- 2 days ago
S46 E01
Category
😹
FunTranscript
00:01My name is Stevie, and I was Kim's mentor during her rotation in A&E.
00:10I know Kim would have made a brilliant doctor.
00:16The bit I didn't know was that she wouldn't get to be around to hear me say that.
00:30Guys, as you well know, the last three days have been relentless.
00:38The overwhelming rise in patients presenting with respiratory illnesses has pushed this department to near collapse.
00:46And as such, the trust's request for military assistance has been accepted.
00:52An army aide will arrive from tomorrow.
01:13Do we know what we're dealing with yet?
01:16No. No. The virus remains unidentified.
01:22Two viral swabs have returned inconclusive. We are waiting on the results of a third.
01:26OK. Well, we know it's not flu, and the last time we were facing something like this, it was Covid,
01:31so...
01:32Which is why I think we need to prepare for the strong possibility that we are in the early days
01:37of a new pandemic.
01:39Half our team's off sick, so...
01:42Have we got enough PPE to protect the ones we've got here?
01:47Tomorrow, I'll be implementing Orbeez infection prevention and control strategy.
01:53Additional PPE supplies are being delivered, and visitor access will be restricted.
01:59Guys, I want you to take care of each other, OK?
02:03We may be about to re-enter hell.
02:28We may be about to re-enter hell.
02:31You look awful.
02:32Thank you. So do you.
02:36Um, any word on the third swab?
02:39No. Nothing yet.
02:41That's our best chance of knowing what's going on.
02:42I know. And we've only got one overflow area remaining as well.
02:46Hey, listen. I spoke to Nicole, and she said that we'd push back on her request for support of her
02:50OSCs.
02:51Look, I haven't had time to eat today, and you want me to diarise holding Nicole's hand?
02:54OK.
02:54When this is over, maybe mentoring Nicole might be good for you.
02:59Well, I'll have you here. Can you sign this for me?
03:01Yeah.
03:05Kim's death wasn't your fault, Stevie.
03:08Now, I know well-being offered online counselling sessions.
03:11It's been nearly a week since the funeral, and you haven't used any of it.
03:15The very fact you know that means I could report you to HR.
03:19Come on. I'm worried about it.
03:21Don't be. I'm fine.
03:27Well, who's G.A. Joe?
03:30That was my, um, C.O. when I first joined the army.
03:35Thank you for this.
03:43Who's your buyer?
03:44Can I buy?
03:46You look tired for him.
03:49Well, I had to sleep on my office floor last night, so...
03:55Shall we?
03:56Sure.
03:58So, medical engineering will raise the red flag over quarter blocks in the socks.
04:02Yeah, I'm sourcing an alternative delivery via different transports.
04:06Well, I can ask my lights to help.
04:08It's OK. We can manage.
04:09You know, I've only been here an hour.
04:12I already know it's the nurses that run this place.
04:15Let me, let me take that.
04:16Thank you very much.
04:17Er, resource please.
04:19Good to see you, Barry.
04:22He's helpful.
04:40Hiya.
04:41Sorry we're late.
04:43Parking was... mad.
04:45Hiya, Dale.
04:51I...
04:53Um...
04:53I haven't ordered any coffee because I...
04:56I mean...
04:58Er...
04:59It was milk, no sugar.
05:03Two sugars.
05:08How you been?
05:11Is what Mattie's saying, Joe?
05:14About this pandemic, if that's what this is.
05:17Are we all just sitting ducks?
05:19Waiting to catch her?
05:21It's too early to tell.
05:24Well, is it safe?
05:27Is it safe for Mattie to work?
05:29Mum, come on.
05:30I'm worried for you.
05:31Do you remember how sick your dad got in Covid?
05:34His dad spent a week in intensive care.
05:37We didn't think he was coming home.
05:38I'm sorry to hear that.
05:39Mmm.
05:45Anyway...
05:46Er...
05:46Mum...
05:47You said you wanted to ask questions if we were gonna spend more time together, you know?
05:51So...
05:51Just...
05:52Ask.
05:53You know, maybe...
05:54I'll...
05:55Get that deep enough after all.
05:57OK.
06:03OK.
06:05Hi, sir.
06:05Will you just go and speak to this gentleman here for me?
06:08OK.
06:09Can you wait here as well, please?
06:10Anyone with a respiratory issue...
06:11I need help!
06:12My wife!
06:13Please!
06:14She's pregnant!
06:16How many weeks is this?
06:1725.
06:1826.
