- 3 hours ago
Casualty S47E12 ORGANiC
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00:00I think you've got an issue with food, Kim.
00:02Help me understand what's going on.
00:03Part of being a doctor is doing the medicine.
00:05So do the medicine.
00:06I'm done with this rotation.
00:09Maybe it gets better for now.
00:11It does.
00:12I know the treatment has been successful,
00:14but I'd advise more time to rest.
00:17I keep getting his, um, like stabbing stomach pains.
00:21I don't think I love you.
00:22I think I am wanting with you to fix you.
00:24I'm pregnant.
00:25What do I do?
00:26Whatever you need, I'm here.
00:30I'm
00:51Congregation, please stand.
02:30So what you're saying is you don't trust me?
02:33No, don't put words in my mouth.
02:35I'm not putting words in your mouth.
02:36You're the one that went and got a lawyer.
02:37Look, I just want to make sure we both know where we stand.
02:40Do you tell me where your shared child will live?
02:42Have you lost your mind?
02:53It's okay.
02:54It's going to be okay.
02:59Chill out.
03:00I can't torture you when you're like this.
03:01Oh, right.
03:02So I'm going to find myself a lawyer to send you a letter.
03:11Mum?
03:12Mum?
03:15Is he going to die?
03:16Get him on the side.
03:18Quick.
03:22Train to the channel.
03:31Ian!
03:32Come on!
03:37Easy, Baba Kharna.
03:59I wonder if Kim leaving means Marty will stay on.
04:03Hmm, I bet you do.
04:05I'm not wrapped.
04:08Hey.
04:09Stevie, fierce waters have broke.
04:11She's bleeding.
04:13Stevie?
04:13Okay, just get her here.
04:15We'll be ready.
04:17Right.
04:18Hold tight.
04:32Hey, Matty.
04:33I spoke to the resident education lead.
04:35At this point, it's just a formality.
04:37If you want it, the job is yours.
04:40Oh.
04:41Right, okay.
04:43I thought it was what you wanted.
04:46No, it is.
04:51Just so I know.
04:55If Kim Adner left, would you be having this conversation with her instead of me?
04:58Look, I wouldn't back you if I didn't want you in my department.
05:04Can I have a think about it?
05:06It's just I've been on a night shift and my head's fried.
05:08Yeah, sure.
05:09Think about it.
05:10Just don't take too long, okay?
05:17Dr. Nash.
05:18Yeah.
05:19Wait, sir.
05:20Kim Kang's father.
05:21Oh, right.
05:21She's not here today.
05:23She tells me she no longer wishes to be a doctor.
05:25Not just in the emergency department.
05:27At all.
05:28Well, I'm really sorry to hear that because she's talented.
05:31I do not wish for her to throw away her education.
05:33Look, Mr. Kang, this sounds like a conversation you need to be having with her, not me.
05:36Sorry.
05:36I still need to speak to you.
05:38I'll wait.
05:39Excuse me.
05:40Sorry.
05:41I'm Matty.
05:41I'm one of Kim's friends.
05:43Did you say she's quitting completely?
05:45Okay.
05:46Just 30 weeks?
05:47Yeah.
05:48What was she doing when her water broke?
05:49She was there.
05:52We were arguing.
05:55Luca?
05:55I'm here, Mum.
05:56Okay.
05:57I'm sorry, baby.
05:58Are you okay?
06:00Are you okay?
06:00Hi, Luca.
06:01I'm sorry.
06:02Luca is absolutely fine.
06:03Let's get you sorted, okay?
06:04Please.
06:06If you have to save one, save her.
06:09It doesn't work like that, okay?
06:10I just need you and Luca to hang tight.
06:23No, no, no.
06:24Don't worry, don't worry.
06:25I'll see if I can ask Teddy.
06:26Look, just let me know if you hear anything, okay?
06:30Thanks, Jen.
06:31Ooh, sorry.
06:33I'm so late.
06:34The town was absolutely gridlocked.
06:35It's mad out there.
06:36Faith's gone into labour.
06:38What, now?
06:39Hasn't she got, like, two months left?
06:42Yeah.
06:44Let's get some oxytocin up.
06:47We'll do one gram of TXA,
06:49and let's do 800 milligrams of metapastil.
06:53We prepped two units of Oneg, please.
06:56Right, lines in.
