Casualty S47E12 - Critical Decisions | British Medical Drama - video Dailymotion

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🏥 Casualty (1986) - Season 47 Episode 12  The ED doors never close. In Episode 12, the team at Holby City Hospital faces their most challenging shift yet: traumatic arrivals, ethical dilemmas, and personal struggles collide under the pressure of emergency medicine. Who will hold it together... and who will reach their breaking point?  🔹 Episode Highlights: • [Hook: "A multi-casualty incident tests the ED's limits and teamwork"] • High-stakes medicine: life-or-death decisions in real time • Character depth: doctors and nurses navigate professional duty & personal lives • Emotional storytelling: patient stories that resonate beyond the hospital walls • Signature Casualty tension: authentic medical drama with heart  🔹 Series Info: • Format: British Medical Drama / Hospital Series / Emergency Services • Original Network: BBC One / BBC iPlayer / International Syndication • Series Launch: 1986 | Season: 47 | Episode: 12 • Setting: Holby City Hospital Emergency Department – UK • Language: English (Original Audio) • Runtime: ~50 minutes (full) | Clip/Highlight version: ~10-15 min  🎧 Prefer audio? Listen to Casualty recaps & medical drama podcasts on BBC Sounds, Spotify.  👉 Enjoying the series? Hit LIKE, SUBSCRIBE, and comment: "Which character handled the crisis best? 👇🏥" Turn on notifications 🔔 so you never miss the next shift!  #Casualty #CasualtyBBC #BritishMedicalDrama #BBCOne #HolbyCity #S47E12 #EmergencyMedicine #HospitalDrama #BingeWatch #UKTV #MedicalTV #NHSDrama  ⚠️ Copyright Disclaimer: This video is shared for promotional, review, and informational purposes only. All rights to "Casualty" belong to BBC Studios and BBC One. This upload complies with Fair Use guidelines (Section 107, U.S. Copyright Act). No copyright infringement intended.

Transcript

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 this, um,

00:20stabbing stomach pains.

00:21I don't think I love you.

00:22I think I am only with you to fix you.

00:24I'm pregnant. What do I do?

00:26Whatever you need, I'm here.

00:51Congregation, please stand.

01:07Could you serve go very quickly?

01:12And do you feel you could love yourself?

01:17I recognize that I do support various things.

01:17I hold you everywhere this information.

01:18And do you have any questions?

01:19Just even as soon as shortly as soon as you guys are,

01:19Continue to scratch the quarterback.

01:19Jesse and Putin disparate kindly closer to the team.

01:20That's interesting, see.

01:20Thanks for this.

01:21I'm thinking that you can just get away from the team.

01:25I can just get the advice I can listen to.

01:36THE END

02:04THE END

02:27THE END

02:30So what you're saying is you don't trust me?

02:33No, no, 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?

02:43Have you lost your mind?

02:53It's okay.

02:54It's going to be okay.

02:59Chill on.

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?

03:13Mum?

03:15Is he going to die?

03:17Yeah, we're on the side.

03:18Quick.

03:22Train to the channel.

03:31Ian, go!

03:36Easy, Papa Fernand.

03:39Easy.

03:42Easy.

03:43Easy.

03:59I wonder if Kim leaving means Marty will stay on.

04:04I bet you do.

04:05Look, brat.

04:08Hey.

04:09Stevie, fierce waters have broke.

04:11She's bleeding.

04:13Stevie?

04:14Okay.

04:14Just get her here.

04:16We'll be ready.

04:17Right.

04:18Hold tight.

04:32Hey, Matthew.

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, if Kim Adner left, would you be having this conversation with her instead

04:58of me?

04:58Look, I wouldn't back you if I didn't want you in my department.

05:05Can 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.

05:10Um, just don't take too long, okay?

05:17Dr. Nash.

05:18Yeah?

05:19Waiter.

05:20Kim Kang's father.

05:21Oh, right.

05:22She's not here today.

05:23She tells me she no longer wishes to be a doctor.

05:25Not just in the emergency department at all.

05:28Well, I'm really sorry to hear that because she's talented.

05:31I do not wish to learn 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.

05:40Excuse me.

05:40Sorry.

05:41I'm Matty.

05:42I'm one of Kim's friends.

05:43Did you say she's quitting completely?

05:45Okay, just 30 weeks?

05:47Uh, yeah.

05:48What was she doing when her waters broke?

05:50She was, um, we were arguing.

05:55Luca?

05:55I'm here, Mum.