06:19She's 26, please.
06:21No.
06:21It's too early, isn't it?
06:23Hi.
06:24Can I lean on me?
06:25There we go.
06:27There we go.
06:27There we go.
06:28Come on.
06:28It's the ambulance in the queue.
06:30I'll do over it myself as fast as I could, or...
06:32I'll just get there.
06:33Well, you're doing a brilliant job.
06:34Can I get you to stand?
06:34Oh!
06:35I'm going straight in, guys!
06:37I don't have any consultants available.
06:39I've got Dylan coming in in about 20 minutes.
06:41OK.
06:41Call him.
06:42Call him now.
06:43Call him now.
06:44I think your GP didn't really suit me.
06:46I needed something with a bit more excitement.
06:49When did you last have a drink?
06:53Er...
06:53I've been sober for six years.
06:55Mm-hmm.
06:58Er...
06:58We should...
06:59We should probably go, you know.
07:00We're supposed to be on.
07:01You can give me ten more minutes.
07:03Actually, I...
07:04I have a question.
07:07How?
07:07How...
07:08How do you keep a secret like that for 25 years?
07:11It wasn't like it was hard.
07:13Who wants an alky in the baby's life?
07:16But you didn't give me a chance.
07:18Yeah, but I did.
07:18I tried to.
07:21The night I found out I was pregnant,
07:23I went to your flat,
07:25but you weren't in.
07:27So I waited.
07:28I waited.
07:31But then you...
07:34came back...
07:36blind, drunk,
07:37with blood down your front.
07:38We didn't know if it was your own...
07:40or someone else's.
07:44But I...
07:45I remember thinking...
07:48I couldn't be a doctor.
07:50Let alone a dad.
07:54I needed to protect my baby from you.
08:03Sorry.
08:04Yeah.
08:07Hello.
08:07Dr Keogh.
08:12Uh...
08:12Um, okay.
08:13Yeah.
08:14Yeah.
08:15All right.
08:15Okay.
08:17Um...
08:17I'm sorry we have to go.
08:19It's an emergency.
08:20I barely know anything more than I did before.
08:22Do you have family?
08:23Friends?
08:25I mean...
08:25What did they think?
08:26I don't have anybody I can talk to about Matty, you know.
08:29What does it matter, Mum?
08:31It matters to me.
08:33I won't have anyone be ashamed of you.
08:35No, I'm not ashamed of Matty.
08:37I mean, trust me, this is all about...
08:38me.
08:39Mum, Mum, please don't make this any harder.
08:50All hands on deck today, I'm afraid.
08:53Sorry it's your first shift back.
08:55Hey, no, look, I've had for three weeks to do nothing.
08:56I'm actually happy to be here.
08:58Yes.
08:59Right, well.
09:00Raise yourself.
09:02I'm getting...
09:03I'm getting late.
09:05I'm getting late for my rounds.
09:06Sorry, Beryl, love.
09:07Are we holding you up?
09:08This one will pop that back on for me.
09:12Could you repeat the rounds and chase the rounds if they're not back in an hour?
09:16Yep.
09:17Beryl, I tell you what, whoever's folded this has done a shoddy job for me.
09:23Could you do them for me properly?
09:28She used to work here years ago as a nurse.
09:31She thinks she still does, bless her.
09:34It's a dementia.
09:35Well, why is she in there?
09:36I know, I know.
09:37It's not the best place for her, but if you keep her busy, she'll be fine.
09:41Now, could you take over Bay D for me?
09:44I need to be somewhere.
09:45Mr Gibson, he has lung cancer.
09:47I think the virus is exacerbating his symptoms, so...
09:52Cam, are you sure you're going to be okay with all this?
09:55Yeah.
09:55Yeah, no, I want to be here.
09:57Okay.
09:57Good luck.
09:59Mask barrel, love.
10:07Hi, sir.
10:07My name's Cam.
10:08I'm going to be your nurse for the rest of today.
10:10How are you feeling?
10:12Fourth time on this corridor.
10:14It's safe to say that I had more fun at my last colonoscopy.
10:18How do you think I'm feeling?
10:20Fair enough.
10:21Well, listen, I need to take your bloods.
10:22Is that okay?
10:23Yeah, well, get on with it.
10:24All right.
10:24Yeah, I will.
10:27I'm just going to pop that there.
10:38I've got cancerous cells that move faster than you.
10:45Enough.
10:48This man needs a mask?
10:50Okay.
10:50Yeah.
10:51This patient is 26 weeks pregnant.