06:57Yeah, that's really tender right there.
07:00Really firm.
07:02Okay, I could be looking at an abruption.
07:04Rita, are you okay to do...
07:06Let's do FBCs, UNEs.
07:09Caughting and cross-match, please.
07:10Okay, she's still losing a lot of blood.
07:12Can we get some Inco pads, please?
07:13I'll go Oneg in.
07:15Okay, thank you.
07:16Just get her as quickly as I can, please.
07:19Hey, Stevie,
07:20emergency obstetrics are in theater
07:21and with a crash section.
07:22The uncle consultants are away in
07:24because she's coming from home,
07:25so it's going to be half an hour at least.
07:26Right, okay, well, Bibi's breached,
07:27so what about your neonatal?
07:29No, they've got a septic 28-weeker peri-arrest.
07:31They're sitting down at ANNP, down at CPAP.
07:33Right, okay, uh, so, yeah,
07:37let's, uh, let's do the delivery here.
07:39Okay, you guys are with Bibi,
07:41and we'll be here, yeah?
07:43Hey, hey, Bibi, don't call me, okay?
07:46So, uh, Bibi wants to come early,
07:48wants to meet her auntie Stevie, all right?
07:49I know, Stevie don't know.
07:51Yeah, I think she's coming out bum first.
07:52Okay, no, no, no, I know you feel that way,
07:54but we're going to do this together, okay?
07:57Me and you.
07:57Uh, here?
07:59Mm-hmm, yeah, here, here, now.
08:01Hi.
08:01Well, it's me and you, so, brilliantly.
08:05Okay.
08:06Okay?
08:07Okay.
08:16It's your fault.
08:20If she dies,
08:23it's because of you.
08:27No one's going to die.
08:34Okay, good, that's one leg free.
08:37Okay.
08:38We're going to try the second, okay?
08:39We're ready for a push, okay?
08:41Come on, Faith.
08:41Come on, Faith.
08:42Big push for me.
08:42Nice big push.
08:43Here we go.
08:44Big push.
08:45Okay, one push, here we go.
08:46Big push, big push, yes.
08:47There we go, there we go.
08:49That's it, that's it.
08:50There we go, that second leg is free.
08:51We've got two legs, we've got ten toes.
08:54Well done, Kat again.
08:55Or Dean.
08:56Or Fernandez, whatever your name is.
08:58It's just taking too long, Jodie.
09:00She's ready to come, okay?
09:01Yeah?
09:02So, let's finish it with this one.
09:04Okay, last big push.
09:05My mom.
09:06I'm going to take that as a yes, okay?
09:08Here we go.
09:08One big push for me.
09:10Here we go, you can do it.
09:10One big push, yes.
09:18What's happening?
09:21I don't know.
09:23There you go, well done.
09:24Keep going, that's it, that's it, that's it.
09:26Well done, well done.
09:26Like that, like that, like that, yes.
09:28That's it, that's it, well done.
09:29Air done, that's it.
09:30There we go.
09:31Well done, well done, she's out.
09:34Well done, you.
09:34Yes!
09:36You did it.
09:38You can rest now.
09:40Oh, look at her, she's beautiful.
09:44Oh, well done.
09:47She's beautiful.
10:03I can't eat anything, Stevie.
10:05Okay, it's okay.
10:06It's okay.
10:16Okay, um, can we get, uh, TXA maintenance up, please, and let's prep two more units.
10:21He's got flu-like symptoms, like shortness of breath, and a temperature of 39.4.
10:25His heart rate is 78, his BP is 180 over 90, SATs 97, and GC is 15 throughout.
10:31Okay, thanks, we'll take it straight through, please.
10:33Do you know how Faith is?
10:35No, sir, I've been in queue because of all morning.
10:37See what I can find out.
10:41I can't be here.
10:43She'll be okay.
10:45She'll be okay.
11:11All right, okay, let's have, uh, 800-meter-prostyl PR, and we'll do oxytocin 10 units IV bolus, and 40
11:20to 500 mil bag over four hours, please, thank you.
11:23Increase FIO 2 to 100%, we'll do 30 seconds ventilation breaths.
11:28Go on, baby girl.
11:30Is she breathing?
11:32We're working on her, okay?
11:33So, let's just focus on getting you started, all right?
11:43Stevie Jacob.
11:46It's okay.
