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FULL MOVIES ENGLISH SUB (2026) - FULL | Reelshort
#drama #cdrama #romantic #love #movie #shortdrama #showhots #2026
Transcript
00:00On go, ready, set, go.
00:03You're at the Royal Melbourne.
00:04How are you feeling at the moment?
00:05Not good.
00:06The fact that her conscious state is not normal,
00:08we can't rule out an injury or a bleed to her brain.
00:11Grace?
00:12I'm really worried that you've got a blood clot in your lungs,
00:15and that can be something that's very dangerous
00:16to you and to your baby.
00:18Even a brief period of low blood pressure or low oxygen
00:21can be catastrophic for the baby.
00:23Can you feel your baby moving?
00:26Grace?
00:27Grace?
00:27Grace?
00:30You were by my side, came to my aid.
00:34Look inside my eyes and help me try to ease the pain.
00:37Through my life, my, back to me, it's gonna be right.
00:45Through my life, my, reach out your head.
00:50Take mine.
00:52Oh.
00:54Very worried for you, my friend.
00:56The Bones James smashed a bit.
00:58Woah!
00:58He was like, she stopped breathing.
01:00Oh, see ya.
01:03Without intervention, he's likely to die.
01:05That's better.
01:23After 30 years as an emergency doctor at the Royal Melbourne Hospital,
01:28my son is always making me something to eat.
01:31Dr Jonathan's wife knows there's often little time to grab a bite.
01:35It helps having a homemade lunch.
01:37Oh, I reckon this is a kebab.
01:39This looks beautiful.
01:40I've worked here so long, we always get challenges every day.
01:44There's, you know, every day I'll see something
01:45I haven't actually seen before, which is pretty amazing.
01:49And today, Dr Jonathan's the EPIC,
01:52which stands for Emergency Physician in Charge.
01:55What the EPIC does is they keep an eye on what's going on
01:58in the department.
01:59It's a bit like a conductor in an orchestra,
02:02although there's probably no, no one gives you a clap at the end.
02:06Morning.
02:07Let's just see what today brings.
02:10Arrest?
02:11Yeah.
02:12Yeah.
02:15Someone's arrested, maybe.
02:16What's happened?
02:19Emergency Doctor Martin and paramedics are trying to save a man's life.
02:26Arrested patient just needs to be cued and work out what rhythm he is.
02:30I'll do the airway.
02:31Jane, can you run?
02:32Yeah.
02:33Everything on our trolley.
02:36Just come on in.
02:38Just come on in.
02:39Okay, let's just get him across.
02:40Don't cut anything.
02:42Just get him across.
02:43Get him across.
02:44Get him across.
02:44Get him across.
02:45Keep going with CPR.
02:47Spot ready.
02:50Has he got a pulse, Jess?
02:51Pulse there.
02:52No pulse?
02:54No.
02:55Okay.
02:55He's away.
02:56He's away.
02:57Alright, good.
02:58Hello, sir.
02:59The quick actions of our team have literally brought this gentleman back from the brink.
03:03This is what we do in emergency medicine.
03:05That's why we do it.
03:06So I'll leave you to it, Martin.
03:08Yeah, thanks.
03:09With the man's life saved...
03:10Receiving, go ahead.
03:12...the next trauma is rolling in.
03:14We have a 21-year-old male.
03:17He's been attacked by a machete.
03:19The police have applied a tourniquet to his arm.
03:22A machete injury is on his left forearm.
03:25It's a deep wound.
03:26Heart rate is 120.
03:28Everything happens all at once, so I'll get some Sandy scant.
03:33Emergency doctor Luke quickly gets up to speed.
03:36How you doing?
03:37We're expecting a 21-year-old guy who's been attacked with a machete.
03:41The police have deployed a tourniquet.
03:43Then that, to me, says that they've seen significant bleeding.
03:46If the tourniquet is on for an excessive amount of time,
03:49the lack of blood supply to that limb means that the arm will die.
03:5421-year-old Ilya was enjoying a day at the park when he was attacked.
04:01The engineering student, originally from Russia,
04:04was hit with a machete after stepping in
04:07to protect a teenage boy who was being bullied.
04:11All right, thank you, guys.
04:13Stacia, guys.
04:14We're getting some paper, don't worry.
04:17It's all for me.
04:18And that's my favorite.
04:19Yeah, I know.
04:20But that's just life.
04:23All right.
04:24Are you ready?
04:25There's a pulse.
04:27Good job.
04:27Oh, good job.
04:28Thank you, mate.
04:29All right.
04:31Good morning, mate.
04:33I'm Luke.
04:33I'm on the emergency doctors.
04:34Luke and I see you.
04:36What's happened today?
04:38I can't tell you.
04:39I'm sorry.
04:40I need an anesthesia.
04:40That's okay. All right, just hang tight.
04:42I really don't need it.
04:44Ilya can't actually tell me what's happened today
04:47because he's in such extreme amounts of pain.
04:50Him not being able to tell me
04:51whether he has any associated injuries
04:53is of concern to me,
04:55but it means that I need to work faster,
04:57exclude other potential life-threatening injuries.
05:00Pain through here, no wounds through here?
05:02Doesn't hurt.
05:03Can you sit forward for a sec?
05:04That's when I look at your back.
05:05I just need to go to sleep.
05:08Good. Okay, how do I do that?
05:11Now that Dr. Luke is confident he has no other major injuries...
05:15Are you 50? Yeah, I can 50, yeah.