10:53Had a quick look and the baby's crawling on.
10:55Sorry, can you just put that on for me, please?
10:58Coughing.
10:59Shortness of breath.
11:00Am I alright to give her Antonox?
11:03Dylan, am I alright to give her Antonox?
11:06No, no Antonox with that cough new.
11:08What's happening?
11:09We think your baby's coming.
11:11What, no? It's gonna be okay, though, isn't it?
11:14I tell you what, somebody call the obstetrics. I just want to speak to Rash.
11:22Hi there, we've got another preterm delivery.
11:25Gestation 26 weeks. Yeah, we need the neonatal resus team.
11:29Another one? Resus 1.
11:36Hey, can you arrange for the neonatal resus team to be sent to the ED?
11:39I need to speak to Faith and Ian.
11:41Oh, do you have a minute, Doctor?
11:45No rush.
11:46I'll be with you in a minute, Jessica.
11:50Hey. Hey.
11:52Guys, we're reviewing Niku's visitation.
11:55If the department decides to follow the ED's lead,
11:57there's a chance I may need to ask one of you to leave.
12:00But I'm really hoping it doesn't come to that.
12:03Neither of us are going anywhere.
12:06Is there any news from the consultant?
12:10It's the same, I'm afraid. There's no change.
12:14With Pearl's prematurity, we need to take each day as it comes.
12:21Look, I'm here on a Caesar rotation for the next month,
12:25so if there's anything I can do, anything at all,
12:28just let me know.
12:30Thanks, mate.
12:54Baby's nearly here.
12:56That's it, Laura.
12:57Well done.
12:58Keep going.
12:59That's it.
13:00That's it.
13:00That's it.
13:01Good, good.
13:01Well done.
13:02Well done.
13:02Well done.
13:06Why is it, Laura?
13:08It's beautiful.
13:10OK, so the baby's a bit floppy, he's not breathing,
13:12so let's cut this cord and...
13:16Is he OK?
13:17Well, he's not breathing at the moment,
13:19but we're going to have him transfer to neonatal
13:22and they'll try and stabilise him there, OK?
13:24Can we deliver the placenta?
13:26But you did great, Laura, OK?
13:28And your baby is in the best hands, I promise.
13:36Dylan.
13:37What's going on with you?
13:39Come on, we need Dr Keogh back in his room now.
13:42Sorry, sorry, sorry.
13:45It looks as though his heart's not beating at the moment.
13:48We can do everything we can to get him breathing, all right?
13:50OK.
14:04Keep taking deep breaths in that, Eileen.
14:05Someone will be with us in a minute.
14:07Hey, Eddie, you OK?
14:09Hey, yeah, this is Eileen, 72,
14:11exacerbation of COPD, worsening cough and shortness of breath.
14:14Sats on arrival at 80, rest to 36.
14:16She's had five milligrams of Cigutamol,
14:19500 micrograms of ipotropium
14:21and 100 milligrams of hypercortisone.
14:24OK, er, thank you.
14:25All right, let's, er, continue with oxygen here, please.
14:27A titurator saturations of 88 to 92%, thank you, Eddie.
14:30All right, Eileen, I'm going to leave you with them now, OK?
14:33It's all right.
14:34Don't fuss!
14:35I'm not fussing, I'm not fussing, I promise.
14:36Enough!
14:37I'm not eating cake for you, huh?
14:39Can I put this over you, all right?
14:43Nothing I haven't seen before, Alan.
14:48Eileen?
14:50As glamorous as ever in that gown.
14:53The price you can see over here, with those cataracts.
14:57You two know each other?
14:58Yeah, we were both teachers.
15:00Holby High, English department.
15:02Oh, God.
15:03We went through the long, thankless hours.
15:07All the marking.
15:09Catherine would be turning in her grave if she found out you'd turned into such a grumpy old man.
15:17It's all an act.
15:19He was a great teacher.
15:29Any news on the oxygen in the cylinder we stopped?
15:3110 at 5.
15:32I mean, they should have left distribution by now.
15:34Your guess is as good as mine.
15:35If we don't receive it soon, we won't have enough oxygen to treat the corridor patients.
15:39OK, well, how long will stocks last?
15:41Well, the rate we're going, uh, two, three hours.
15:47OK, listen.
15:48We ration the cylinders until the delivery arrives.
15:50Anybody wants one, they run across the senior doctor first, OK?
15:53Yeah.
15:53No exceptions.
15:54Excuse me.
15:55After you.
