- 2 weeks 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,
00:13the CQC are gonna shut us down.
00:16I'm well aware.
00:17I'm pregnant.
00:20Right.
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,
00:39stationed 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.
00:51You don't have a fraction of her intelligence.
00:53I know you might think you do, but trust me, you don't.
00:56Today I want you to watch, learn, and do exactly as 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.
01:06Now, I'm leaving on the floor today, so Dr Clements will be both your patient and your assessor.
01:12Take this exercise seriously.
01:14It's imperative you 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,
01:25I'm not sure that you leave here better doctors than when you came in.
01:30Off you go.
01:41Welcome boys and girls, to what might just be the worst day of your lives.
01:48From our dead body, in the house, what might just be the worst day of your lives.
01:50Welcome boys and girls.
01:51We're living on the floor because of their lives,
01:53We're living on the floor.
01:55Welcome boys and girls.
01:57Thank you all.
01:59Welcome.
02:00Welcome boys.
02:01Welcome boys and girls.
02:03Welcome boys and girls.
02:04Welcome to the球, where we go and see yourself.
02:07We're living on the floor.
02:09You're living on the floor.
02:10Welcome.
02:11So America is a beautiful.
02:12Welcome.
02:15I do accept that the fine sight may be 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,
02:33and 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, please.
02:41Please, yes.
02:41Uh, Mrs. Sanderson.
02:49Hey, Mrs. Sanderson.
02:50No.
02:51No, need a little in a haste.
02:52As far.
02:54Flynn, 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.
03:05Sounds like science, Hust.
03:06Well, Dylan, I have to run at their training, don't I?
03:08I mean, you'll thank me in a couple of weeks when we pass the next inspection.
03:11Hold on.
03:11Get out of there!
03:12Hey, hey, hey, hey!
03:13It's fine, I'm fine!
03:14Come on, come on.
03:14Let's stop over.
03:15Really, can you just deal with this first, please?
03:16No, so I'm needing a resource right now.
03:17No, it's not a request.
03:19Really, just deal with it.
03:19I will take over and resource.
03:21The team can manage, okay?
03:22Okay, Flynn, Flynn.
03:23It's your friend.
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.
03:39Okay, 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.
03:53Can we get moving, please?
03:57We're on the highest alert we've been in decades.
04:00The threat of a bioterrorist act is credible.
04:03And take it from me, you don't want to be doing this for the first time when the real thing happens.
04:09It's hell on earth.
04:10And you'll be right in the fire.
04:13Really?
04:13Do you want us to take this seriously when the PPE is out of date?
04:19Don't put it on, then.
04:20Everything can right, need it.
04:24Matty, 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.
04:46Thanks, guys.
04:52Chris, can you do this?
04:54See the outside.
04:55See the outside.
04:55Yeah, we've been discharged.
04:57Yes, don't worry.
04:58I'm just having an emphasis.
05:01It's important.
05:03Sure, it's going to have to be quick.
05:05Let's go to the room.
05:08Look.
05:10I've been thinking, you know, maybe, maybe we should get back together.
05:17What?
05:18Yeah, you know, make a go of it, what, with the baby and...
05:22Ian, you clearly said before...
05:25I know.
05:26I know what I said, but I was...
05:29Yeah, what, and now...
05:31And now you love me?
05:33And you want to raise a baby together?
05:35Or 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.
05:51Just try and keep it nice.
05:57Sarah, please!
05:58Yeah, um...
05:59Please, please, please!
06:00I think we're looking at a sternoclevicular dislocation.
06:03Upper chest, yeah.
06:04Erica?
06:05Erica, can you just try and send anything calm for me?
06:07I can't!
06:08Okay.
06:09Karen, let's prep five milligrams of morphine.
06:12Yeah, she's got, um, chest pain.
06:15Uh, her respirator's up to 25.
06:17Sarah's 97% and, uh, yeah, completely pain in her left arm as well.
06:21Okay, is there anybody here?
06:22Her 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?
06:28I'll let you know.
06:29Hi, Erica, I'm Faith.
06:31Look, we really need to examine you, darling.
06:33I know, I know.
06:34Just look at me.
06:35Look straight at me.
06:36I know it really hurts, but everything's going to be all right.
06:39Okay?
06:39Take a big, deep breath and lay back for me.
06:42Here we go.