05:56Okay.

05:57I'm sorry, babe.

05:58Are you okay?

06:00Are you okay?

06:01Hi, Luca.

06:01I'm sorry.

06:02I'm absolutely fine.

06:03Let's get you sorted, can I?

06:04Please, thank you.

06:06If you have to save one, save her.

06:09It doesn't work like that, okay?

06:10I just need you and look at a hang tank.

06:20Come here, mate.

06:23No, no, no, don'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, Jan.

06:31Ooh, sorry.

06:33I'm so late.

06:34The town was absolutely gridlocked.

06:35It's mad out there.

06:36Faith's going into labour.

06:38What, now?

06:39Has she got, like, two months left?

06:42Yeah.

06:44Here, let's get some octitocin up.

06:47We'll do one gram of TXA, and let's do 800 milligrams of metacostal.

06:54We've prepped two units of Oneg, please.

06:56Right, lines in.

06:58Yeah, that's really tender around there.

07:00Really firm.

07:02Okay, I could be looking at an abruption.

07:03Um, Rita, are you okay to do, let's do FBCs, UNEs, plotting, and cross-match, please?

07:11Okay, she's still losing a lot of blood.

07:12Can we get some Inco pads, please?

07:13Off your own egg in.

07:15Okay, thank you.

07:16Just get her as quickly as I can, please.

07:19Hey, Stevie, emergency obstetrics are in theater and with a crash section.

07:22The uncle consultants are away in, but she's coming from home, so it's going to be half

07:25an hour at least.

07:26Right, okay, well, Bibi's breached, so what about your neonatal?

07:29No, they've got a septic 28-weeker barrier arrest.

07:31They're sitting down at ANNP, down at CPAP.

07:34Right, okay.

07:35Uh, so, yeah, let's, uh, let's do the delivery here.

07:39Okay, you guys are with Bibi, and we'll be with you.

07:42Yeah?

07:43Hey, hey, Bibi, can you follow me?

07:45Okay, okay, so, uh, Bibi wants to come early, wants to meet her auntie, Stevie.

07:49I know, Stevie, I don't know yet.

07:51Yeah, I think she's coming at home first.

07:52Okay, no, no, no, I know you feel that way, but we're going to do this together, okay?

07:57Me and you.

07:58Here?

07:59Mm-hmm, yeah, here, here, now.

08:01Hi.

08:02Well, it's me and you, so, brilliantly.

08:06Okay.

08:06Okay?

08:07Okay.

08:16It's your fault.

08:20If she dies, it'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, we're ready for a push, okay?

08:41Come on, Faith.

08:42One big push for me.

08:43Nice big push.

08:44Here 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.

08:52We've got two legs, we've got ten toes.

08:54Well done, Kat, again.

08:55Or Dean.

08:56Or Fernandez, whatever your name is.

08:58This is taking too long, Jodie.

09:00She's ready to come, okay?

09:02Yeah?

09:02So, let's finish it with this one, okay?

09:04Last big push.

09:05My mom.

09:07I'm going to take that as a yes, okay?

09:08Here we go.

09:09One big push for me.

09:10Here we go, you can do it.

09:11One big push, yes.

09:19What's happening?

09:23There you go, well done.

09:24Keep going, that's it, that's it, that's it, that's it, well done.

09:27Like that, like that, like that, yes.

09:28That's it, that's it, well done.

09:29Air down, that's it, there we go.

09:31Well done, well done, she's out.

09:33Well done.

09:34Well done, you.

09:35Yes!

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.

09:50Rest now, okay?

10:02I can't hear anything, Stevie.

10:05Okay, it's okay.

10:06It's okay.

10:28It's okay.

10:29She's 97 and GC's 15 throughout.

10:31Okay, thanks, we'll take you straight through, please.

10:33Do you know how Faith is?

10:35No, sir, I've been in queue because of all the morning.

10:37Let's see what I can find out.

10:41She's coming out.

10:41I'm out of here.

10:42Shh.

10:43She'll be okay.

10:45She'll be okay.

10:47Yeah.

11:11Right, okay, let's have a 800 meter prospital PR and we'll do

11:17oxytocin 10 units IV bolus and 40 to 500 mil bag over four hours, please, thank you.

11:23Increase IO2 to 100%, we'll do 30 seconds ventilation breaths.

11:28Come 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?

11:44Stevie Jacob.

11:46It's okay.

11:47Stevie?

11:48Ian.

11:48What's something?

11:49It's all right.

11:50Don't, don't.