15:58Hi, Beryl, look.
16:14So, what's the ETA?
16:17Look, I've got a raise for a unit to pick up the delivery if distribution can't organise themselves.
16:23No, no, no, no.
16:24It's fine.
16:25I'll go around and go for it.
16:30It's a jam, it's awful.
16:31What's going on?
16:32The guy doesn't even think of this.
16:34OK?
16:41OK, sir, so we've got your bloods back and it looks like you've got quite severe anemia,
16:44so we're going to have to do a transfusion here, is that all right?
16:46That is a trip hazard.
16:49Poor boy.
16:52Excuse me.
16:53Sorry.
16:54You can't put him there.
16:55You've got to get me out of here, mate.
16:58Yeah, OK, I understand.
16:59I'll be with you shortly, OK?
17:01Nathan will be with you shortly.
17:03It's my missus's birthday.
17:04I understand.
17:04Where's your mask?
17:05Arse over tit.
17:06Someone is going to go.
17:08I need to clock off soon for my Brian.
17:10OK, shall we get you some sheets?
17:12See, we were really good at folding the sheets earlier.
17:14We need to...
17:16Are you OK?
17:18I'm so, so sorry.
17:20Did I hurt you?
17:21No, I'm so sorry.
17:23What idiot has left that in the middle of a corridor?
17:25So sorry, sir.
17:27Sorry, everyone.
17:29I'm reading, that's my fault.
17:31I know.
17:31I know, look.
17:32I was excited to be back, but just, babe, D, I, F.
17:35They're just...
17:36It's doing my head in.
17:37I don't know what I'm doing.
17:38Why are you calling them by their letters?
17:39Just because they're elderly doesn't mean you shouldn't learn their names.
17:43I didn't mean it like that.
17:44Just treat them like human beings.
17:46You might remember a bit better.
17:47My foot is really hurting.
17:50Sorry.
18:24You should be ready for it.
18:28Phoebe!
18:30This is Piotra, 20.
18:31Research two, guys.
18:32Presenting me severe.
18:33It's through to distress.
18:34A shortness of breath and angioedema to his gateway.
18:36We've treated it as anaphylaxis.
18:38Whoa, whoa, whoa, wait a minute.
18:40What is this?
18:40Any analysis about anaphylaxis?
18:42And when is the last time I am adrenaline?
18:43No to the first question and six minutes ago.
18:46Do you guys know any more about the virus?
18:48About how it's infecting people?
18:49No.
18:50Only what you do.
18:52On lift.
18:53Ready, ready.
18:54Lift.
18:57Say that again, mate.
18:58Bobby the Ape.
18:59Matthew, can you move?
19:00Bobby the Ape.
19:00Go ahead.
19:01I'm going to do a primary survey.
19:02Just going to check your airway, sir.
19:04Okay?
19:06Yes.
19:07Significant swelling of the airway.
19:08Let's do an adrenaline nebuliser and we'll do another 500 micrograms of adrenaline.
19:13Please.
19:14Struggling.
19:15We're pushing out properly at all.
19:17Yeah.
19:17Okay.
19:17Yeah, it's Strider.
19:18He's got cordoedema.
19:20Matthew, when you can, give it an opportunity and you participate in airway support.
19:23Yeah.
19:23Just get some oxygen on and help you breathe.
19:26Right, okay.
19:26This isn't working.
19:27You might need a surgical airway.
19:30Can I get the RSI kit, please?
19:33And the difficult airway trolley.
19:49Excuse me, lads.
19:50Yep.
19:51How do we?
19:52Yeah, Chef.
19:54The results of the third viral swab are back and they're negative.
19:57We're not dealing with the virus.
19:59How come we know even less than we did this morning?
20:01Well, for now, it's vital that we maintain safety proportions until we know anything more,
20:06okay?
20:06I'm gonna give you a shout when I know.
20:07Yep.
20:09Hey, stop messing about.
20:10I'll take that to base seven.
20:22He's still deteriorating.
20:24I'm struggling to get in here.
20:25Right, let's get the air gel out.
20:28What's happening with the lights?
20:35Yeah, okay.
20:36He's got severe glottic oedema.
20:38Right, we're not gonna be able to intubate.
20:39Uh, let's, um, yeah.
20:41Let's do a cricothyronomy.
20:45Scalpel.
20:45Oh, oh, oh.
20:58Oh.
20:59photon, light-kin.
21:00Ah!
21:04Oh!
21:05Oh!
21:06Oh.
21:08Oh, oh!
