad?
30:32They should know.
30:39When we have a little bit
30:40more information,
30:40yeah,
30:41and so,
30:41yeah,
30:42keep calm.
30:48Right,
30:49sorry,
30:49I don't even know
30:49if this passes
30:50as a signature.
30:51Okay.
30:51Cheers.
30:53Right,
30:54here's Lee's
30:55summary of care record.
30:56He's epileptic.
30:57Okay.
30:58Medication?
30:59Carbamazepine
30:59and he's allergic
31:00to penicillin.
31:01Right,
31:01nice,
31:02good job.
31:03Well,
31:03actually it was a bit of a...
31:06of a team effort.
31:10Okay,
31:10come on,
31:11what's going on?
31:12Nothing?
31:13Cut again.
31:14You're a terrible liar.
31:15You always have been.
31:21Hey.
31:22Okay?
31:23I'm gone.
31:25You're not contagious,
31:26Grace,
31:26it's alright.
31:27You can take your mask off.
31:29You had a spontaneous
31:30retroperitone
31:31hemorrhage
31:31where you found it
31:32on the CT.
31:34There's no active
31:35bleeding points
31:36and we'll continue
31:36to control
31:37your clotting profile.
31:38Now,
31:38I spoke with your bosses.
31:40You haven't handled
31:41any contagious pathogens
31:42in the past 25 days,
31:44but
31:44you've been regularly
31:46taking interferon
31:47as a precautionary measure
31:48against potential
31:50infection.
31:51I mean,
31:52the interferon.
31:54It caused
31:55the
31:55prolonged
31:56blood clotting
31:57which explains
31:58the bleeding.
32:00Your CT
32:00and APTT
32:01confirmed it.
32:03Gonna make a full recovery,
32:04Grace.
32:05I nearly gave away
32:07state secrets.
32:08Nearly.
32:10We won't be in there.
32:13How's Matty doing?
32:15I'm gonna let him
32:16stew a little bit longer.
32:18He still thinks
32:19he has a VHF.
32:21You haven't changed,
32:23Byron.
32:24It'll teach him
32:25to wear his PPE,
32:26won't it?
32:27I'll put him out
32:28of his misery soon.
32:30We should get the squad
32:31back together.
32:33Yeah.
32:35Yeah, why not?
32:36I'd like that.
32:39Do you still think
32:40about him?
32:46Yeah.
32:49Every day.
32:57Yeah.
32:58See,
32:59I told you to come
32:59to the senses.
33:01Hmm.
33:01Did you?
33:02Yeah.
33:03Because
33:03he
33:04clearly loves you,
33:05otherwise
33:06he wouldn't want
33:06to try again.
33:07Yeah.
33:08Unless
33:10I was pregnant.
33:14Wow.
33:15I know.
33:15Wow.
33:16I only found out
33:17a couple of weeks ago.
33:19A couple of weeks?
33:21Ouch,
33:21I'm your best mate.
33:22I know.
33:22Look,
33:23I'm sorry.
33:23Of course I wanted
33:24to tell you,
33:25but
33:25with everything
33:26that's been going on
33:27with you
33:27and
33:28you had your
33:29check-up coming up.
33:33Oh, no.
33:35I missed it,
33:36didn't I?
33:37Oh, Stevie,
33:38I'm so sorry.
33:39I'm sorry.
33:40I mean,
33:40with everything going on,
33:41but what happened?
33:42It's fine.
33:42It's fine,
33:43because I got the
33:43all clear,
33:44so.
33:45Stevie,
33:46that's amazing.
33:46Yeah.
33:47Amazing.
33:48A line is
33:49officially drawn
33:50under it
33:50and life gets
33:51to continue,
33:52so it's good.
33:53Amazing.
33:54But,
33:55okay,
33:55back to you.
33:56What's the plan?
34:00I can't be with him
34:01just because of a baby.
34:03I can't.
34:04But,
34:04so what's the alternative?
34:05Like,
34:06do it on your own?
34:07I don't know.
34:07I don't know.
34:08I haven't thought that far ahead.