06:43Okay, cool flush going in.
06:47I know, I know, I know.
06:49I'm really sore.
06:50You'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.
07:05It's me playing.
07:07She said something like this would happen.
07:09Yeah, Mum's know 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, er...
07:20Yes, sternoclavicular 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.
07:30Right, delayed cap refill and the arm's really cold.
07:35Right, okay, er, let's get a second line in and we'll get a full set of trauma bloods.
07:38Maria, er, can we get a CT?
07:41We'll do CT angio and, er, left upper limb.
07:43And, er, I'm going to give vascular heads up, Faith.
07:45Okay, all right.
07:46What's happening?
07:48Right, the dislocation is really close to the vessels in your chest.
07:50And any movement that could 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, I'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 term main response?
08:09We need to assume infection, right?
08:11So we need to treat the seizures with lorazepam and cover for infection with kefetaxime and acyclovir.
08:16We also need to ensure it's not cardiogenic.
08:18So you do have capacity, Dr. Lynn Laker?
08:22Most of the time, yeah.
08:23Apart from match days when Liverpool are playing.
08:27What further complications could the seizures indicate?
08:31You're sky high.
08:34And tachycardic.
08:35Oh, this 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.
08:46Complications from the seizures.
08:50Good.
08:56Listen up if you can.
08:59All our ambulances are utilized at the moment,
09:02but I'll get the clinical desk to triage as many as they can.
09:07But keep me across any cat ones that come in.
09:09OK?
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?
09:28I'm not a ready taxi, Ted.
09:30I know, I know, but, you know, I thought you wanted to get to know her.
09:33Jan, Jan, could you take this one, please?
09:35Do you drive us a little bit?
09:39Ambulance service.
09:40Is the patient freezing?
09:41Ambulance service.
09:42Is the patient freezing?
09:44Daddy won't wake up.
09:46OK, I can help you.
09:50My 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.
09:59OK.
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.
10:28OK.
10:29Is he making any funny noises?
10:32No.
10:34Asa, I need you to make sure that his chin is off his chest.
10:40OK?
10:40OK.
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.
10:57Er, do you know the name of your road?
11:01Or, er, have 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.
11:12OK?
11:13You stay on the phone.
11:14There's another one.
11:17It's getting ridiculous.
11:19Er, 3006 to control.
11:21Go ahead.
11:223006.
11:23We just arrived at 30 Shackstead Road.
11:25Spoke to the couple in Nibbley.
11:27Thomas Delaware and Bryn Ellis.
11:30Let them call 999.
11:31Another prank call.
11:33Teenagers, apparently.
11:35Oi!
11:36Losers!
11:41Well, if you're clear there, I need you on another job.
11:44Yep, what's the address?
11:45Stop the problem.
11:46We don't have one.
11:47Give me a sec.
11:48And...
11:49Asa, is there anything that you live near to?
11:53Er, 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?
12:02The big park.
12:04And, er, 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.
12:18It sounds like his dad is having a seizure.
12:20Make your way to hobby wreck.
12:22Over.
12:22Lisa, can you clear as much space around him?
12:28We don't want him banging into anything and hurting himself.
12:33Have we done that?
12:34I'm scared.
12:36Next, you'll want to start thinking about a CT scan and a...
12:42Sorry, a CT scan and a possible lumbar puncture.
12:48Do you want a glass of water?
12:50Yeah, what would...
12:50Here, come on.
12:55Sit back.
12:56Catch your breath.
12:58Stand back.
12:59This isn't funny.
13:00Is this real?
13:00Must have been exposed at work.
13:03Exposed to what?
13:06I'm not sure.
13:12I work with multiple pathogens every day.
13:15Most of them contagious.
13:18How is it for elimination?
13:19A CT confirms a posterior sternoclavicular joint dislocation
13:23and there's a small hematoma as well.
13:25Okay, is it stable?
13:27For now, but yeah, the collarbone's way too close to the blood vessels
13:31to supply the arm.
13:32That's my worry.
13:33She's tacky and her pose is really weak.
13:35All right, then, we don't have much time in the arms at risk.
13:37Vascular?
13:38Uh, no.
13:39They've got an aneurysm, so they're going to be a few hours.
13:41Hematoma's going to make it tricky,
13:42but I think we only have a small window before four-blown vascular disasters,
13:46so let's prep to put it, please.