21:10Oh, oh.
21:11Oh, an intelligent!
21:13Oh, uh...
21:14Oh, an intelligent!
21:14Oh, incredible...
21:15Oh, en清 for Aladdin.
21:20That's perfect that's that's that's really really helpful
21:43You know more like more like money, okay more ladies and I can't sing not let's prep for a reflexology
21:47session. Yes closer place
21:51Let's attack the BBM please
21:54You
22:00And there's still some resistance yeah like yeah we've got in total but the tube must have gone down the
22:05right and the bronchus
22:06So it's only the right-hand side that's moving
22:1085% and title is still a bit low
22:17I watched a short circuit when the cylinder hit it
22:20Yeah, well at least it's just the lights
22:25Promptor monitors seem to be working. Help me test this board
22:29You move this out of the way
22:34Oh, he's sat still hovering at 90%
22:38Why can't we see him please
22:40He's but he's okay. He's safe
22:43Um, well as you know, he's with Nika at the moment and they've managed to get his heart started, which
22:48is great
22:49But um, I'm afraid the two of you just too ill to go up there at the moment
22:52You can't stop us from being with him. No one can even tell us what this thing we all have
22:56is
22:56Okay, no, but whatever it is we need to protect him from it
23:00Um, do you have any history of heart problems?
23:05Okay, um, I want to repeat the buzz please. Can we get a chest x-ray and an ECG as
23:09well?
23:11Please just let me see him
23:13Please
23:14And let's let's cut back on her fluids. Um, as soon as that x-ray comes, I want to see
23:18it please
23:19You've got an idea what it is, don't you?
23:21Let me talk to radiology. Okay, I want her top of the list
23:50Okay, yeah, never better by give it another go
23:54Yeah, let's do it
24:14Santa's still at 85. Yeah, I know. Okay, give me a bit more light please
24:18A bit more than that
24:20You okay?
24:22Yeah, fine
24:25Come on
24:29Okay
24:37Good okay, yeah numbers are normalizing and uh, we're adequately auctioneating so that's good
24:43Let's complete the RSI checklist please
24:52You know there's uh, always a place for your war wyverns underneath you in court if you ever get bored
24:59Thank you for this
25:00Thank you for this seriously, I appreciate it
25:02No worries
25:04Jack
25:08And you're still arriving in your transportation
25:11Yeah, of course
25:20What am I doing here?
25:22You're in hospital?
25:24You're in hospital
25:25Okay, I'm your nurse, I'm Cam
25:27Cam
25:28Yeah
25:28Yeah
25:30Beryl
25:56Beryl, I'm Beryl, I'm a nurse too
25:58Reminds me of the power artiches
26:00Back in the day when uh, when thingy was prime minister
26:04What was that?
26:05What was that?
26:05Churchill
26:05The Blitz
26:08Keith
26:09The 70s
26:10Oh
26:11Who do you think I am?
26:14I ran
26:17Marathons
26:18Not so long ago
26:21You're worse than my grandson
26:23Henry
26:24Not as bad as my grandson Isaac
26:28He would know I was dead
26:30He'd just done the bow
26:32I've blown his inheritance on cigarettes and Pinot
26:40She gonna be okay?
26:42We're doing everything we can
26:44Let's do some right
26:44Hey
26:48What's the doctor playing at?
26:50The doctor's gonna be here very soon
26:51Okay, I'll chase him
26:52But until that point, Master Acker
26:53I'm gonna need you to sit down for us
26:54Okay, it's a busy hospital
27:07Oh, Dylan
27:08Yeah
27:09Laura Beecher's x-ray
27:10Is that fluid on the nose?
27:13Er, that's pulmonary edema
27:15Erm, let's take her off her fluids
27:16And I'll give her some furosomide
27:18Save that
27:20Basically it means that her
27:21Her heart isn't
27:22Isn't pumping efficiently
27:24So that could be due to
27:25To heart failure
27:27Although it's quite rare in somebody of her age
27:29Sometimes it's an abnormal response to treatment
27:32Exposure to chemicals
27:34Um, they respond like this
27:35And with the rash around her mouth
27:37Backs that up
27:37Chemical exposure
27:38Will explain why the third bowel swab is negative
27:41Yeah, potentially exposed though
27:43I mean, there are no other patients presenting this one
27:45Yeah, but
27:45Dylan, this could be huge
27:47You've got to tell Siobhan and Pinot
27:49Well, but she might be an anomaly
27:52I don't
27:52I don't think it's a pattern yet
27:54Yet
27:55This isn't a pattern yet, Dylan
27:56Why are we waiting?