34:09I can't even,
34:10I can't think.
34:14You're you,
34:15okay?
34:16And I know you.
34:18So,
34:19this is you
34:20getting to have a baby
34:21with the man you love,
34:23getting to be together
34:25forever
34:26and adding to your
34:27already
34:28annoyingly amazing family.
34:32That's worth fighting for.
34:33Yeah,
34:34that's,
34:35that's something.
34:37Hiya.
34:37One of Dr. Kio's patients
34:38has had the results back.
34:39Can you just take a look?
34:40Yeah.
34:41Yeah,
34:41be right there.
34:55Here comes the cavalry.
34:57Good shift.
34:58Ah,
34:59more silliness
35:00with the hoax caller.
35:01Well,
35:02that 13 Shacksted,
35:03do you know who it is yet?
35:04It's just kids,
35:05apparently.
35:07But,
35:07it meant that we had a close call
35:09with a seizure patient.
35:10Do you think someone probably
35:11should teach them a lesson
35:12or they're just going to
35:13keep doing it,
35:13aren't they?
35:14Ambulance service.
35:15There's a patient breathing.
35:17Hi there.
35:18Dr. Kio's busy with another
35:19patient at the moment
35:20but I thought you would
35:21want your results.
35:22You're going to say
35:22swallowing the ring
35:23was a blessing
35:24because I've got cancer.
35:25Has she?
35:27Um,
35:28well,
35:28neither your blood
35:29nor your scan
35:30has any evidence
35:31of cancer.
35:32What?
35:33No,
35:33you do have a
35:34raised white blood count
35:35though,
35:36so that suggests
35:37a chest infection.
35:39Is that it?
35:39Yeah,
35:40that's it.
35:40So you're going to need
35:41some antibiotics,
35:42I'll sort out a prescription
35:43and I'll sort your TTAs
35:44for discharge as well.
35:45Okay?
35:46Okay.
35:50Thank goodness.
35:52I'm glad you're okay.
35:54What relief that is.
35:56Where are you?
35:57I can't,
35:57Eileen.
35:58Not if you can't.
36:01But what?
36:10I can't breathe.
36:11Do you think it's the virus?
36:13No,
36:13no,
36:13no,
36:13no,
36:13no,
36:13no,
36:14no,
36:14don't take your visor off.
36:15Don't take your visor off.
36:16Listen to Dr. Kehoe.
36:17Why?
36:17He's out there.
36:18He's not in here.
36:19He doesn't know what it's like in here.
36:21You're having a panic attack,
36:21Matty.
36:22I'm suffocating.
36:23You're not getting enough oxygen.
36:25You just,
36:25no,
36:26you don't care.
36:27No one cares.
36:28I care.
36:28Why?
36:29Why do you care?
36:29Why do I care?
36:31Because what?
36:32Because?
36:33Because what?
36:34Hey,
36:35hey,
36:35Matty,
36:35calm down.
36:36Calm down.
36:36You are fine.
36:38You're fine.
36:39You're fine.
36:40Grace had a clotting issue due to some antiviral medication that she was taking.
36:45You are fine.
36:45Okay?
36:47Okay?
36:48Come on.
36:50Just get your visor off.
36:51Here,
36:51hold that.
36:54Buy your beer,
36:55okay?
36:56It was a tough lesson,
36:58but...
36:58Hey,
36:59so,
36:59you would have seen that when you saw the x-ray for the first time.
37:02Well,
37:02I had a hunch,
37:03yeah,
37:03but look,
37:04I had to follow up with a CT and a research...
37:07And you thought you'd teach him a lesson?
37:09Yeah.
37:09Yeah,
37:10and let everybody else here think that he was sick.
37:12When I tell him to,
37:13he'll put his PPE on.
37:16Easy!
37:17Easy!
37:18Who does something like that?
37:22Why would you do that?
37:28You learned his lesson,
37:30didn't he?
37:33Bloods,
37:34x-ray,
37:36the works.
37:37I've given my eyes field for a fit doctor,
37:40but no luck yet.
37:42Hang on.