11:47Stevie?
11:48What's happening?
11:50It's okay.
11:53It's me.
11:54Can you hear me?
11:55Yeah, you're all right.
11:57You'll be okay.
11:59Faith.
12:02Faith?
12:02Okay, Rita, hit that alarm, please, okay?
12:04Ian, if you're going to be in here, I need to stand well back.
12:06Faith, I'm sorry, don't do this.
12:07Okay, then, let's get oxytocin on, and...
12:10Get down!
12:10Get down!
12:10Get down!
12:11Please, thank you.
12:11Wake up, Faith!
12:12Stevie, do something now!
12:14Faith!
12:15Kim, come on, open up, it's me.
12:19Listen, I know you're in there because I just spoke to your dad.
12:27He's only gone down to the ED to convince Nash to talk you into staying.
12:32What a legend, eh?
12:43Kim!
13:03Kim?
13:07Kim?
13:09Kim?
13:09Kim?
13:09Kim?
13:11Kim?
13:23Oh, OK, uh, BP stabilising.
13:26Yeah. Pulsive strengthening.
13:29Still tacky.
13:31Faith.
13:33Faith.
13:34Hey.
13:36Hey, she knew who you are.
13:40I think we got the hemorrhage under control.
13:50It's OK, it's OK, it's just the placenta.
13:53Redepinite.
13:54Yep.
13:59There we go.
14:07Stevie, that doesn't look complete to me.
14:10No, no, it's not OK.
14:12So, the rest must be attached to the uterus, which explains the bleeding.
14:17Yeah, I'll call obstetrics.
14:22Cheers, guys.
14:25Yeah, OK, um, yeah, they're going to want to take her to theatre,
14:28because part of the placenta is still attached, OK?
14:31It's OK.
14:32It's OK.
14:32Go, hold her hand.
14:36Hey, darling.
14:38It's me.
14:41I'm all done.
14:46OK.
14:49She's breathing.
14:55Go on.
14:56We'll see your daughter.
14:56No, we'll do it together.
14:58No, Ian.
15:00It'll help Faith if you go and be with your daughter.
15:03So, go.
15:04I've got her.
15:10Come on.
15:12Congratulations, Danny.
15:15Thanks.
15:17I love you.
15:19I love you.
15:31It's just perfect.
15:33I love you.
15:44Come on, Dad.
15:51Kim?
15:55Kim, can you hear me?
16:07No, no, no, no, no.
16:22Ambulance services.
16:24Ambulance services.
16:25Patient breathing.
16:26Hiya.
16:27My name's Dr. Matthew Lynn Laker.
16:29I work at Holt VED.
16:30I need an ambulance to 72 Lindy Way.
16:33Matty?
16:34It's Indy.
16:35What's happened?
16:35Hi, Indy.
16:36Yeah, I'm with Kim.
16:37She's unresponsive.
16:39Signs of significance.
16:40Hematemesis.
16:41OK.
16:41The nearest crew about 25 to 30 minutes away with the road.
16:44No, Indy.
16:45No.
16:46OK.
16:46She's pale.
16:47It pulses weak.
16:48I'm worried she's gonna bleed out.
16:55Here we are.
16:58Like a little oven ready chicken.
17:01Just needs to finish roasting in the bag first, aren't you, eh?
17:03I'm your baby.
17:05I'm your mommy.
17:07And I'm your hot aunt.
17:09Erm.
17:10Right.
17:11Names.
17:12Or name.
17:13Not yet.
17:15Thought we had more time.
17:16OK.
17:17That's fine.
17:17I will just put her in the system as BB Dean for now.
17:21And, yeah.
17:23There's someone here who's desperate to meet a sister.
17:26Oh, there he is.
17:27There's my boy.
17:28Come here.
17:28Come on.
17:30Look at your wee sister.
17:31Oh, my goodness.
17:32Look at her.
17:32She's so small.
17:34You OK?
17:34Yeah.
17:35Yeah, darling.
17:36I'm fine.
17:36I'm sorry they're scary in the car.
17:38You were amazing though.
17:40Aren't they amazing?
17:41You were.
17:41Looking after your mum.
17:45You...
17:46Plin, I can't see her breathing.
17:48Why can't I see her breathing?
17:49OK.
17:50All right, Ruth.
17:50Uh, Luca.