27:57Dylan, come on, this is you
27:58You're right about everything
28:00I'm not, Jodie, really
28:01I'm not
28:02I think we wait for more evidence
28:05Jodie, do you ever
28:06Do you ever think about your dad?
28:09What?
28:10I try not to think about him
28:13Some people don't change Dylan
28:15Max, he wasn't meant to be a dad
28:17So he never will be
28:38I don't think about him
28:39Right, Siobhan
28:39No, it's not a good time
28:40Our patients, okay
28:41Maybe all of them
28:42Dylan thinks he might be exposed to something like a chemical
28:45Just
28:46Jodie, with respect
28:47One of our patients, Laura Beach
28:49She's getting worse
28:50She's getting worse
28:51She's not getting better from treatment
28:52She's getting worse
28:53So we've got to find the source
28:54We've got to
28:55We've got to change the direction
28:56We've got to work how I
28:57Stop, stop
28:57Can I just stop you right there, okay?
28:59If Dr Keogh thinks his theory viable
29:01He should share it with Dr Byron
29:03And, until then
29:04Try staying within your pay grade, hmm?
29:25That's one
29:26Er, the pony
29:29Pony
29:31Sorry, I was unable to detect the land
29:33Keep you updated on the anaphylaxis patient, okay?
29:35I'm going to do it off the shop floor
29:38We need to talk
29:40I know, I already know
29:41I'm fine, I promise
29:43Okay, Mr Gibson
29:46The transfusion should be finished now
29:47So, er, Mr Gibson
29:51Mr Gibson
29:52Dr Byron, can I borrow you, please?
29:54Okay
29:55Er, take a look at his oxygen
29:59He is low, yeah
30:02Yeah, okay
30:03So, transfusion associated circle 3 overload
30:06Erm, let's stop the transfusion
30:08Gemma, can you give this gentleman
30:09Er, er, yeah, sorry
30:11Er, intravenous directly please
30:13I'll be allowed to calm her down
30:14Don't give him any more blood
30:15Get another oxygen cylinder
30:17Yeah, uh, yeah
30:18Blood gas shows CO2 at 14
30:20And a pH level of 7.24
30:22Yeah, er, she's got a respiratory acidosis
30:24What now, Beryl?
30:25Tachycardic and hypercapnic with hypoxia
30:27It's type 2 respiratory failure
30:28Beryl?
30:29Can you get her on in there
30:30Two litres of oxygen please
30:31Go back to bed please, back
30:32Er, can
30:33Can, can
30:34Can you make it two cylinders please?
30:35Yeah, I'll go to bed
30:36Thank you, sorry
30:50I don't know where my charts have gone
30:53I'll be right back, Beryl, okay?
30:54Someone's taken my charts
30:56It's been hours and hours
30:57Okay, please bear with me, okay?
31:00Byron, there was a delay
31:02Releasing the vehicle from the Byron's delivery
31:04Is another 20 minutes away
31:05Look, if you'd accepted my help in the first place
31:08It would have been here by now
31:12Just one
31:12Don't tell me that's all we've got
31:14Where's the last one?
31:16Okay guys, er, with me please
31:24We've got one oxygen canister and two patients that need it
31:28We can't just magic up a cubicle so
31:30We need to decide which one
31:32Advocate for your patients
31:33Er, Mrs Parrish's prognosis might be terminal
31:36But she needs that oxygen
31:38Well, her respect form shows she doesn't want ITU care or intubation
31:42Which she would probably end up on
31:44Mr Gibson's prognosis is better
31:49Yeah, I agree
31:50Mr Gibson would benefit more
31:52Can we reach a consensus on this?
31:54Chef
31:55We don't have a lot of time
31:59Okay, okay, Cam's right
32:00Okay, give the oxygen canister to Mr Gibson
32:03Let's run Mrs Parrish's neb on air for now
32:05She gets a cylinder the second the resupply arrives, okay?
32:08Yeah
32:09Seriously
32:10I mean, you only need to look at the woman
32:11To know if she needs the oxygen more than me
32:13Okay, Jack, I appreciate your help today
32:15But we are the medics
32:16So why don't you let us do our job?
32:18Thank you
32:23I think we need to consider full palliation here
32:27Can we call next to Ken to discuss?