37:45Yeah,
37:45we've had your results back,
37:46and it looks like you've got pneumonia.
37:49Probably brought on by the difficulty swallowing.
37:52Okay.
37:53You're going to need IV antibiotics and close monitoring,
37:56so we'll need to keep you in.
37:57Right.
37:59And the swallowing?
38:00You'll need to see a specialist,
38:02I'm afraid.
38:04IMD's getting worse,
38:05isn't it?
38:05One of the doctors will come and speak to you,
38:08and we'll let your consultant know.
38:10Am I moving towards a feeding tube?
38:12We will refer you to our speech, language, and nutrition team.
38:17What about my voice?
38:19Will I lose it?
38:24How soon?
38:26How soon will I lose it?
38:30I don't know.
38:39Hi, Liz.
38:41Looks like it's bad news.
38:45I won't be able to speak like this to you soon.
38:54Our consultants will go through everything with you,
38:56and I'll just make the referrals now, yeah?
39:15Hiya, love.
39:16Are you okay?
39:17Are you ready to go?
39:18Sorry?
39:19Didn't Teddy tell you?
39:20I can drop you.
39:22I thought I'd get a taxi.
39:23Oh, don't waste your money.
39:25Love, I'm here now.
39:25Let me take this for you.
39:27Are you sure?
39:28Absolutely.
39:29I just need a little favor on the way.
39:31Bye.
39:38It's just...
39:39take five minutes, okay?
39:42Black.
39:43Are you guys okay?
39:45Yeah?
39:56Are you all right?
39:57It must have been terrifying.
39:58I don't know.
39:59I wouldn't have survived.
40:00I wouldn't have known to see it in my situation.
40:01So the, uh, training and exercise didn't get was planned.
40:05Then you start.
40:06Already started.
40:08You got all the punches, I guess.
40:09That wasn't good.
40:11And what the hell has gotten into him?
40:13Seriously, what is wrong with him?
40:14I should report him for what he did up there.
40:16No, no, you won't, okay?
40:18We've got enough going on, thanks.
40:20Well, for somebody who didn't want a mentor, he's taking mentoring pretty serious.
40:23Yes, Flynn.
40:24Because when he commits, he commits.
40:26Look, if you need an extra pair of eyes on the incident report, just give me a shout, yeah?
40:36What are you doing about?
40:37Sorry about that.
40:41Oi!
40:42Ronnie!
40:44Ronnie?
40:45Something funny?
40:46What's it to you?
40:48Come on, Yusuf.
40:49It's not worth it.
40:49It's all right.
40:50It's all right.
40:50Yusuf, is it?
40:52Have you been making calls to 999?
40:55Yeah.
40:57Because of your calls, a little boy almost lost his dad today.
41:01So?
41:03So?
41:04Did you just say so?
41:06So?
41:06So, so, so, so, so, so, so, so?
41:09PC Ashley Sullivan.
41:11Under the Telecommunications Act 1984, making a nuisance or false call to 999 is a serious offence.
41:18Yes, I'm going to give you a warning today, but if this happens again, you can face criminal charges.
41:24Understood.
41:29I don't know about you, but I really enjoyed that.
41:33Make sure to check in with your GP and then pop back here if you feel short of breath or
41:37anything.
41:37All right?
41:38I will do now.
41:39No worries.
41:40And thanks for being discreet before with Albert.
41:44You know, for what it's worth, it seems like you two have waited long enough to be together, and you've
41:52got the freedom now to be happy.
41:54You should enjoy it.
41:56I might have made a mistake.
41:59Never.
42:01I was scared.
42:03I know.
42:04I know.
42:05It's OK.
42:12You stayed.
42:17Albert.
42:20Will you marry me?
42:22What?
42:25You're making a show.
42:27I know.
42:28What do you say?
42:31Will you marry me?
42:35Yes!
43:05They had to pay more behind the bar at the anchor
43:07than they do a first-year residency.
43:11You'd get bored with boring pints.
43:14I don't know.
43:17Free drinks on the job.
43:20Sounds all right.
43:22Then you'd be drunk all the time.
43:26And it would be a waste of a talented doctor.