05:17Ilya can get the pain relief he so desperately needs.
05:21Yeah.
05:21Are you a fentanyl?
05:22Are you a fentanyl?
05:24Are you a fentanyl?
05:26Ilya's best mate, Francois, witnessed the attack.
05:29I see Ilya about 10, 20 metres ahead of us
05:34and the machetes being swung at him.
05:36At first, all I see is that there's blood everywhere.
05:39And I thought, oh my God, my best mate's dead.
05:43As soon as I got Ilya's arm wrapped up with a towel,
05:47I knew we had to call an ambulance.
05:49Ilya always tries to help people whenever he can.
05:51He's a lovely book.
05:53I love him to pieces.
05:54All right, is everyone ready for handover?
05:56Ilya was struck by a machete to the left forearm.
06:00It's quite a deep laceration.
06:02When's the last time you had something to eat?
06:04In case we need to sedate.
06:05Yesterday.
06:06The cops have applied the first tourniquet
06:08and that did stop the bleeding.
06:11And in the ambulance, it started bleeding through the bandage.
06:14So I applied that second tourniquet.
06:16We need to assess your arm, okay?
06:18And then we'll go from there, all right?
06:20A second tourniquet has been applied.
06:22That raises my level of concern about,
06:24is this an arterial injury?
06:26You can lose a lot of blood very quickly
06:28and it can be catastrophic.
06:31With two tourniquets being deployed,
06:32his entire arm is on fire and not getting enough blood.
06:37Do you feel me touching at all?
06:38No.
06:38No, not at all?
06:39Not at all.
06:41Ilya has no feeling in his arm.
06:43We've got a good arm legs.
06:45I think we take it down and have a look.
06:47Ilya has an engorged, swollen arm.
06:49He's not getting blood flow to the nerves
06:51and to the other tissues.
06:52But if we take the tourniquet down
06:55and there's further bleeding,
06:56then that increases the risk of arterial bleeding.
06:59But with two tourniquets being deployed,
07:01we've got a really finite amount of time to save the arm.
07:04Please, please.
07:06They really just need to go to sleep.
07:15How are the kids going?
07:17They're doing well.
07:18They're doing really well.
07:19Emergency doctors Scott and Manny
07:22are taking advantage of a quiet moment.
07:25Any plans for the holidays?
07:26Uh, nothing in particular,
07:28we're just gearing up for an arrival of another one,
07:30the early Feb, so...
07:32That's exciting news!
07:34Yeah.
07:35My wife and I are expecting a second child.
07:37She's currently 29 weeks pregnant.
07:39We've got a 15-month-old running around the house at the moment.
07:43Being a dad's the greatest feeling in the world.
07:45Going to have your hands full.
07:46Absolutely.
07:47And the second one arrives.
07:48Yeah.
07:50And Dr Scott could well have his hands full right now.
07:54Breachers are presenting a suspected pulmonary embolism.
07:58She's currently 29 weeks gestation.
08:00She's had this unobstit of shortness of breast and fatigue.
08:04Probably be there in about five minutes.
08:06We'll move up and receive.
08:10Yeah, we'll take it pregnant.
08:12We've just taken a call about a lady 29 weeks pregnant
08:15who's presented with some breathlessness,
08:18low blood pressure and a high heart rate.
08:20One of the things that we worry about
08:22is something called a pulmonary embolism
08:24or a blood clot in the lungs.
08:25And that's something that can be life-threatening.
08:27Okay.
08:28All right, no worries.
08:29I'll let some people know.
08:31Her name's Grace.
08:32My wife's also named Grace.
08:34And currently 29 weeks pregnant.
08:36So that's a pretty eerie feeling.
08:38Is she stable and we're still convincingly thinking it's a few?
08:41I'd probably push for CTPA.
08:43Working alongside Dr Scott
08:45is new emergency registrar, Dr Millie.
08:49Maybe her sats were bad because her blood pressure was bad.
08:52See what she gets here, huh?
08:5527-year-old Grace is a teacher at a childcare centre.
08:59She had a sudden onset of really severe headache.
09:02Dropped her GCS, blood pressure of 50, I'm 30.
09:04So they called us for a suspected PE,
09:06but then she's had this neuro stuff happen whilst we were there.
09:11Grace has developed a severe headache.
09:13Now I'm wondering,
09:14does she have something concerning going on in her head,
09:17in particular bleeding on the brain?
09:18We know that during pregnancy,
09:20the blood vessel in his head can become weak
09:22due to the hormone changes in the body.
09:25That goes right to the top of the list
09:26because that's something that can be life-threatening.
09:28I've got his number now.
09:30I've got his number.
09:30Fearing the worst,
09:32the team urgently contact Grace's husband.
09:35All right, everyone ready?
09:36First go, ready, set, go.
09:39All right.
09:41So did you want me to do primary and ultrasound?
09:44Yeah.
09:45Hello.
09:46Hello, I'm Scott.
09:47I'm one of the doctors.
09:48You're at the Royal Melbourne.
09:50How are you feeling at the moment?
09:52Not good?
09:54What's...
09:54What's the matter?
09:56Is it pain?
09:57Is it your breathing?
09:58Is it something else?
10:01Breathing is what?
10:03Breathing and headache?
10:04OK, OK.
10:06What came first?
10:07Was it the headache or the breathing?
10:11The breathing.
10:12OK, where's the headache?
10:14Which part of your head?
10:16Just that.
10:17OK.
10:17Worried Grace has severe pain in her head,
10:20Dr Scott immediately checks her brain function.