11:50It's okay.

11:51It's okay.

11:52It's okay.

11:53Faith, I'm in on it.

11:54It's me.

11:54Can you hear me?

11:55Yeah, you're all right.

11:57You hear me, 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.

12:07Don't do this.

12:07Okay.

12:08Get off.

12:09Come on, get off.

12:09Get off.

12:10Get off.

12:11Please, thank you.

12:11Wake up, Faith.

12:12Stevie, do something now.

12:14Faith.

12:15Kim, come on, open up.

12:17It's me.

12:19Listener.

12:22Listen, 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?

13:08Kim?

13:09Kim?

13:10Kim?

13:23Oh, okay, uh, BP stabilising.

13:27Yeah, pulse is strengthening.

13:29Still tacky.

13:31Faith.

13:33Faith.

13:34Hey.

13:36Hey, sure you are.

13:40I think we've got the hemorrhage under control.

13:50It's okay, it's okay, it's just a placenta.

13:53Reduconate.

13:54Yep.

13:59There we go.

14:07Stay with that.

14:09That doesn't look complete to me.

14:10No, no, it's not okay, so...

14:13The rest must be attached to the uterus, which explains the bleeding.

14:17Yeah, I'll call obstetrics.

14:22Cheers, guys.

14:25Yeah, okay, um, yeah, they're going to want to take her to theater,

14:28because a part of the placenta is still attached, okay?

14:31It's okay, go, hold your hand.

14:37It's okay.

14:38It's me.

14:41You're well done.

14:48Okay, she's breathing.

14:55Go on, we'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.

15:11Come on.

15:13Congratulations, Danny.

15:15Thanks.

15:17Thanks.

15:31She's perfect.

15:44Come on, Dad.

15:51Kim?

15:55Kim?

15:56Kim, can you hear me?

16:07No, no.

16:08No, no, no.

16:23Ambulance services.

16:24Ambulance services.

16:25Patient breathing.

16:26Hiya.

16:27My name's Dr Matthew Lynn Laker.

16:29I work at Home VED.

16:30I need an ambulance to 72 Lindley Way.

16:33Mattie?

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.

16:41Okay, the nearest crew about 25 or 30 minutes away with the rose.

16:44No, Indy.

16:45No.

16:46Okay, she's pale.

16:47It pulses weak.

16:48I'm worried she's going to bleed out.

16:55Here we are.

16:58Like a little oven-ready chicken.

17:01Just needs to finish roasting in the bag first, don't you, eh?

17:04Hiya, baby.

17:05I'm your mommy.

17:07And I'm your hot aunt.

17:09Um, right.

17:11Names.

17:12Or name.

17:14Not yet.

17:15I thought we had more time.

17:16Okay, that's fine.

17:17I will just put her in the system as BB Dean for now.

17:22And, yeah, there's someone here who's desperate to meet a sister.

17:26Oh, there he is.

17:27There's my boy.

17:28Come here.

17:29Come on.

17:30Can you resist it?

17:31Oh, my goodness.

17:32Look at her.

17:32She's so small.

17:34You okay?

17:35Yeah, yeah, darling.

17:36I'm fine.

17:36I'm sorry they're scary in the car.

17:39You were amazing, though.

17:40Wouldn't he amazing?

17:41You were.

17:41Looking after your mom.

17:45You...

17:46I can't see her breathing.

17:48I can't see her breathing.

17:49Okay.

17:50All right, Fred.

17:51Come on.

17:51Uh, Luca.

17:51Uh, let's get some fresh air here, okay?

18:06Luca.

18:07Come on, mate.

18:10Yeah.

18:10Well, she's up in the hallway.

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 they're six weeks.

18:29That's why your sister needs a bit of help.

18:31And trust me, we can give her the help, okay?

18:35Hey.

18:36It's okay.

18:38I know it's a lot.

18:41I know it's a lot.

18:42What's that?

18:45Now, listen.

18:47You're gonna put your sister in an incubator in a nice, controlled environment.

18:51Then they're gonna take you up to neonatal intensive care.

18:53And those guys, whoo, they're amazing.

18:57Trust me, they know their stuff.

19:00You'll be in good hands, all right?

19:07You okay?

19:09You need your inhaler.

19:11You've got asthma, right?

19:12No.

19:14No.

19:17Mm-hmm.

19:18No.

19:23No.

19:24No.

19:25No.

19:48Okay, so obs-wise, I've checked the chest, the chest sounds crackly,

19:56and it's been about 10 since I got here.