13:48Okay, I'll get some cap.
13:49All right, absent radio calls.
13:51Okay, sweetheart, listen, we're going to have to put the collarbone back in place now.
13:54Mum?
13:55I know, Mum is on her way.
13:57Mum?
13:57Gary, look at me, look at me.
13:59I'm here with you.
14:00I know it's scary doing it without you, Mum, 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
14:11so 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 residents that can wait.
14:21Come on, come on, come on, come on.
14:24I can't get through.
14:25He's not answering.
14:26Try getting through to the ED.
14:28Okay, um, there's a shock pack on its way.
14:30I'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 rest this spreading.
14:40What spreading?
14:41You know I can't see.
14:46National security.
14:48Look, how are we meant to treat you
14:49if 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.
15:12You must have an idea.
15:13You always do.
15:15Ebola.
15:15Crimerian Congo.
15:17Lassa fever.
15:19Will you all fit the symptom profile?
15:21Transmitter through contact with infectious fluids.
15:27You'll be okay?
15:32Will I?
15:34Ready?
15:36Mm-hmm.
15:36Okay.
15:37One, three.
15:39One, two, three.
15:42One, two, three.
15:48The side of the vascular compression where I've nicked the hematoma.
15:52Well done.
15:54Okay.
15:55Now, bands on the neck aren't distended.
15:56She's perfusing, so...
15:57All right, can we get the emergency airway trolley over here, please, in case we need it?
16:02Let's fast scan in the meantime.
16:04Mm-hmm.
16:11Okay. Ready?
16:12Yeah.
16:18Pericardial fluid. No tamponade, no obvious rupture.
16:22Okay, so it's mechanical. The joints are pressing on something.
16:25Let's try again.
16:27Dr. Byron, Dr. Clements has fallen ill.
16:29Eh? It's a simulation, Ken.
16:30Yeah, Dr. Chang says it's real. They've activated major hemorrhage protocol.
16:33They can't get her up, saying she might be contagious.
16:35Um, hold up. Right, let's try again, please. One, two, three.
16:41Okay.
16:46Pulse check.
16:49Yep, good strong pulse.
16:50Yeah?
16:51Right, stay with you if you don't mind.
16:54I've taken over, so I'll see you to the kids.
16:57Yep, fine.
16:58Okay, er, let's, er, let's get a repeat angio, make sure there's no further damage.
17:03You okay?
17:04Yeah, yeah.
17:05Fine.
17:06Fine.
17:18Hey!
17:19What's going on?
17:20Patient is short of breath, respiratory rate up, SATs dropping, bleeding from her lacrimal duct and nose.
17:28Possible exposure to viral hemorrhagic fever pathogens, but we don't know which ones.
17:34She's unable to disclose which pathogen she's been working with.
17:37Grace!
17:38You're kidding me, come on!
17:39You know not to ask that of me!
17:44Okay, okay, er, we're going to activate the High Consequences Infectious Diseases planner, because you've got blood, right?
17:50You're going to have to give her an x-ray and you're going to have to do it there in the room.
17:54Dr. Byron?
17:55Yeah?
17:56Our PPE is out of date.
17:57Will we be okay?
17:58Yeah, yeah, it's fine.
17:59The dates are precautionary, isn't it?
18:01Wearing it properly, you're not at any risk, okay?
18:03I wasn't wearing my mask.
18:08Dammit, Matty!
18:10I explicitly told you to take this seriously!
18:14Hi.
18:15Yes, Dr. Byron, we need a portable x-ray down on D-Ward now.
18:18Immediately, please.
18:21Right, Kim.
18:22It's okay, it's going to be okay, all right?
18:24I'm going to stay here, I'm going to talk you through everything.
18:26Just do as I say.
18:29You never misses it.
18:30Okay.
18:32And so...
18:41Hey, sir, I think we've arrived at the playground.
18:44Can you still hear me?
18:45How's Daddy?
18:46Is he making noises, like snoring?
18:48I don't know.
18:50I know this is hard, you're doing really well.
18:53What colour is your house?
18:55White.
18:57Okay, great.
18:58Is your house next to the playground, or do you have to cross the road to get to it?
19:03Cross the road.
19:06What about cars?
19:07Are there any cars parked outside your house?
19:09I'm not at the window.