10:24All right, can you open your eyes for me?
10:26Open your eyes for me.
10:28Yeah, that's it.
10:28Can you look to your left?
10:31Look to your right.
10:33OK, look up for me.
10:37Yep.
10:37Can you puff your cheeks out for me?
10:39Like you're blowing up a balloon?
10:43All right.
10:44OK, do your thing.
10:46Millie?
10:46Yeah.
10:47Neurologically, she's a bit odd.
10:49Hmm.
10:49So eyes closed, very slow to respond.
10:52There's no focal neurology, just kind of generally weak.
10:57The fact that her conscious state is not normal.
10:59We can't rule out an injury or a bleed to her brain.
11:02Can you squeeze my hands?
11:04Squeeze, squeeze, squeeze, squeeze.
11:06The next step is a trip to the CT scanner.
11:08But first, it's important that we perform an assessment of the baby's health.
11:13Even a brief period of low blood pressure or low oxygen can be catastrophic for the baby.
11:18Can you feel your baby moving?
11:22Grace, I'm just going to do a scan.
11:24I'm going to do an ultrasound of your tummy.
11:26Dr Scott is worried the childcare worker's life and the life of her unborn baby are in danger.
11:34So I'm going to have a look at your baby.
11:36There's just one baby in there.
11:44The baby's very active.
11:48All right, so the baby looks OK.
11:52With the baby stable, Dr Scott urgently scans for a blood clot.
11:57Have a look at your lungs.
11:59The ultrasound machines we've got in our department are a real game changer.
12:02You can have a look at the lung on the left.
12:04But sometimes it doesn't give us the information that we need.
12:07It's not a great view, is it?
12:09I'm not entirely sure that I've ruled out a blood clot.
12:12The next step's going to be a CT scan.
12:14It sounds like a kid.
12:16But the team's still no closer to working out what's wrong with Grace.
12:21Yeah, I just can't fit the...
12:22But it's just the drowsiness and the headache.
12:25So we have to scan her head as well.
12:27OK.
12:29We're worried about her having blood clots in her lungs.
12:32That's something that can be catastrophic for her and her baby.
12:35Can't really quite figure out why she's drowsy.
12:37It doesn't quite fit with that.
12:39It's all a bit of a mystery.
12:40But, yeah, some signs that things are not so good at the moment.
12:46Grace.
12:47Grace.
12:48Hello.
12:49I'm really worried that you've got a blood clot in your lungs.
12:52And that can be something that's very dangerous to you and to your baby.
12:56And I think we need to do a CT scan.
12:58We try not to do scans unless we really need to.
13:03Because of the doses of radiation that come with that.
13:06And that can have consequences for you and for your baby.
13:10Would you be happy for us to do that?
13:12OK.
13:14I'll just give him a quick call now and just let him know what we're doing.
13:17Grace's husband, Dean, is on his way.
13:20But Dr Scott needs to speak to him immediately.
13:24Dean, my name's Scott.
13:25I'm one of the emergency doctors at Royal Melbourne.
13:28I'm worried that she could have a blood clot in her lungs.
13:32All right, so what I think we need to do from here is take her for an urgent scan.
13:37The risk of the radiation can increase your risk of cancer.
13:41And that risk is a little bit higher for the baby.
13:43All right, we'll see you soon.
13:45Bye.
13:45Risk versus benefit is something that we've always got to weigh up as emergency physicians.
13:49In this circumstance, I think the benefit from doing a CT scan far outweighs any negatives.
13:54Just going to get you a couple of warm blankets.
13:56She warmed up a little bit.
13:58If I was in Dean's position, I think I'd be really scared.
14:00It must be terrifying and something that you can certainly empathise with.
14:04Are you happy that I go around with the radiation?
14:09We're looking for the things that are going to be catastrophic to both Grace and her baby,
14:13or blood clot in the lungs, or a bleed in the brain.
14:16All right, my lovely.
14:17We're just going to go around for a CT scan, okay?
14:26Do you need a finger?
14:28No.
14:2921-year-old uni student Ilya is in excruciating pain and has lost feeling in his left arm
14:36after being attacked with a machete while coming to the aid of a boy being bullied.
14:42He's really distressed, so I think we'll just take it down and have a look.
14:45To stem the bleeding, emergency tourniquets were tightly applied, stopping blood flowing
14:51through his arm.
14:53So what we're going to do, you've got two tourniquets on, which is why you have so much pain, yeah?
14:57You need to go off?
14:57Yeah.
14:58So we need to do it in a safe way in case it bleeds again, okay?
15:01We'll take it down, have a look into the damage, and hopefully we shouldn't have to put
15:05this back on, unless it's bleeding severely, in which case we might have to.
15:08But before they can take the tourniquets down, the team need to see how deep the machete
15:13sliced into his arm.
15:16I mean, I was doing a colourful dressing, so we can have a better look.
15:19It's really important to see the wound, to see if we can identify what's actually bleeding.
15:24Yeah.
15:27Being attacked with something like a machete, you know, it's dirty, are there foreign
15:31bodies in there?
15:32There's always that secondary risk of infection, which can result in multi-organ failure and
15:37even depth.
15:45Finally, they can see the damage.
15:50It's a pretty significant injury.
15:52It's a really deep wound, and it makes me worry, has he actually damaged the bone underneath
15:57in the forearm?
15:58It's not actively bleeding at the moment.
16:01I think we just...
16:05And then we can pack and dress.