17:51Uh, let's get some fresh air here, OK?
18:06Luca.
18:07Come on, mate.
18:10Yeah.
18:11She's up in the house.
18:12She needs bagging again.
18:19Is she gonna die?
18:22Of a baby?
18:25You know, a baby's lungs don't fully develop until 36 weeks.
18:29That's why your sister needs a bit of help.
18:31And trust me, we can give her that help, OK?
18:35Hey.
18:36It's OK.
18:38I know it's a lot.
18:45Now, listen.
18:47You're gonna put your sister in an incubator in a nice, controlled environment.
18:50Then they're gonna take her up to neonatal intensive care.
18:53And those guys...
18:55They're amazing.
18:57Trust me, they know their stuff.
19:00You'll be in good hands, all right?
19:07You OK?
19:08You need your inhaler?
19:11You've got asthma, right?
19:12No.
19:13No.
19:48OK, so, obs-wise, I've checked the chest.
19:52Chest sounds crackly.
19:54Tachyponeic and tachycardic at about 20.
19:57OK.
19:58Sats are sitting at around 92.
20:01But it's a home full Seox.
20:03So, it's up and down.
20:06But it's been about 10 since I got it.
20:08OK.
20:09Hold on.
20:09Let's put out code red, please.
20:11Alpha Sierra.
20:12HeliMed 86.
20:13Code red.
20:16And should we turn out when we can?
20:18OK.
20:18On roll.
20:19Ready, set, roll.
20:22OK.
20:22Let's get a large volcano in, then, please.
20:24Can we get bloods off and two units of oneg?
20:26I'll stand by with ondanzatron and TXA.
20:29Yeah.
20:30OK.
20:30So, airways patent.
20:32Kim, I'm Josh, one of the helicopter paramedics.
20:35I'm just going to pop this mask on your face.
20:37Can you open your eyes for me?
20:42OK.
20:42She's got shallow chest rise.
20:44Poor respiratory effort.
20:45Can you pass me the end title?
20:53Kim, if you can hear me, I'm just going to pop a little needle in your arm, OK?
20:56It's going to be a sharp scratch coming up.
20:59Gentlemen.
21:01Shavey.
21:04Does she have an eating disorder?
21:06Yeah.
21:07That you knew about?
21:08Yeah, yeah, I knew.
21:11But I didn't know it was this extreme.
21:13She said she was getting help.
21:17OK.
21:17OK.
21:18So, let's do an ABG with a waterhole machine and a 12-lead when we can, please.
21:22Yeah, on it.
21:25She is struggling to maintain breathing on her own, but we've given her some peep,
21:29and her sats have come up, so I'm moving in the right direction.
21:32I'm going to leave you to it, OK?
21:35OK, nice.
21:36Thanks, bye.
21:43OK.
21:43You're OK.
21:45You don't have to do that, Ian.
21:48What?
21:49I heard you.
21:52If you have to save one, save her.
21:54Which is right, the baby's your priority, but you said it in front of Luca.
21:58And Luca's already lost his dad.
22:00No, no.
22:00I meant you.
22:02Save you.
22:05Faith, I've never been as terrified in my entire life.
22:09The thought of losing you with things like they are between us.
22:12Mm-hm.
22:13Well, of course you're going to say that, ain't you?
22:16Because here I am lying in a hospital bed, not even fixing.
22:20And that seems to be the only time you want to be with me.
22:23Come on, Nelson.
22:24Hey.
22:26Nick, I want to see her now, OK?
22:29Ian's going to go up with her, ain't you?
22:34Hello, my wee baby.
22:36I'm going to come up as soon as I can, OK?
22:39OK?
22:40I love you very much.
22:42You take good care of her, OK?
22:43OK.
22:49You go over there.
23:03Come here.
23:09Right, one more of these.
23:12Nice deep breath.
23:14Hopefully that's it.
23:18So, do I have asthma then?
23:20Not necessarily.
23:21There's a nasty flu going round at the minute.
23:24But it is probably a good idea to make an appointment at the asthma clinic.
23:27I'll speak to your ma'am.
23:28She's got enough on her plate.
23:30Well, she'll still have time for you.
23:32I'll just ask Gran.
23:35I'll be with her for a bit anyway.
23:40You know, when I was growing up, I'd have given anything for a big brother.
23:45I had an imaginary one for a while.