19:11Yeah, could you go to the window for me?
19:13Well done.
19:18Do you know the colour of your door?
19:21White.
19:22What about your front garden?
19:23Is it grass or pebbles?
19:25Pebbles and plants.
19:27Okay.
19:28I'll start looking.
19:32Are you windy yet?
19:34Can you see us?
19:35We're wearing green uniforms.
19:36Is that you?
19:37Can you see me waving?
19:38Yeah.
19:39Oh, mate, you are my hero.
19:40Have you got him?
19:41Yeah, I've got him, Jan.
19:42Chicken!
19:43In!
19:44Well done.
19:45I'll leave you to it.
19:46Uh, Mrs. Abbeyworth.
19:48Um, I believe that you, you say that you swallowed a ring.
19:51And we can't find anything on the x-ray.
20:08Um, are you quite sure that you swallowed it?
20:11Is she sure she put it in the glass?
20:13Yes, I thought you'd sip the bubbles.
20:16you put it in the glass? Yes.
20:18I thought you'd sip the bubbles
20:20and I'd be down on one knee.
20:22How ridiculous making a show like that.
20:24What on earth will people think? Who cares?
20:27Well, obviously, I'd watch out for
20:28any tummy ache, but it should pass
20:30through in the normal course of events.
20:32Now, there were one or two things on the x-ray that I was
20:34a bit concerned about, though, Mrs.
20:36Abduerweff. It's Miss
20:38Abduerweff. With a roll
20:40of the R. The first one,
20:42not the second. Your lymph nodes are a little
20:44enlarged and your blood results
20:46indicated that there may be an inflammatory
20:48process or two going on. Resps
20:50are a little bit high, heart rate too, so we're
20:52going to ask Jodie to take a full set of
20:54obfs. I'm going to be back.
20:56Just take your pulse there.
20:58So, how long have you two
21:00been here? We've been good friends
21:02about a year now. We're lovers.
21:04Hush. We first met at school 60
21:06years ago and then there she was again
21:08in sheltered housing all these years
21:10later. Wow. What's the weird
21:12you together back then? Absolutely not.
21:14It was different times back then, love.
21:17Has she got to stay along? Only I got
21:18celebrations planned. Celebrations?
21:21I haven't said yes.
21:23Are you in any pain at the moment?
21:24Where do I start? I'm 76.
21:26Any sudden weight loss? Clothes are a bit
21:28looser, I suppose. Okay, any
21:30history of disease in your family,
21:33whether it be heart disease or diabetes
21:34or cancer? All three.
21:36But cancer mainly.
21:39Dr. Keir? Yeah.
21:40Sorry. Okay, okay.
21:42Let me leave Jodie to take off all the history,
21:44but hopefully we'll have some answers
21:45for you as quickly as possible.
21:47Miss, I'll be all right.
21:50Right, please, please, guys.
21:51All right, this is Lee.
21:53Found unresponsive in his home
21:54after having a tonic, tonic seizure.
21:56We 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.
22:03Sacks were 92.
22:04They're now 98 on two litres
22:05via nasal and lift.
22:08And down, please.
22:09And across on slide, please.
22:10Ready? Race. Slide.
22:14All right.
22:15Okay, 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 antacetron.
22:25Ivy 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, was Daddy feeling unwell
22:31before he fell over?
22:32Oh, you weren't sure, were you, mate?
22:34Right, any medical conditions that we know of?
22:38Daddy!
22:39Okay, let's get on to his side.
22:40Faith, can you go on airway?
22:41Yep.
22:42Let's get four milligrams of lorazepam.
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.
22:51If anything or me, come on.
22:53Great, thanks.
22:53Okay, and can somebody call the dirty social worker, please?
23:02Okay, now take a step back.
23:04I've just heard.
23:05Do we know what we're dealing with yet?
23:06I've spoken to her research facility,
23:09but until I get security approval,
23:10I don't know what pathogens Grace has been handling.
23:12Lean forward for me there.
23:14Guys, come on.
23:15We don't have all day.
23:16Let's go.
23:16What's their exposure?
23:17Do we know?
23:18Well, Kim will wear PPE, so she's fine,
23:21but Matty, of course, thought he was too special to do so,
23:23so he's been exposed.
23:24Oh, yeah?
23:25Listen, if you're worried about repercussions
23:27because you're his mentor, don't.