16:08We want to wash the wound to reduce the chances of infection, and then we apply a really firm
16:14pressure bandage to the bleeding point.
16:16That allows us to take the tourniquet down.
16:19You can lift your arm up a little bit, okay, mate?
16:21I can't feel it.
16:22As the team clean Ilya's wound, in preparation for taking off the tourniquets...
16:27Oh, it is leaking there.
16:29Ilya's arm starts to bleed.
16:31You've got something you can put directly across, so you've got direct pressure, localised
16:35pressure.
16:36When we wash the wound, there's some leak of blood.
16:39If there's an arterial injury, that's a really high-pressure blood vessel.
16:43If we don't apply pressure appropriately in the right position, there's that risk that
16:48you can bleed to death.
16:53Dr. Luke is about to unwind the first tourniquet at the top of Ilya's arm.
16:59Yep, I'm ready.
17:00All right, practice moving on.
17:11Okay, you ready?
17:13You got pressure?
17:13Nothing.
17:14You ready?
17:15Yep, I'm ready.
17:17Dr. Luke is about to undo the first of two tourniquets that have been put on 21-year-old
17:23student Ilya's left arm after he was attacked with a machete.
17:28That pressure is moving on.
17:29The team don't know if an artery has been severed.
17:33This hole, I say.
17:34If it has, removing the tourniquet could cause the artery to hemorrhage and Ilya could bleed
17:40out.
17:41Just relax, okay?
17:42I'm just going to leave them undone, but on.
17:45Yeah, undone.
17:46Yeah.
17:50Oh, that feels a lot better.
17:51Yeah.
17:52All right.
17:54Am I choose through?
17:57All right.
17:58Beautiful.
17:58All right.
17:59As we've taken down the first tourniquet, there's been no increase in bleeding.
18:03Ilya has had some instant relief because that pressure has suddenly gone away.
18:08As we're prepared to take down the second tourniquet, I'm really worried that he might start to re-bleed
18:13and he'll have to go to the theatre urgently.
18:16Let's leave it out there and I'll take the orange off.
18:18Because the orange is over the, um, it's right over the joint.
18:21As Dr. Luke prepares to remove the second tourniquet, the team stand by in case Ilya's wound gushes
18:29blood.
18:30That's the second one I take coming off, yeah?
18:32Does it feel a bit better?
18:33Mm-hmm.
18:34Yeah.
18:34Good.
18:34As we've taken down both tourniquets, there's been no significant bleeding.
18:38That allows the rest of the arm and the hand to receive blood flow freely.
18:43Most importantly, Ilya's much, much more comfortable and a lot less distressed than when he was
18:48when he first arrived.
18:49Yeah.
18:50Do you feel it's touching your finger now?
18:52Yeah.
18:52Yeah.
18:53Just relax, okay?
18:54We're going to do some pictures.
18:55It feels much better, yeah?
18:56Yeah.
18:56Yeah.
18:57Even though Ilya's no longer in pain from the tourniquets, Dr. Luke needs an x-ray to show
19:03if the blow from the machete...
19:05X-ray!
19:07...has smashed the bone in his arm.
19:09Okay, cool.
19:10Thanks, man.
19:10Thanks, man.
19:13All right, I'm just going to give you some medication, all right?
19:16All good, no worries.
19:17What's this?
19:17All good.
19:18Just some antibiotics.
19:20While they wait for results, emergency nurse Liz checks how Ilya's coping.
19:26Pleasure to meet you.
19:27Nice to meet you, too.
19:28I'm sorry what happened to you.
19:30Yeah.
19:30I've never, like, been attacked with a machete, right?
19:34No.
19:34I'm just going to be, like, remembering this and I'm going to be like,
19:37wow, this is pretty sick, you know?
19:40This is pretty sick.
19:40Yeah.
19:41So you're not as scared of this as other people would be?
19:45I mean...
19:46I...
19:46Because I'd be pretty scared.
19:47I got super lucky.
19:49You're not left-handed, are you?
19:51No.
19:51Oh, that's lucky, too.
19:53Ilya is putting on a very brave face.
19:55He's making me laugh, but I am concerned that in the future he could develop some sort of PTSD or
20:03anxiety.
20:04There you go.
20:05Especially with younger men, laughing it off might be a bit of a coping mechanism.
20:14The results are in.
20:18This is his radius and ulna, so the bones in his forearm.
20:22It looks as if the cortex of the bone is completely intact, so there's no bony injury.
20:27I can't see anything that's remained in the wound, like, you know, soil, debris or a broken-off piece of
20:32knife.
20:33So that's good.
20:35The next steps for Ilya are that the plastic surgeons will take him to theatre and they'll explore the wound,
20:41wash it out, and then repair any damage that may have been done.
20:45Ilya's recovery may be a long one.
20:47We're talking four to six weeks before he can probably even start rehabilitation of that hand.
20:53It's going to be a really long road of recovery.
20:57Despite his terrible injury, Ilya has no regrets.
21:02I just think that it was, you know, the right thing to do.
21:14I'm going to drink caffeine. Does anybody else need caffeine? Always?
21:18Emergency doctor Maya has an ever-evolving relationship with coffee.
21:23I just want to pack.
21:25I'm going to do this.
21:26I'm going to talk.
21:27I no longer need coffee to keep me awake.
21:30I'm a 46-year-old menopausal woman.
21:32I don't sleep very much anymore anyway.
21:35When I was younger, absolutely I needed the coffee.
21:39Bhante.
21:41But the coffee does serve a different purpose for me.