32:29In the meantime, let's keep her as comfortable as we can
32:30And call the palliative care team
32:32So they're aware as well
32:34Thank you
32:36I'll give you to Wiley
32:37I don't want it
32:38I'm sorry, Alan
32:39Please
32:40I don't want it
32:42I'm sorry
32:44I don't want it
32:45Come on, please put it back on for me
32:46Mr Gibson, please
32:49That's it, deep breaths for me
32:55Well, I'll speak to Dr Kiel about another dose of therosamide
32:58The treatment seems to be working
33:01Is, um, is he on his own?
33:05He might not think his mum and dad love him, will he?
33:08If he's on his own up there
33:09The best team are looking after him, okay?
33:13But we do
33:15We love him
33:16I know
33:17I know you do
33:21Laura
33:23I'm
33:23I'm really sorry, but
33:24I have just got to run through some routine questions with you
33:28Erm
33:28The answer may help us reunite you with your baby
33:31Zach
33:32His name is Zach
33:34It's a lovely name
33:38Okay
33:40Erm
33:41Do you suffer from any stress at work?
33:44Do you drink?
33:45Or do you smoke?
33:47I want to see my baby
33:49I don't have time
33:50For these stupid questions
33:53I should be with him and instead I'm on trial
33:56No you're not
33:56We just want to see you
33:57And you're not letting us
33:59Laura, I am trying to help you
34:01Well then do your job and take me to my son
34:08Can you put your mask on please?
34:14I'm sorry
34:16I'm sorry
34:17About Laura
34:18I'm sorry
34:22Jodie
34:25Come on, ma'am
34:26What?
34:29You know what happens when you get too involved with patients?
34:35You know, I get other people might have the wrong idea of me
34:38But I didn't think you'd be one of them
35:04But I didn't think you'd be one of them
35:10So
35:10Come on, Piotr, mate
35:11Stay with us
35:50I can't do my rounds without them.
35:54Give my chance back.
35:56I need them back.
35:57Shut it, shut it.
35:58Shut up before you're rounds.
36:00Give my chance back.
36:02I need them back.
36:03Shut up.
36:09Get off!
36:10Get off!
36:12Stop resisting!
36:15Get off!
36:16Get off!
36:19I hope we've got you.
36:21It's all right.
36:22It's all okay.
36:23What are you doing?
36:24We need your help.
36:30What are you doing?
36:37Right.
36:38Nicole, can you add your ATF your smeg, please?
36:41And let's do a 10-illigram bolus of isosorbite dinitrate.
36:44Yeah.
36:45Why did you call me?
36:47I asked you to keep me updated, and you've had your phone on me all afternoon.
36:50Yeah, I did call.
36:51You didn't answer.
36:51Yeah, well, this is a simple case of oxygen fluids, okay?
36:54So from now on, might I suggest you use your medical degree to treat patients and not Duolingo.
36:57Nicole, how are we doing?
36:59Yeah.
36:59Okay, yeah.
37:00I think we're looking at a possible flash-palmary oedema.
37:03Corrupts throughout.
37:05What do you think's causing it?
37:06Dunno.
37:07Okay, Lisa, can we do an urgent x-ray, please?
37:10Let's stop fluids, and we'll repeat the ECG.
37:12And Nicole, when you're ready, let's do an IV infusion.
37:16We'll do two mils an hour, try treating up against the BEP.
37:21Sats arising?
37:22Yeah, yeah, they are.
37:26Stay with them.
37:26Keep the toes-eye.
37:27Keep me updated.
37:51Why am I here?
37:54It's okay, Beryl.
37:55Don't be afraid.
37:55We're here to help you, okay?
37:57It's Cam.
37:57Cam, your nurse.
37:58Cam.
38:00Cam.
38:03That's right, I'm Cam.
38:06Cam.
38:08Cam's going to help me.
38:10Yeah.
38:11Let's get you to bed now, okay?
38:12I'll take you back.
38:15Mom.
38:24Might have been a doctor who's doing the medicine.
38:26So do the medicine.
38:36Come on.
38:38Still one time.
38:44There's nothing more we can do.
38:45She's being moved to a side room.
38:46Jack, thank you.
38:47I don't know what we'd have done without your help today.
38:56I know, girl.
38:57I know.
38:57Give her some of the strong stuff.
38:59We've given her all the more things we can.
39:02Okay.
39:03You pass me a finger?
39:04You've done all right today, son.
39:11Listen, I can call Isaac for you if you want.
39:14I mean, I'm not really supposed to, but that...
39:16It's Henry.
39:18My grandson's Henry.