23:28I will take full responsibility, okay?
23:30Guys, come on.
23:31We don't have all day.
23:32Let's go.
23:33We need one more.
23:34Move it left, please.
23:37Yeah, no, it's not that.
23:39Do we know how long we're going to have to wait for your approval?
23:42One more time.
23:43I mean, we need to know what we're dealing with, don't we?
23:45Flynn?
23:46Flynn?
23:48Bloods.
23:48Guys, you need to get more bloods in.
23:50Dylan, talk them through this for me, would you?
23:52Yeah, yeah.
23:52I'll go follow up with the MRI.
23:53Yeah, okay, okay.
23:55Can you hear me?
23:57You need to get another line in the right arm.
23:59Yeah, a large IV.
24:06Any news from Matty and Kim?
24:14Nothing yet.
24:15They'll be all right, though, won't they?
24:17As soon as I hear you.
24:20Thanks.
24:25Siobhan, um...
24:27Yeah, I'm really sorry.
24:28I'm not going to get those orders done by the end of the shift.
24:30I'm juggling recess and cubicles.
24:32It's just...
24:32It's okay.
24:33I can take a patient.
24:34Who have you got?
24:34Uh, amazing.
24:37Um...
24:39Uh, basics.
24:40Louise Perkins.
24:41I triaged her ages ago.
24:42I just haven't had time to get around to her.
24:44It's okay.
24:47Right, how long's it been?
24:49Uh, four minutes just over.
24:50Right, okay, let's get the lorazopam.
24:52Thanks, Paula.
24:58Okay.
24:59Okay.
25:00Wait, I think he's...
25:01Yeah, he's self-limiting.
25:02All right, let's get him onto his back.
25:05It's nice and slow.
25:06Uh, we'll keep the lorazopam on standby,
25:08but let's do a full set of bloods
25:09and we'll get a...
25:11Yeah, head and C-spine CT.
25:13Do you want to go and update Ian on 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.
25:20Kaz 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.
25:24Okay.
25:24Hey, sir.
25:49That's Daddy Stop 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 okay.
26:05What about your second name?
26:08Do you know that?
26:09I don't know.
26:10You don't know that?
26:12Okay.
26:13Okay.
26:13Can you help?
26:18We really need to access Lee's records.
26:20Hey, Samir.
26:22Do you know what?
26:23You're, like, really clever.
26:26Do you think you can tell us
26:27your dad's full name?
26:31Lee Sherwood.
26:32Lee Sherwood.
26:34You clever boy.
26:35There you go.
26:36You are.
26:37You're very clever.
26:38Right, 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.
26:58Any news?
27:02Can'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
27:10confirms this 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, okay?
27:25Ah!
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, Lise.
27:48Guess he's in the hospital again.
27:50Uh, hello?
27:51Oh, sorry,
27:52nurse is here.
27:54Yeah,
27:54Lewis Perkins?
27:54Yes, it's me.
27:56Yeah,
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.
28:05And do you feel okay
28:06in yourself otherwise?
28:08I've had a bit of a fever,
28:10chills,
28:11muscle ache.
28:12Okay.
28:12I wouldn't worry normally,
28:15only you need to take my meds.
28:16Which are?
28:17I've got muscular dystrophy.
28:19Oh, I see.
28:20Uh,
28:20can I just take a quick look on your mouth?
28:24A bit more.
28:24Let's have a look.
28:25Let's have a look.
28:32I can't see anything.
28:33I'm fine to go home and rest up with some paracetamol.
28:37I don't want to waste anyone's time.
28:39No,
28:39no,
28:39we,
28:40uh,
28:40we need to test your swallow,
28:42do some bloods,
28:43x-ray,
28:44and a specialist will probably want to do a pulmonary function test.
28:47Of course.
28:48I've got voice notes to catch up on.
28:51My friends don't look close anymore,
28:52but we're always sending each other little updates.
28:55I'll fetch a doctor.
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 an isolation cubicle on ITU right now.
29:18I 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,
29:32then.
29:33You tell me.
29:35Kim!
29:36For a VHF like Ebola,
29:37I think the incubation period ranges from two to 21 days.
29:42In the early stages,
29:43you can expect flu-like symptoms,
29:46fever,
29:46headache,
29:47fatigue,
29:47you'll then likely experience
29:49gastrointestinal vomiting
29:51and diarrhoea.