21:43It's about giving me a break and building a bit of community with your colleagues.
21:47Because most of the time, you can be on a shift sometimes and not see them.
21:51If you're really busy, you can end up feeling a bit lonely despite the number of people that are around.
21:56That seems a bit odd, but that's sometimes how it feels.
22:03It's all happening.
22:05Maya?
22:05Yes.
22:06Could you do a trauma for us?
22:09Mountain bike rider who's crashed into something.
22:13Pelvic injury, they think.
22:15Blood pressure's a little bit soft, like 105 or something, and the heart rate's 50.
22:20Yeah, okay.
22:22Jonathan has let me know about a gentleman who's had a mountain bike accident.
22:27He's been thrown a distance, and we've got a suspected pelvic injury.
22:31I guess a mountain bike injury could be pretty much anything,
22:34from isolated limb injuries to head injuries to something more serious in the torso.
22:39These injuries are potentially life-threatening.
22:43I'm receiving.
22:44Go ahead.
22:45Wonderful.
22:46You are cleared to land Hammers 2.
22:48Good on Hammers 2.
22:49With the chopper carrying the badly-enjoyed mountain bike rider just moments away...
22:54The pelvis, I think you're worried about pelvis.
22:56...Dr. Maya gathers her team...
22:58Alison is one of the ED registries, she's going to do the fast scan.
23:00...and preps the trauma bay.
23:02Have you guys got enough people to do lines and stuff?
23:04I don't need anybody else, do I?
23:06Let me just go find out how far away it is.
23:1345-year-old John was out on a country bike trail when the accident happened.
23:18Just let me know if you think there actually is something that you're worried about.
23:24Is that a binder, right?
23:25It's a bit of a bundle.
23:27Are you worried about anything, Darren?
23:28No, blood pressure, I'll see you at 90.
23:2990, OK.
23:30That's been the whole time.
23:32Pelvic injury can be concerning because if bleeding starts, we don't have as much control.
23:37Three, one, two, three.
23:39But the pelvic binder helps any bleeding that's happening.
23:44He's riding a bike at speed, maybe 30 kilometres an hour, and he's hit a jump, a ramp.
23:49He's been vandalised, so he's ejected off the top of the bike.
23:53Point of impact to where he was found was eight metres.
23:56John was taking a jump he'd been on many times before.
24:00How far do you think he flew?
24:01Vertically-wise, probably two and a half metres to the ground.
24:07All right.
24:08I need to get ramped.
24:10Yeah, the jump was a ramp.
24:12I see.
24:13And lost it.
24:14Humans sometimes do stupid things and don't think ahead to the consequences.
24:18I guess that's what's happened in this case, and that's what makes it a little bit extra sad.
24:23Everything hurts it.
24:24Yeah.
24:25Oh, I'm sorry.
24:26Yeah.
24:27Immediate pain to the right hip, and when he tried to move initially, he could feel the bones grinding.
24:32Are you tender here?
24:34Yeah.
24:35He received a lot of analgesia to be able to move in.
24:41Peter, butchery.
24:42John, did your family know you're here?
24:44Yeah.
24:45Do you know who's coming?
24:46Do you know?
24:47Jenny.
24:47Jenny, wife?
24:48Or partner?
24:49I don't know.
24:49John's partner of 12 years, Jenny, is currently making the 300-kilometre drive from their home to be by his
24:58side.
24:59Oh, Garfin.
25:00Get your boys.
25:03Chest and pelvis?
25:05Yeah, fab.
25:06Worried John's bleeding in his pelvis, Dr. Meyer urgently needs answers.
25:11Alison?
25:12There's a little bit of trace fluid in the pelvic area on the trans long view.
25:16Okay.
25:17When we do an ultrasound, we're looking to see if there's any evidence of blood pooling in an area.
25:23And there is blood there for John, which suggests to us that there's bleeding related to the pelvic injury, which
25:30is concerning.
25:36Exhale.
25:40Oh, no.
25:41There it is.
25:43It's really broken.
25:45Maybe it's just a wing.
25:47But, um, you always wonder what's going on the other side, don't you?
25:51It's clearly a fracture here.
25:53The wings of the pelvis have been smashed in on the right-hand side.
25:57We're mostly worried about what else is injured on the inside.
26:00Any pelvic injury is potentially life-threatening.
26:03I want to get an urgent CT scan.
26:06I'm going to say, at the moment, there's an isolated pelvic slash hip, and we'll aim to get to the
26:11CT scanner.
26:17All right, my lovely, we're just going to roll you a little bit.
26:2029-week pregnant Grace is about to have a CT scan.
26:24Back on three.
26:25One, two, three.
26:26Doctors are looking for a suspected blood clot on her lungs and a bleed on the brain.
26:31I'm going to slide you across to the CT scanner, okay?
26:33One, two, three.
26:34Dr. Scott is also trying to work out why she has a severe headache and is short of breath.
26:43Low SATs could be related to the hypotension, but what's caused all that?
26:50Who knows?
26:51At this point, I'm not really sure what's going on.
26:54The headache's a mystery.
26:55I don't know how that relates to the shortness of breath or whether this is an entirely different problem on
27:00its own.
27:01But the CT scan is the definitive test here.
27:04For Dr. Scott, Grace's precarious situation hits close to home.
27:10Have you met my wife?
27:12Yeah.
27:12Her name's Grace.
27:13She's 29 weeks pregnant.
27:14Is she?
27:15Yeah, it's given me BBG news here.