39:20Eileen's grandson is Isaac.
39:25I'm really sorry.
39:27It's all right.
39:30It's all right.
39:42Yeah, he's very unwell.
39:45Unwell.
39:47Sick?
39:49Yes.
39:49Yes.
39:50Sick.
39:51Look, he wanted to tell...
39:53No, Piotr wanted to tell you.
39:57Lena, he loves you.
40:00Okay?
40:02He loves you.
40:13That was tough, Eileen.
40:16Seriously tough.
40:18You did well.
40:20Keep your chin up.
40:26Okay, I'm okay.
40:28You need to toughen up your men, Baron.
40:31That lad wouldn't last a day in my unit.
40:33Weak links like him.
40:35Let the side down.
40:38No.
40:39I always knew you didn't have it, didn't you?
40:44To do what, Jack?
40:48Really, I just don't need a reminder.
41:05Doctor Keogh, can I get a second opinion, please?
41:07Doctor Nash has left.
41:10Yeah, yeah, yeah.
41:10Okay.
41:12Yeah, he's in respiratory distress, isn't he?
41:15Have we all got anaphylaxis?
41:16Yeah.
41:18All of the things normal, sats are normal, blood's normal?
41:21Yeah, pulmonary oedema, but the echo shows no heart failure,
41:24so we don't know what's causing...
41:25How long have you had that rash?
41:28That must have literally just developed.
41:31That's weird.
41:32I've seen two patients with the same rash today.
41:46Yeah, yeah, come in.
41:49It's chemical.
41:51The rashes are the symptomatic connection.
41:54Patients are reacting adversely to treatment.
41:57It's causing pulmonary oedema,
41:58and it's the slow-developing rash around the mouth.
42:00That proves it's chemical, right?
42:02Yeah, yeah, I've seen it before.
42:04A chemical attack in Afghanistan.
42:06Of course it's chemical.
42:07So, we need to isolate each case, locate the source,
42:12because we need to avoid a week like this a week again.
42:13Yeah, yeah, listen, I'm going to call St James.
42:15We've got a coordinator response on this.
42:17Oh.
42:19Yeah, what's up?
42:20Oh, um, so, um, as my line manager,
42:23I have a duty to inform you that, uh, that Matty...
42:28Matthew Lindlake...
42:28Matty.
42:29Matty, yeah, yeah, yeah.
42:30He's my son.
42:34Okay, Dylan, I...
42:35I don't...
42:37Whatever, man.
42:38Okay, just let's focus on this.
42:39If you want me to escalate it with HR myself,
42:41I'm happy to do that.
42:42Hold on, hold on.
42:43Dylan.
42:46Um, thank you for telling me.
42:49No worries.
42:56Hi, um, sorry, it's, um, Dr. Byron from the whole BED.
43:02Can you transfer me to your clinical lead, please?
43:04Presently.
43:09I miss Kim too, you know.
43:12I do, I just wanted to tell you.
43:15Hey, look, I know it's weird, but if you ever want to talk...
43:17About what?
43:18What wisdom could you possibly have to offer me, Matty?
43:21You are a barely competent junior.
43:23You couldn't be left alone with a patient for five minutes.
43:25Yeah, well, maybe you shouldn't have left him with me then.
43:27Oh, grow up.
43:29Really?
43:31Look, I know you're hurting, okay?
43:32I'm hurting too, except I'm not taking it out on everybody else.
43:35Or is that what you're trying to do?
43:36You're trying to push everybody away because you don't want to know the truth?
43:39Hold on a second.
43:40I do want to know the truth, okay?
43:42So don't you dare, don't you dare stand there and psychoanalyze me, okay?
43:45I want to know the truth.
43:46I'm so sick and tired of everyone walking around telling me,
43:48it's not my fault, it's not my fault, she's dead.
43:50Yeah, well, it is, okay?
43:51Yeah, I know that, Matty, okay?
43:53I know I'm guilty.
43:58Yeah, you are guilty.
44:00So am I.
44:11Um, yeah, no, I just, I want to let you know that, um,
44:14it turns out we're not dealing with the virus.
44:17Yeah.
44:19And, and, and, and, and Sarah, I've, I've thought about it,
44:21and I, um, I want to, I want to be honest with everybody about,
44:25about me and Matty.
44:27No, I've thought about it and I want this.
44:30It's taken Matty a long time to find his calling
44:33and I would hate to see him screw it up.
44:35No, I will take care of him.
44:41I'll keep him on the right path.
44:45You have my word.
Comments