29:53Kim,
29:54no.
29:55Ignore him!
29:56To some,
29:57develop neurological symptoms at this point,
30:00like delirium.
30:01How is this helping?
30:02How is this helping?
30:03I can handle it!
30:06Severe bleeding,
30:08internally and externally.
30:10Multi-organ failure,
30:12shock,
30:13and...
30:13death.
30:14Death.
30:14But with intervention,
30:29should I call my mum and dad?
30:32They should know.
30:33when we have a little bit more information,
30:40yeah,
30:41and so,
30:41yeah,
30:42keep calm.
30:48All right,
30:49sorry,
30:49I don't even know if this passes as a signature.
30:50Okay.
30:51Cheers.
30:53All right,
30:54here's Lee's summary of care record.
30:56He's epileptic.
30:57Okay.
30:58Medication?
30:59Carbamazepine,
30:59and he's allergic to penicillin.
31:01All right,
31:02nice,
31:02good job.
31:03Well,
31:03actually,
31:03it was a bit of a...
31:06of a team effort.
31:10Okay,
31:10come on,
31:11what's going on?
31:13Nothing?
31:13Cat again.
31:14You're a terrible liar.
31:15You always have been.
31:16Hey.
31:22Okay?
31:23What are you doing?
31:25You're not contagious,
31:26Grace.
31:26It's all right.
31:27You can take your mask off.
31:29You had a spontaneous retroperitoneal hemorrhage.
31:31We confirmed it on the CT.
31:34There's no active bleeding points.
31:36We'll continue to control your clotting profile now.
31:38I spoke with your bosses.
31:40You haven't handled any contagious pathogens in the past 25 days,
31:44but you've been regularly taking interferon
31:47as a precautionary measure against potential infection.
31:51The interferon.
31:54It caused a prolonged blood clotting,
31:57which explains the bleeding.
32:00Your CT and APTT confirmed it.
32:03You're going to make a full recovery,
32:04Grace.
32:04I nearly gave away state secrets.
32:08Nearly.
32:10We won't be in there.
32:13How's Matty doing?
32:15I'm going to let him stew a little bit longer.
32:18He still thinks he has a VHF.
32:21You haven't changed, Byron.
32:24You haven't teach him to wear his PPE, won't it?
32:27I'll put him out of his misery soon.
32:30We should get the squad back together.
32:32Yeah.
32:35Yeah, why not?
32:36I'd like that.
32:39Do you still think about him?
32:47Yeah.
32:49Every day.
32:58Yeah.
32:58See?
32:59I told you to come to the senses.
33:01Hmm.
33:01Did you?
33:02Yeah, because he clearly loves you.
33:05Otherwise, he wouldn't want to try again.
33:07Yeah.
33:09Unless...
33:09I was pregnant.
33:14Wow.
33:15I know.
33:15Wow.
33:16I only found out a couple of weeks ago.
33:19A couple of weeks?
33:21I'm your best mate.
33:22I know.
33:22Look, I'm sorry.
33:23Of course I wanted to tell you,
33:25but with everything that's been going on with you
33:27and you had your check-up coming up.
33:30Oh, no.
33:35I missed it, didn't I?
33:37Oh, Stevie, I'm so sorry.
33:39I'm sorry.
33:40I mean, with everything going on,
33:41but what happened?
33:42It's fine.
33:42It's fine.
33:43Because I got the all clear, so...
33:44Stevie, that's amazing.
33:46Yeah.
33:47So...
33:47Amazing.
33:48A line is officially drawn under it
33:50and life gets to continue,
33:52so that's good.
33:53Amazing.
33:54But, okay, back to you.
33:56What's the plan?
33:57I can't be with him just because of a baby.
34:03I can't.
34:04But, so, what's the alternative?
34:06Like, do 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, okay?
34:16And I know you.
34:18So, this is you getting to have a baby
34:21with the man you love,
34:23getting to be together forever
34:25and adding to your already
34:28annoyingly amazing family.
34:32That's worth fighting for.
34:33Yeah, that's...
34:34That's something.
34:37Hiya.
34:37One of Dr. Kier's patients
34:38has had the results back.
34:39Can you just take a look?
34:40Yeah.
34:41Yeah, be right there.
34:55Here comes the cavalry.