27:21I don't like any of this.
27:28Nothing obvious on the brain, Millie?
27:30No, it's strange.
27:32We're looking at the scans of the brain as they're coming through, and reassuringly, they look pretty normal.
27:37I can't see any signs of any bleeding.
27:40But although we don't have a clear explanation for the headache, at the moment, I'm a little bit confused about
27:44what's going on and how this all ties together.
27:47Well done.
27:48Cool.
27:49While he's relieved that Grace doesn't have a life-threatening brain bleed...
27:53Let's get her back.
27:55..Dr. Scott now has an anxious wait to see the scans of her lungs.
28:01So the doctors have just done a scan of her brain and her chest just to rule out any blood
28:07clots or anything in the brain.
28:09Grace's husband, Dean, is finally by her side.
28:13Once we have those results, we'll have perhaps a few more answers for you.
28:19When I first look at her laying down, I'm just really worried, waiting for the confirmed results.
28:28The deal in chat will happen or something like that.
28:30It's a baby boy too.
28:33We're going to be at a huge loss if something happens.
28:37So, yeah, I'm not daring to think about it.
28:41Moment of truth.
28:43Dr. Scott and Millie are hoping the scans reveal what's wrong with Grace.
28:49Lungs don't look normal.
28:51No.
28:53It's a little effusion almost.
28:58The CT scan of the chest doesn't show any signs of a blood clot, fortunately.
29:02What I think I'm seeing is maybe a tiny amount of fluid around one of her lungs called an effusion.
29:07If there is an effusion there, it would make a heart problem, something we call a cardiomyopathy.
29:12It would be much more likely, and that would certainly be something we'd be very concerned about,
29:17especially in a patient who's growing a baby inside of them.
29:21We should get radiology to have a look at this ASAP.
29:35We should get radiology to have a look at this ASAP.
29:40Dr. Scott's seen something alarming on Grace's CT scan.
29:44Oh, hi there. It's an idiot.
29:45I'm all about Grace.
29:47Is she a racist life?
29:48If there's a blood clot on Grace's lung, her life and her baby's life are at risk.
29:55It's just a very strange presentation.
29:57We can't see any of the labs here, but it doesn't look completely normal.
30:01At the moment, we've got Dr. Millie and one of our radiology doctors both looking at the scans of Grace's
30:07head and chest,
30:07making sure that we're not missing any serious diagnoses, and making sure that we're ruling out the things of concern.
30:26They haven't been able to find any abnormalities in the brain or the chest, which is reassuring,
30:31but just means that the mystery is far from solved,
30:34and sometimes all we can do is throw up our hands and say, what on earth could this be?
30:39So what do we do?
30:41Bloods or obstetrics.
30:42Is that nice?
30:44Is that nice?
30:44Is that nice?
30:44All right, so obstetrics, medical, CTG monitoring?
30:49Yeah.
30:49While Dr. Scott and Dr. Millie try and solve the mystery...
30:54So you said you felt baby kick about here?
30:58About there, OK.
30:59Emergency nurse Chris keeps track of Grace and her baby's heartbeat in case her condition deteriorates.
31:07Just going to try and find the heart rate, OK?
31:10Yeah.
31:12There we go.
31:13Looking after pregnant patients can be quite nerve-wracking, considering you have two patients in the room.
31:20Grace's husband's definitely concerned.
31:22You feel for him because not only is he worried about baby, but he's also worried about his wife.
31:27He's looking so unwell.
31:33I think we've done as much as we can.
31:35Yeah, and I think we've considered the big killers of, you know, PEs, cutting myopathy, et cetera, and her baby
31:41looks fine.
31:42Dr. Scott has one more thought.
31:44Iron?
31:45Dr. Scott has one more thought.
31:46Yeah.
31:47Could add on an iron.
31:48We've done a really comprehensive job of looking into all of the things that could be harmful to Grace and
31:54her baby.
31:54The next step for Grace is going to be a consideration of an iron infusion and a review by the
32:00obstetric team.
32:09Oh no, there it is.
32:11So definitely got a cardiac wing fracture on the right.
32:14An X-ray has confirmed that 45-year-old John has fractured pelvis after he flew over the handlebars of
32:22his mountain bike.
32:24We'll aim to get to the CT scanner.
32:26Dr. Maya is worried John is bleeding into his pelvis.
32:30Sam, are you happy ordering a scan?
32:32Yeah.
32:32Which can be life-threatening.
32:34Hello, I'm Maya.
32:36I'm one of the doctors.
32:37So you know that crunchy feeling you felt?
32:39There's lots of broken bones on the wing of your pelvis, which is what you felt.
32:45What we're going to do is a CT scan to make sure that there's no fractures that we can't see
32:49on the plane X-ray,
32:50to make sure there's no bleeding associated with it.
32:53Okay, thank you.
32:56Keep the met pack for now?
32:58Yeah, I would keep it for now.
33:00Worry John's condition could change in an instant, Dr. Maya has blood on standby.
33:07Do you guys want some pain relief for CT?
33:10What do you want?
33:11Sentinel.
33:12Okay.
33:12We're going to take you to CT now.
33:14Alright, let's go.
33:17Oh, the door's shut.
33:18It's a bad sign.
33:21How are you feeling?
33:22Yeah, I'm okay.
33:24How often do you normally do that jump?
33:27Um, I hadn't done it for a while.
33:30Yeah.
33:30In a way, so I hadn't seen it for a month or so.
33:34It's alright.
33:37It's just 25.