20:08Okay, hold on. Let's put out code red, please.

20:11Alpha Sierra Helimed 86, code red.

20:16And should we turn out when we can?

20:18Okay, on roll. Ready, set, roll.

20:22Okay, let'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, okay, so 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?

20:42Okay, she's got shallow chest rise.

20:44Poor respiratory effort.

20:45Can you pass me the end tidal?

20:53Kim, if you can hear me, I'm just going to pop a little needle in your arm, okay?

20:56It's going to be a sharp scratch coming up.

20:59Gentlemen, show me.

21:04Did 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.

21:17Okay, okay.

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 sets have come up, so I'm moving in the right direction.

21:32I'm going to leave you to it, okay?

21:35Okay, nice.

21:36Thanks, bye.

21:43You're okay.

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, baby's your priority, but you said it in front of Luca,

21:58and Luca's already lost his dad.

22:00No, no, I 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-hmm.

22:13Well, of course you're going to say that, ain't you?

22:16Because here I am lying in a hospital bed needing fixing.

22:20And that seems to be the only time you want to be with me.

22:23I'm one dust.

22:24Hey, um, Nicky, I want to see you now, okay?

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, okay?

22:39Okay, I love you very much.

22:42You take good care of her, okay?

22:50You go with it.

22:51You go with it.

23:10Right, one more of these.

23:12Ice 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 man.

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, Rueda, liaiselating you.

24:05Yeah, I'll go now.

24:06And, uh, Jodie, ten minute orbs.

24:08Don't take your eyes off her.

24:09I will.

24:11Right, you.

24:12Get some rest.

24:13And I'll see you later.

24:27Hey, look, um, Mr. Chang, if you're not here to see a doctor, then...

24:32I need to see you.

24:33Five minutes.

24:34There are things you don't know.

24:38Okay.

24:39Take that seat.

24:47Um, so, 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.

25:17So, 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,

25:46I think she would listen.

25:50Right, okay.

25:51So, here's what we're gonna do.

25:53I will...

25:53Hey, um, sorry to interrupt.

25:55I'm afraid this is important.

25:56That's okay.

25:57This is, uh, Mr. Chang.

25:58Yeah.

25:58It's Kim's dad.

25:59And he was...

25:59I was told that he was here.

26:01I'm afraid it's actually you I need to speak to.

26:07Thanks to her and me...

26:08Ticko!

26:18Ticko!

26:21Ticko!

26:23Ticko!

26:24Ticko!

26:25Ticko!

26:28Ticko!

26:30Ticko!

27:31We'll be in a crossmatch.

27:32Just get a portable x-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.

27:46Why?

27:46Who 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.

27:54Smart enough or get out.

27:55Yeah, sorry.

27:56Right, Nicole, you do a primary survey, please.

27:58You OK?

27:59I'm on it.

28:02Guys.

28:03Guys, she's waking up.

28:04Kim?

28:06Kim?

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.

28:19Heart sound is irregular.

28:20It sounds like, yeah.

28:21All right, let's get the 12 lead on there, please.

28:24Yeah, pulse V2.

28:25OK, charge to 120.

28:28Let'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?

28:35Sink.

28:35Wait, at least give her some medazolam.

28:37She's still conscious.

28:38Matty, stand clear.

28:40Sinking.

28:41Matty.

28:44Sinking.

28:48Yeah, 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.

29:10Yeah.

29:11OK.

29:47It's clear.

29:50Completely clear.

29:52Just, um, 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?

30:10Uh...

30:13I would...

30:15I 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.

30:29Um, 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 is the cancer coming back.

31:00That fear might never leave you.

31:03But 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 that shut up 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.

31:44Look, um...

31:47My daughter is now your sister.

31:50So that makes us family forever.

31:52All right?

31:57Mum still loves you.

32:00I know she does.

32:01She told me.

32:02And you love her.

32:05So 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.

32:24When did you get so smart?

32:44Faith?

32:47Faith?

32:50Can I get some help, please?

33:13I want to see which one dies first with a whole 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.

33:23They're saving lives at a knife age here.

33:24And with the CQC coming back, they're not going to want a resident running 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 practicing.

33:37Look.

33:40Difficult cannulation spots.

33:43Hey.

33:44I'm going to be looking.

33:46Um, there's an absence of free fluid in the abdomen.

33:49Um, but, um, her IVC is very flat, so it looks like a perforated either duodenal gastric ulcer.

33:56She'll need a burn endoscopy.