34:57Good shift.
34:58Oh, more silliness with the hoax caller.
35:02Well, that 13 Shacksted.
35:03Do you know who it is yet?
35:04It's just kids, apparently.
35:07But it meant that we had a close call
35:09with a seizure patient.
35:10Do you think someone probably should teach him a lesson
35:12or they're just going to keep doing it, aren't they?
35:14Ambulance service.
35:15Is patient breathing?
35:17Hi there.
35:18Dr. Kier is busy with another patient at the moment,
35:20but I thought you would want your results.
35:22You're going to say swallowing the ring was a blessing
35:24because I've got cancer.
35:25Has she?
35:27Well, neither your bloods nor your scan
35:30has any evidence of cancer.
35:32What?
35:33No, you do have a raised white blood count, though,
35:36so that suggests a chest infection.
35:39Is that it?
35:39Yeah, that's it.
35:40So you're going to need some antibiotics.
35:42I'll sort out a prescription
35:43and I'll sort your TTAs for discharge as well.
35:45OK.
35:46OK.
35:50Thank goodness.
35:52I'm glad you're OK.
35:55What relief that is.
35:56Where are you?
35:57I can't, Eileen.
35:59Not if you can't.
36:01But what?
36:10I can't breathe.
36:12Do you think it's the virus?
36:13No, no, no, no, no, no, no, no.
36:14Don't take your visor off.
36:15Don't take your visor off.
36:16Listen to Dr. Kier.
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, Matty.
36:22I'm suffocating.
36:23You're not getting enough oxygen.
36:25You just...
36:25No, you don't care.
36:27No one cares.
36:27I care.
36:28Why?
36:29Why do you care?
36:29Why do I care?
36:31Because what?
36:31Because...
36:33Because what?
36:34Hey, hey, Matty, calm 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.
36:46Okay?
36:47Okay?
36:48Come on.
36:50Let's get your visor off.
36:51Here, hold that.
36:52Buy your beer, okay?
36:56It was a tough lesson, but...
36:58Hey, so, Flint, you would have seen that when you saw the x-ray for the first time.
37:02Well, I had a hunch, yeah.
37:03But, look, I had to follow up with a CT and a research...
37:06And you thought you'd teach him a lesson?
37:09Yeah.
37:09Yeah, and let everybody else here think that he was sick.
37:12When I tell him to, he'll put his PPE on.
37:16Easy.
37:17Easy.
37:18Who does something like that?
37:22Why would you do that?
37:28He learned his lesson, didn't he?
37:33Bloods.
37:34X-ray.
37:36The works.
37:38Given my eyes peeled for a fit doctor, but no luck yet.
37:43Hang on.
37:45Yeah, we've had your results back.
37:46And it looks like you've got pneumonia.
37:49Yeah, probably brought on by the difficulty swallowing.
37:52Okay.
37:53You're going to need IV antibiotics and close monitoring, so we'll need to keep you in.
37:57Right.
37:59And the swallowing?
38:00You'll need to see a specialist, I'm afraid.
38:04IMD's getting worse, isn't it?
38:05One of the doctors will come and speak to you, and we'll let your consultant know.
38:10Am I moving towards a feeding tube?
38:13We 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?
38:28I 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.
38:47Our consultants will go through everything with you, and I'll just make the referrals now,
38:59yeah?
38:59Hiya, love.
39:17Are you okay?
39:17Ready 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, love.
39:25I'm here now.
39:25Let me take this for you.
39:27Are you sure?
39:28Absolutely.
39:28I just need a little favor on the way.
39:31Bye.
39:37It's just...
39:39take five minutes, okay?
39:42Jack!
39:43Are you guys okay?
39:45Yeah?
39:46Yeah.
39:47I'm so tired.
39:55You all right?
39:57Must have been terrified.
39:58I wouldn't have survived.
40:00I wouldn't have known to see it in my situation.
40:01So the training exercise didn't go as planned?
40:05Then you start.
40:06Already started.
40:08With all the punches, I guess.
40:10That 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.
40:17He won't, okay?
40:18We've got enough going on, thanks.
40:19Well, for somebody who didn't want a mentor, he's taking mentoring pretty serious.
40:23Yes, Flynn, because 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?
40:30Yeah.
40:30What's wrong about?
40:37Sorry about that.