33:39We're going to go really slowly all the way.
33:42Okay, on three.
33:43One, two, three.
33:45There you go.
33:46Well done.
33:48I think anyone who's flown eight metres in the air and landed hard has potential for lots
33:53of other injuries, but also we know that he has a significant pelvic fracture at a minimum,
33:58so we want to make sure that we know what we're dealing with.
34:01Is there a radiology read you around?
34:03Yeah, they are in the back room.
34:06We have radiologists who are right there to give us immediate kind of read on what we're dealing with.
34:11So I just want to make sure there's nothing in the pelvis that needs embolising.
34:15Smash his eye.
34:16The team know he's badly broken the wing of his pelvis, but if he's bleeding internally, it could be deadly.
34:28It's all fluteal.
34:30Heliosos, hematoma.
34:32Amazable.
34:33Self-cut bruising.
34:34Yeah.
34:35Nothing that's fuzzy.
34:36Amazing.
34:38The CT's confirmed it.
34:40There isn't any active bleeding and he doesn't need an urgent operation or any intervention at the moment.
34:46So it's a pretty reassuring-looking scan.
34:48Doesn't look like there's anything too concerning.
34:50We need to have some time for a better look.
34:53All right, just a nice little gentle lift.
34:55On three, one, two, three.
34:57There we go.
34:59As John heads back to the trauma bay, Dr. Meyer gets the full report.
35:04So these are the wings of your pelvis.
35:07This is what the normal d'Iliac wing looks like.
35:10You can see there's a bit here.
35:12This is where the brake starts and it comes all the way down and then it's in a few bits
35:16with one bit that's pushed in.
35:19And blood is white.
35:21All this white stuff, that's blood.
35:23It's a little bit in here.
35:24And so what we look for is whether there's any active bleeding.
35:30He seems to have got away with it.
35:32Dr. Meyer can give John some good news.
35:36The pelvis looks like that.
35:37Yeah.
35:37And this wing side, just in lots of bits.
35:41It'll be a few weeks of rehab.
35:44When I say weeks, I mean like five or six weeks.
35:47Fair, we haven't found anything that's more damaging than that.
35:50Right.
35:51Yeah, I think it could have been much worse.
35:53It could have been.
35:53You are right.
35:55John has a really long road ahead.
35:57These bones are pretty smashed up.
35:59It will be a long recovery of potentially some surgery and some bone healing that will take weeks.
36:05And when he's back walking, let alone riding, is a little bit unknown.
36:08I hope he gets back on the bike.
36:10I know for his sake, because that's what he loves to do.
36:14As Dr. Meyer predicted, all John's thinking about is getting back in the saddle.
36:20I just love riding.
36:23So I've just got to rehab as quickly as possible.
36:26And I'm the world's worst injured person.
36:31Hopefully this won't be too long.
36:43Do you have a character you impersonate?
36:47God, no.
36:47Go to character.
36:48After three years in ED, emergency registrar Dr. Matt is showing off hidden talents.
36:55Kermit.
36:56Kermit-y frog.
36:57It's Moon River, wasn't it?
36:59Is Kermit seeing Moon River?
37:01I don't know.
37:01I don't know.
37:02Oh, you are good.
37:03I am impressed.
37:05I'll take it.
37:06Don't film this.
37:07No!
37:10But as a new patient arrives, it's time for Dr. Matt to return to his real-life role in ED.
37:1849-year-old Paul has been rushed into emergency by wife Claire.
37:22He's developed facial paralysis and slurred speech following brain surgery 12 days ago.
37:30Paul's had major cranial surgery to relieve space-occupying cysts that was putting pressure on his brain.
37:36And he's got a new headache and new left-sided facial droop.
37:41Pretty concerned about complications of the surgery.
37:43The supermarket manager is anxious history is repeating itself.
37:48Seven years ago, I had a stroke here at this hospital.
37:52So I couldn't walk and talk, couldn't eat.
37:55I don't know anything, pretty much.
37:57Hi, Paul.
37:58Hey, how are you?
37:59Good.
37:59I'm Matt, one of the doctors.
38:01Since the surgery, you've been recovering really well.
38:03Yeah, so I think it's good.
38:04Yep.
38:05So pretty much, say, the night on it.
38:07Mm-hmm.
38:08Probably got worse, worse, worse.
38:10Headache?
38:11That is quite osteocious.
38:13What side is the headache?
38:15Oh, sort of.
38:16Here I'll be on the rack, I don't know.
38:18Walking in, I'm quite alarmed that this could represent something really serious.
38:22When someone like Paul's had a stroke in the past,
38:25these kind of symptoms might represent reoccurrence of this sort of problem.
38:29Any changes to your hearing, you reckon?
38:31Paul's recent brain surgery, the part of the brain that they've had to assess is deep.
38:36It's very high on my radar that these symptoms are a complication of the surgery.
38:42I'll just pop your specs off for a sec.
38:45I'll give them to you.
38:47Looking over at me...
38:48Dr. Matt checks Paul's brain responses.
38:51Follow my finger with your eyes, don't move your head.
38:53Do you feel a bit spinny in the head or a bit of vertigo when you look in the peripheries?
38:57A little bit.
38:58A little bit?
38:58Yeah.
38:58Rest your head back.
39:00Do your best to close this eye as much as possible.
39:02Close your eyes.
39:03Close your eyes, yeah.
39:04Yeah.
39:05I'll close it.
39:06Okay.