33:58Her lab bloods came through.

34:02Geesh.

34:04Are you sure these are heres?

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, if she'd been depressed or suicidal, I didn't appreciate how bad

34:20it was, you know.

34:21I know it sounds naive, but...

34:22You said it yourself, you know, you didn't know how extreme it was.

34:25She's obviously been abusing over-the-counter meds and injecting weight-loss drugs.

34:31Well, we'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.

34:52Okay.

34:55Yeah, her uterus is inverted.

34:57Okay, um, 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 to have theatre ready in ten minutes.

35:06Or go and help them.

35:07Yeah, okay.

35:19Diane.

35:24I'm in renal failure.

35:29I have a kalemic and in metabolic acidosis.

35:34I expect my bloods probably show poor liver function too.

35:43My chest x-ray probably shows pulmonary edema.

35:46There 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.

36:20Okay.

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?

36:45No.

36:48You should do it.

36:52It's the last thing on your list.

37:06Dad.

37:11I'm sorry.

37:13Okay.

37:14I'm so sorry.

37:18Get yourself something from the fountain vending machine while I talk to your mum.

37:20Good luck.

37:22It's alright.

37:22I know you.

37:27Hi.

37:28How are we doing?

37:28Ian.

37:29Step by step, please.

37:29Steve here.

37:30What?

37:30It's alright.

37:30We're preaching.

37:31I mean, it's alright.

37:31No, I'm not.

37:32Let me see.

37:32Faith!

37:33Faith!

37:41Bye.

37:43See you when you wake up.

37:50Okay.

37:51You want me to begin?

37:53Yeah.

38:18Okay.

38:20Bougie.

38:22Yep.

38:30Okay.

38:34Careful going on.

38:39Yeah.

38:49Okay.

38:50Bougie out.

38:52Inflate the cough, please.

38:55Oh.

39:18Okay.

39:19We've entitled CO2.

39:42It's great.

39:45Double checking ventilator settings.

39:47All correct.

39:50RSI complete.

39:51That was textbook, Matty.

39:52Well done.

40:07Guys!

40:08Guys!

40:09Get suction with me.

40:11Yep.

40:11What have I done?

40:13Are 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.

40:19That means it's a GI.

40:19What if I've messed up?

40:20It's a GI, but that's not you.

40:22It's just B.E.A.

40:23Let's start compressions.

40:34Faith?

40:34Yeah.

40:34We're doing an inversion, okay?

40:36We're taking up the theatre now, but I'll come back and talk you through it, okay?

40:52Good.

40:53Off the chest.

40:59Back on the chest.

41:01Let's give another milligram adrenaline.

41:03Set up a prothrombin infusion at 1500 IU.

41:31Over seven minutes.

41:33Let's get more FFP.

41:35More platelets.

41:35It's more cryo.

41:36We'll continue 8.4% sodium bicarb.

41:39Now, let's give her some calcium and vitamin K. Let's go.

41:42Come on.

41:42How long's you been day?

41:45Bye.

42:01So sure.

42:09You said a piece, you know, I've touched today.

42:20Is there anything that we haven't tried?

42:23Anything?

42:46I should have told you this sooner I'm sorry it's taken until now for me to figure it out but

42:56the truth is Faith I did want to fix you but I wanted

43:11to fix you because I love you I love you so much and I don't know I don't know how

43:34I'm going to live the rest of my life without you to letting you go is the biggest

43:42stupidest thing I ever did

43:46and I was to God there was some way I couldn't do it

43:52so

44:01so

44:03so

44:13so

44:26time of death is 1445

44:37no no get off me get off me please please stop please stop

44:41just stop!

44:43Vent Strom

44:43التي she's gone

44:46she's gone

44:47she's gone

44:53unmuted

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47:46that way. I may have missed the first 24 years but, you know, as long as you're

47:54amenable to the idea, as long as you're here, I think we should we should have

47:56some 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. I

48:10haven't thought that. Wherever 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. The world is your oyster, and you are its pearl.

48:39Oh, Pearl. I like that. Yeah? Yeah. Yeah, me too. Yeah. Hi, Pearl. We're your mum and dad.

49:12Okay.

49:21Ahahaha, we're your mum.

49:29Peace.

49:30Peace, out.

49:32PeaceED.

49:33Peace.

49:33Jade, love.

49:34Me.

49:35Peace.

49:35Go for me.

49:37Peace.j娜,

Casualty S47E12 - Critical Decisions | British Medical Drama

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