43:28How can you say that after today?
43:30I don't belong in the ED.
43:33Today must have spun everyone out.
43:36Don't believe in yourself, Matty.
43:41Takeo believes in you.
43:48Hi, Susa. Hi.
43:49Do you want to come with me?
43:50Asa, you want to come see Dad?
43:52Yeah.
43:56Daddy.
43:58I'm okay, bud.
44:00I'm okay.
44:01Hey, Lee, this is Susanne.
44:02She's our duty social worker.
44:04She's been looking after Asa for us.
44:08Could you give us a moment, please?
44:12Yeah.
44:13Would you come with me?
44:16What's going on?
44:17Everything okay?
44:18They're going to take him away from me.
44:19Is that why she's here?
44:20No, no.
44:21Absolutely not.
44:23I wouldn't blame them.
44:24I can't even look after myself.
44:26Let alone look after him.
44:27Come on.
44:27Take a breath, okay?
44:29You just changed your prescription recently, right?
44:31Yeah.
44:32Yeah, so certain medications don't work the same with certain people.
44:35You just have to follow up with your consultant.
44:38Okay?
44:40Come on, how did he know how to call 999?
44:42We walk past the ambulance station most days.
44:45He loves trucks, cars, anything that moves.
44:48Yeah, I can see that.
44:50I must have told him.
44:51Right.
44:52And he listened.
44:53Same as he listened to the co-handlers.
44:55He was amazing.
44:56He saved your life.
44:58So stop this being so hard on yourself stuff, okay?
45:02Come on.
45:03I mean, if I could give you one piece of advice,
45:05it would be maybe put your medical information on your phone,
45:08just in case there's another mix-up.
45:12Okay?
45:14Right.
45:14Better?
45:15Mm-hmm.
45:15Asa, come on.
45:16Come over and see your dad.
45:18There you go.
45:21Daddy, will I with me?
45:22Of course I will, buddy.
45:24Go on.
45:25Yeah.
45:26Show me how it works.
45:27Go on.
45:27What sound does it make?
45:39Come in.
45:41Hey.
45:42Okay.
45:47You okay?
45:48Yeah.
45:49I might go for a lie down on me break,
45:51see if I can shift this headache.
45:53Shambhal.
45:54I know.
45:55I know.
45:55You don't have to keep telling me.
45:57I'm not up to this.
45:58I wasn't...
45:59I wasn't going to say that.
46:00And you're right.
46:01I just had a patient earlier,
46:03and her entire life is about to be turned upside down.
46:08And all she wanted in that moment
46:09was a tiny little bit of comfort,
46:12you know, in that moment there.
46:14And I...
46:15I just...
46:16I just couldn't.
46:19Listen, whatever time you need,
46:21it is yours, okay?
46:22No.
46:23No, please.
46:23I need to be here, okay?
46:25That might sound selfish, but...
46:28Hardly.
46:30But Siobhan, if I may,
46:31I think you should speak to someone.
46:34I mean, bottling this up,
46:35it's just going to eat away at you,
46:37and it...
46:37Okay, I agree.
46:40But...
46:40someone independent,
46:42away from this place,
46:44I really thought I'd be able to deal with this better.
46:50I'm so sorry.
46:52If there's anything I can do to help...
46:54anything.
46:55Thanks.
46:56...
46:57Let's go.
47:28Let's go.
48:02Let's go.
48:30Let's go.
48:32Uh, is Ian here?
48:36No, sorry.
48:38Do you know what he is?
48:41Look, um, I would let you in, but I'm just about to head out for a roommate blanket.
48:46No, it's fine.
48:46It's fine.
48:47I've got to get back for the kids anyway.
48:48I was just, um, yeah.
48:52Okay.
48:53I'll let them know you, but bye.
48:54Okay.
48:54Thanks.
48:56Bye.
48:56Bye.
48:56Bye.
49:03Bye.
49:04Bye.
49:07Bye.
49:09Bye.
49:11Bye.
49:12Bye.
49:13You're welcome.
49:15You're welcome.
49:15You're welcome.
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