40:41Oi!
40:42Granny!
40:44Granny?
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?
40:53Have you been making calls to 999?
40:55Yeah.
40:57Because of your calls, a little boy almost lost his dad today.
41:02So?
41:03So?
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.
41:18I'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 anything.
41:37All right.
41:38I will do now.
41:39No worries.
41:40And thanks for being discreet before with Albert.
41:43You know, for what it's worth, it seems like you two have waited long enough to be together and you've got the freedom now to be happy.
41:55You should enjoy it.
41:57I might have made a mistake.
41:59Yeah.
42:01I was scared.
42:03I know.
42:04I know.
42:05It's OK.
42:05It's OK.
42:13You stayed.
42:18Albert.
42:21Will you marry me?
42:23What?
42:26You're making a show.
42:27I know.
42:29What do you say?
42:32Will you marry me?
42:35Yes.
42:37Yes.
42:37Yes.
42:38Yes.
42:38Yes.
42:39They heard they pay more behind the bar at the anchor than they do at first year residents.
43:09You'd get bored with boring pints.
43:14I don't know. Free drinks on the job. Sounds alright.
43:22Then you'd be drunk all the time. And it would be a waste of a talented doctor.
43:28How can you say that after today? I don't belong in the ED. Today must have spun everyone out.
43:36Believe in yourself, Matty. Takeo believes in you.
43:43Hi, Susan. Hi. Do you want to come with me?
43:50Asa, you want to come see Dad? Yeah. Yeah.
43:55Daddy. I'm okay, bud. I'm okay.
44:01Hey, Lee. This is Suzanne. She's our duty social worker. She's been looking after Asa. Hi.
44:05Hi. Could you, er, give us a moment, please?
44:11Yeah. Would you come with me?
44:16What's going on? Everything okay? They're gonna take him away from me. Is that why she's here?
44:20No, no. Absolutely not. I wouldn't blame them. I can't even look after myself. Let alone look after him.
44:27Come on. Take a breath. Okay? You just changed your prescription recently, right?
44:31Yeah. Yeah, so certain medications don't work the same with certain people. You just have to follow up with your consultant. Okay?
44:39Right, come on. How did he know how to call 999? We walk past the ambulance station most days. He loves trucks, cars, anything that moves.
44:48Yeah, I can see that. I must have told him. Right. And he listened. Same as he listened to the call handlers. He was amazing. He saved your life. So stop this being so hard on yourself stuff, okay?
45:02Come on. I mean, if I could give you one piece of advice, it would be maybe put your medical information on your phone, just in case there's another mix-up.
45:12Okay? Right. Better? Mm-hmm. Asa, come on. Come over and see your dad.
45:21Daddy, will I with me? Of course I will, buddy. Go on. Yeah, show me how it works. Go on. What sound does it make?
45:32Yeah, come in. Hey. Okay. You okay? Yeah. I might go for a lie down on me break, see if I can shift this headache.
45:53Siobhan. I know. I know. You don't have to keep telling me. I'm not up to this. I wasn't... I wasn't gonna say that.
46:00And you're right. I just had a patient earlier and her entire life is about to be turned upside down.
46:07And all she wanted in that moment was a tiny little bit of comfort, you know, in that moment there.
46:14And I... I just... I just couldn't.
46:19Listen, whatever time you need, it is yours, okay? No. No, please. I need to be here, okay?
46:25That might sound selfish, but... Hardly.
46:30But Siobhan, if I may, I think you should speak to someone.
46:34I mean, bottling this up, it's just gonna eat away at you and it...
46:37Okay, I agree. But...
46:40Someone independent, away from this place.
46:45I really thought I'd be able to deal with this better.
46:50I'm so sorry. If there's anything I can do to help. Anything.
46:55It's amazing. Mm-hmm. Thanks. Okay.
46:58What?
47:04I'm so sorry, what?
47:07I get a call from this.
47:08I got my Wendy's.
47:10I can't remember.
47:11I got my wife.
47:12I got my wife.
47:14I got my wife.
47:15I got my wife on the other side.
47:17I'll be shy now.
47:19I got my wife, too.
48:51Yeah.
48:52Okay.
48:53I'll let them know you, but bye.
48:54Okay.
48:55Thanks.
48:56Bye.
48:56Bye.
49:26Transcription by CastingWords
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