39:07Somewhere between your brain and the muscles that control the side of the face,
39:12there's a disruption in the communication.
39:14It could be a suggestion of a complication of the surgery, like a blood clot.
39:21Biggest thing I worry about is that blood clot occupying part of the brain around where he's had this operation.
39:27It's critical that we get Paul to the scanner right away.
39:31One little time.
39:32Yeah.
39:32One little time.
39:46Supermarket manager Paul is being rushed into CT to have an urgent brain scan.
39:52The 49-year-old has stroke-like symptoms following brain surgery.
40:00With Paul having had a stroke seven years ago, wife Claire knows all too well how this could change their
40:07lives.
40:08He had to learn to do everything again.
40:09Walk, talk, feed himself.
40:12Your job is just to keep very still.
40:14I met him later in my life after the breakup of marriage.
40:19I reckon we fell in love straight away.
40:22Well, I know I did.
40:23See you in a minute.
40:24And he means the world to me.
40:27He's a great husband, a fantastic father and stepfather.
40:32I love him so much.
40:34He's my world.
40:36As Paul heads back to the trauma bay to wait with Claire, his results are in.
40:47The thing I'm looking at is acute bleeding.
40:50And thankfully I don't see any of that.
40:51What is probably happening is this seventh cranial nerve that supplies this left side of his face.
40:57It's probably being stretched by some swollen parts of the operative site.
41:01This is not an uncommon facial nerve palsy that we call Bell's palsy.
41:05Pretty happy with that.
41:06So I think I'll go and discharge him now.
41:11The update's that.
41:13We think that all of the changes that you've got are progression from the swelling around the operative site.
41:20So not a new stroke.
41:21Not a new bleed.
41:22So it's like a Bell's palsy.
41:24It is.
41:24Yeah.
41:25This is about a grade three Bell's palsy.
41:28And that goes up to five.
41:30So it's likely to get better with time.
41:32That's good.
41:33It's all better than I thought I had enough stroke.
41:35Our expectation is that the benefit of time will relieve the swelling.
41:40He'll have pretty satisfactory return of his normal nerve function to the face.
41:46So let's get you out of here, get you home, huh?
41:50It absolutely feels good to give good news.
41:53It's my favourite part of this job.
41:55I feel relieved.
41:57Now we have a diagnosis of what's going on.
42:00And he can go home and recover and just chill out.
42:0845-year-old tradie John was choppered into emergency.
42:12One, two, three.
42:13After flying over the handlebars of his mountain bike when he hit a vandalised ramp.
42:19Oh no.
42:20There it is.
42:21It's really broken.
42:22An x-ray showed Dr. Meyer he'd shattered the wing of his pelvis.
42:27But a CT scan...
42:28Nothing exciting here.
42:30Amazing.
42:31...confirmed he wasn't bleeding internally.
42:34John needed surgery to pin his broken pelvis back together.
42:39And after only four weeks, he's back on his bike and doing what he loves most.
42:4521-year-old engineering student Ilya was rushed to ED after being attacked with a machete
42:51while helping a teenage boy who was being bullied.
42:55Anesthesia, guys.
42:55Please.
42:56That's like...
42:57Dr. Luke feared the blade had severed an artery.
43:00We need to assess your arm.
43:01And that the tourniquets had stopped blood flow to his hand.
43:05We've got a really finite amount of time to save the arm.
43:09Ilya spent one night in hospital after he had surgery to fix his arm.
43:14The treatment consisted of stitching together a few tendons, a few muscle groups, and gluing
43:19together the skin.
43:20It's not as badass of a scar as a stitched one would have been, but it's quite good.
43:25Cheers, man.
43:26Recovery has been driving me crazy.
43:29Just having this pseudo-claw, because obviously I can't work.
43:33I'm just glad you didn't get hurt anymore.
43:36Yeah.
43:36I can't do university tasks, and all I've been able to do is just hang out with my friends.
43:42But will Ilya be stepping in to help another person in trouble any time soon?
43:47If I see someone getting bullied again, I'm definitely figuring out if they have a sharp
43:52object on them first.
43:53I don't want to lose my arm.
43:54Here's to sticking up to the little guy, mate.
43:56Absolutely, mate.
43:56Good on you, mate.
43:5929-week pregnant Grace was rushed into ED with breathing problems and a severe headache.
44:06What came first?
44:07Was it the headache or the breathing?
44:08To Scott, feared she could have a blood clot on her lungs and a possible brain injury.
44:14The next step is going to be a CT scan.
44:17He also worried Grace's baby was at risk.
44:20Can you feel your baby moving?
44:24Grace?
44:25Grace?
44:27Annie, you want some tea?
44:29Squeeze.
44:30Two back?
44:30One back?
44:31Just one.
44:32Just one?
44:32Yep.
44:33I've never been to the hospital with that serious illness before.
44:37It was really scary at that time.
44:39And with the baby, it's just making things even harder.
44:43Blood tests revealed Grace had extremely low iron levels and she was given an infusion
44:49later that night.
44:50After two or three weeks, the iron infusion slowly, slowly bring me back.
44:55Yeah, yummy, yummy.
44:57And two months later, little Samuel was welcomed into the world.
45:02Sleeped out later, which is good for us.
45:05Samuel is very healthy when he was born and that is the luckiest thing ever for me.
45:11Dr. Scott and Dr. Millie, I just couldn't thank you guys enough for helping me and Samuel.
45:17You guys just saved me.
45:19You guys just gave me like literally like a second life.
45:42You guys just gave me like a second life.
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