23:48I know.
23:49He taught me how to skateboard.
23:52Not very well, because I broke two bones in that wrist.
23:54Yeah.
23:57Your new sister is the luckiest little girl having you around.
24:03Right, so, Ruda, liated by to you.
24:05Yeah, I'll go now.
24:06And Jodie, ten minute orbs, don't take your eyes off her.
24:09I will.
24:10Right, you get some rest.
24:13And I'll see you later.
24:16Oh, thank you.
24:27Hey, um, Mr. Chang, if you're not here to see a doctor, then...
24:31I need to see you.
24:33Five minutes.
24:34There are things you don't know.
24:38Okay.
24:39Take that seat.
24:47Um, sorry, what was it you wanted to talk to me about specifically?
24:52Kim has atypical anorexia, nervosa.
24:57Right, I didn't, I didn't know that.
25:00She has managed it well for a few years.
25:03But we know from therapy that it is triggered by feelings of failure, of inadequacy.
25:11Which, of course, this place doesn't help with.
25:14I suspect that's the conclusion she's come to.
25:18So, um, you think that she feels the job will lead to a relapse?
25:24It doesn't have to.
25:26With the right support, this is something she can manage.
25:31She doesn't have to give up completely on her dream.
25:35I'm not asking for Kim to continue in her job.
25:40But she admires you enormously.
25:43If you were to speak to her again, I think she would listen.
25:50Right, okay. So, here's what we're gonna do.
25:53I will...
25:53Hey, I'm sorry to interrupt. I'm afraid this is important.
25:56That's okay. This is, er, Mr. Chang.
25:58Yeah. It's Kim's dad. He was...
25:59I was told that he was here. I'm afraid it's actually you I need to speak to.
26:30And I have to...
27:33X-ray in here and a bedside echo, please.
27:35Continue with fluid resuscitation, 10% dextrose infusion and electrolyte replacement.
27:40Right, I'll do a primary survey.
27:42No, not you.
27:43Do you think you've done enough?
27:44What do you think you're doing?
27:45Yeah, read the journal.
27:46Oi, who the hell do you think you're talking to?
27:47Today, Dr. Nash finally said it wasn't a total waste of space.
27:51Hey, Dr. Lynn Lakeham, you were talking to a senior consultant.
27:53Smarten up or get out.
27:55Yeah, sorry.
27:56Right, Nicole, you do primary survey, please.
27:58Are you OK?
27:59I'm on it.
28:02Guys.
28:03Guys, she's waking up.
28:04Kim?
28:05Kim?
28:07Hi.
28:08Hi.
28:08You're in resus.
28:10Yeah.
28:11Kim, can you hear me?
28:14Airways patent.
28:16Sat 94.
28:17Respirate 20.
28:18The hard sound is a regular.
28:20It sounds like AF.
28:21All right, let's get the 12 lead on there, please.
28:24Yeah, pulse V2.
28:26OK, charge to 120.
28:27Let's do it.
28:28No, we don't have time.
28:29You need to sink shocker now before she arrests.
28:32OK.
28:33Right, everyone clear?
28:34Sink.
28:35Wait, at least give her some midazolam.
28:37She's still conscious.
28:38Matty, stand clear.
28:40Sinking.
28:41Matty.
28:44Sinking.
28:47Yeah, we're all clear.
28:49Right.
28:50Shocking.
28:57Come on.
29:01OK, back inside us.
29:03Kim, I'm so sorry.
29:04We have to do that, OK?
29:06All right, let's finish our primary survey, please,
29:08and get a fast scan in here.
29:09Yeah.
29:40OK.
29:47It's clear.
29:49Completely clear.
29:52Just last time I had a scan.
29:55Yeah, since then, it feels like the pain's moved further up.
30:00I'm not going to teach you to suck eggs, Stevie.
30:03What would you tell a patient who's saying what you're saying to me?
30:12Uh, I would, I would say to them that you're panicking.
30:19Because somewhere not so deep down,
30:25you know that there's always a chance that it could come back.
30:28Um, I would also say that, um, scar tissue is prone to inflammation,
30:34and it conducts signals differently leading to referred pain.
30:38Blah, blah, blah.
30:39Yeah.
30:41I'll refer you to pain clinic.
30:44It might take some time to find a solution,
30:47but keep working with them.
30:51It's normal to be afraid.
30:54To think that every twinge or stabbing sensation
30:58is the cancer coming back.
31:00That fear might never leave you,
31:02but you will learn to live with it.
31:14I'm sorry for what I said earlier.
31:18No, that's all right.
31:21You're scared.
31:22People are sharp when they're scared.
31:25Do you hate me?
31:28Don't be daft.
31:31Families say stuff.
31:33Don't mean anything.
31:35We're not family, though.
31:37Not anymore.
31:38Of course we are.
31:43Look, look, um,
31:47my daughter is now your sister.
31:50So that makes us family forever, all right?
31:57Mum still loves you.
32:00I know she does.
32:01She told me.
32:02And you love her.
32:04So why can't you just sort it out
32:06and we can be a proper family again?
32:11It's complicated.
32:12No, it's not.
32:14It might be hard sometimes, but...
32:20It's not the same thing.
32:23When did you get so smart?
32:44Faith?
32:47Faith?
32:50Can I get some help, please?
33:13You want to see which one dies first
33:14with a hole burned in its esophagus?
33:16I don't have time to hold your hand.
33:17She doesn't want your cookies or your tears.
33:19What she needs is your strength and your clarity.
33:21I can't afford to carry any more dead weight.
33:22They're saving lives at a knife age here
33:24and with the CQC coming back,
33:25they're not going to want a resident
33:26running off every five minutes to cry.
33:28Yeah?
33:29Part of being a doctor is doing the medicine.
33:30So do the medicine.
33:31Got it?
33:34She was practising.
33:37Look.
33:40Difficult cannulation spots.
33:43Hey.
33:44Can we look at...
33:46Um,
33:47there's an absence of free fluid in the abdomen,
33:49but, um, her IVC is very flat,
33:52so it looks like a perforated either duodenal gastric ulcer.
33:55She'll need an endoscopy.
33:58Her lab bloods came through.
34:01Geesh.
34:03Are you sure these are hers?
34:05Yeah, the results are an eight-year-old.
34:07She, um, definitely has multi-organ failure.
34:12I should have done more.
34:14If it had been a different mental health problem,
34:16if she'd been depressed or suicidal,
34:19I didn't appreciate how bad it was, you know?
34:21I know it sounds naive, but...
34:22You said it yourself, you know?
34:23You didn't know how extreme it was.
34:25She's obviously been abusing over-the-counter meds
34:27and injecting weight-loss drugs.
34:31We're going to need to speak to her.
34:34I'll do it.
34:37Sure.
34:45How long should you be now?
34:46Uh, five, ten minutes.
34:47Faith.
34:48Faith.
34:51Yeah, that's not right, okay.
34:55Yeah, her uterus is inverted, okay?
34:57Um, I've only ever read about this.
34:59Right, I'm going to try a manual replacement.
35:01Lynn, can you fast bleep obstetrics, please?
35:03Tell them this girl's the closest thing I have left to her sister
35:04to have theatre ready in ten minutes.
35:06Or go and help them.
35:07Yeah, okay.
35:19Hiya.
35:25I'm in.
35:25Renal failure.
35:30I have a chalemic and in metabolic acidosis.
35:35I expect my bloods probably show poor liver function too.
35:43My chest x-ray probably shows pulmonary edema.
35:47There were inverted T waves and tachycardia on the ECG.
35:56Differential diagnosis.
35:59Left ventricular failure.
36:06You've always been the better doctor.
36:17I don't want to die.
36:19Hey.
36:20Hey.
36:22Hey.
36:23You listen to me.
36:24Okay?
36:26You won't.
36:28Okay?
36:30We can fix this.
36:33We can.
36:38Are you going to intubate me now or when we go to ITU?
36:45Now.
36:47You should do it.
36:52It's the last thing on your list.
37:11I'm sorry.
37:13It's okay.
37:14I'm so sorry.
37:17Get yourself something from the vending machine while I talk to your mum.
37:20Good luck.
37:21I know you.
37:27Hi, how are we doing?
37:28Ian, step by step, please.
37:29Steve, what?
37:30It's all right, we're reaching a minute.
37:31No, no, no, let me see.
37:32Faith!
37:42See you when you wake up.
37:50Okay.
37:51Are you ready to begin?
37:53Yeah.
38:19Okay.
38:20Bougie.
38:22Yep.
38:24I don't know how you're.
38:34Perfect for going on.
38:39Cheers.
38:40Yeah.
38:49Okay.
38:50Bougie out.
38:52Inflate the cough, please.
38:54Okay.
38:54Oh.
39:18OK. We have end-tidal CO2.
39:44Double-checking ventilator settings?
39:47All correct.
39:49RSI complete.
39:51That was textbook, Matty. Well done.
40:07Guys. Guys.
40:09Get suction with me.
40:11What have I done?
40:12Nothing.
40:12What have I done? Are you sure?
40:14Yes. Yes, I'm sure.
40:15Yeah, but how do you know?
40:15The bleeding is coming through the mouth, isn't it?
40:17It's not coming through the tube.
40:18That means it's a GI.
40:19What if I've messed up?
40:20It's a GI, but that's not you.
40:22She's BEI.
40:23Let's start compressions.
40:33Beth?
40:34Yeah.
40:34Yeah.
40:34We're doing an inversion, OK?
40:35We're taking up the theatre now.
40:36We'll come back and talk you through it, OK?
40:52Good.
40:53Back on the chest.
40:59Back on the chest.
41:01Let's, er, let's give another milligram adrenaline.
41:03Set up a prothrombin infusion at 1500 IU.
41:13Hey.
41:16Where's Luca?
41:27Let's get more FFP, more platelets, more cryo.
41:36We'll continue 8.4% sodium bicarb.
41:39Now let's give her some calcium and vitamin K.
41:41Let's go.
41:41Come on.
41:42How long has it been done?
41:51Then, do you, I just took my face off?
42:01During the chest.
42:01You just took my face off?
42:06Now we layanken.
42:07How long has it been like that ...
42:09How long has it been done in front of the chest?
42:10Here is the piano!
42:16How long has it beenkill with rivals,
42:20Is there anything that we haven't tried?
42:23Anything?
42:44I, uh...
42:46I should have told you this sooner.
42:52I'm sorry it's taken until now for me to figure it out, but...
43:01The truth is, Faith, I...
43:04I did want to fix you.
43:10But I wanted to fix you because I love you.
43:18I love you so much.
43:29And I don't know...
43:33I don't know how I'm going to live the rest of my life without you.
43:39To let you go is the biggest, stupidest thing I ever did.
43:46And I was to God, there was some way I couldn't do it.
43:48I was like, man...
44:26Time of death is 14.45.
44:37No.
44:38No, get off me.
44:39Get off me, please.
44:40Please.
44:40Stop.
44:41Stop.
44:41Stop.
44:43Kim.
44:43She's gone.
44:46She's gone.
44:49She's gone.
45:18She's gone.
45:48I'm really sorry.
46:25I've been asked to give a reading today.
46:30My name is Stevie.
46:34And I was Kim's mentor during her rotation in A&E.
46:45I know Kim would have made a brilliant doctor.
46:51The bit I didn't know was that she wouldn't get to be around to hear me say that.
47:09Well done.
47:11You cool team have been amazing.
47:14I'm only glad to hear it.
47:15Rush is about to do a rotation, aren't they?
47:18Oh, yeah?
47:18Yeah.
47:19Yeah, yeah.
47:19It's all part of my Caesar pathway.
47:31Have you made a decision about the fellowship yet?
47:34I have, yeah.
47:36I figured I should do it.
47:39For the both of us.
47:42So you're going to be around for a bit, then?
47:46Looks that way.
47:50I may have missed the first 24 years, but, you know, as long as you're amenable to the idea,
47:55as long as you're here, I think we should have some sort of relationship, no matter what it looks like.
48:03Mum will want to see you, you know, if we're spending more time together.
48:09I hadn't thought of that.
48:14Wherever you go, and whatever you do, know that we'll always be right here for you.
48:25So go out and get them, you brilliant girl.
48:31The world is your oyster, and you are its pearl.
48:39Oh, pearl.
48:41I like that.
48:43Yeah?
48:44Yeah.
48:45Yeah, me too.
48:46Yeah.
48:47Hi, pearl.
48:49We're your mum and dad.
48:55We're your mum.
49:22For details of organisations which offer help and support with bereavement, eating disorders or pregnancy-related issues, go online to
49:30the BBC Action Line website.
49:52For more information visit www.fema.org
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