- 2 days ago
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00:01My name is Stevie and I was Kim's mentor during her rotation in A&E.
00:11I 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 swaps 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.
01:32So...
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... Have we got enough PPE to protect the ones we've got here?
01:47Tomorrow, I'll be implementing Orbeet infection prevention and control strategy.
01:53Additional PPE supplies are being delivered and visitor access will be restricted.
01:58That's it. Guys, I want you to take care of each other, OK?
02:03We may be about to re-enter hell.
02:05We may be about to re-enter hell.
02:35Thank you. Um, 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 pushed back on her request for support of her
02:50OSC.
02:51Look, I haven't had time to eat today and you want me to dye her eyes holding Nicole's hand?
02:54OK, OK. When this is over, maybe mentoring Nicole might be good for you.
02:58Well, 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 wellbeing offered online counselling sessions.
03:11It's been nearly a week since the funeral and you haven't used any of it.
03:16The 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 hon.
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, uh, medical engineering have raised the red flag over quarter blocks in the SOX.
04:02Yeah, I'm sourcing an alternative delivery via different transports.
04:06Well, I can ask my lads 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. Er, resource, please.
04:19Good to see you, Barry.
04:23He's helpful.
04:40Hiya.
04:41Sorry we're late.
04:43Parking was... mad.
04:45Hiya, Dale.
04:52Hiya, Dale.
04:53I haven't ordered any coffee, because I... I mean, eh...
04:59Don't tell me, don't tell me. It was milk, no sugar.
05:03Two sugars.
05:08How you been?
05:11Is what Mattie's saying true?
05:14About this pandemic, if that's what this is.
05:17Are we all just sitting ducks waiting to catch you?
05:21It's too early to tell.
05:24Well, is it safe?
05:28Is 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.
05:45Anyway...
05:46Mum, you said you wanted to ask questions
05:48if we were going to spend more time together, you know?
05:50So, just ask.
05:53You know, maybe I'll get that decaf after all.
05:57OK.
06:01OK.
06:01If you don't sue to the orange ton over there, OK?
06:05Hi, sir.
06:06Will you just go and speak to this gentleman here for me?
06:08OK, can you wait here as well, please?
06:10Anyone with a respiratory issue...
06:12I need help!
06:12My wife, please!
06:14She's pregnant!
06:16How many weeks is she?
06:17Twenty-five.
06:18Twenty-six.
06:19She's 26.
06:21No, it's too early!
06:22It's too early!
06:23Are you worried?
06:24There we go.
06:27There we go.
06:28It's the ambulance you never came.
06:29I go over it myself as fast as I could, God.
06:32I'll just get in.
06:33Well, you're doing a brilliant job,
06:34can I get you to stand up?
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.
06:44Hi, Debbie.
06:45Your 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?
07:08How...
07:08How do you keep a secret like that for 25 years?
07:12It wasn't like it was hard.
07:13Who wants an Elkie in the baby's life?
07:16But you didn't give me a chance.
07:18Yeah, but I did.
07:19I tried to.
07:21The night I found out I was pregnant,
07:23I went to your flat,
07:25but you weren't in.
07:26So I waited.
07:28I waited.
07:31But then you...
07:34came back.
07:35Blind drunk.
07:37Blind drunk.
07:37With blood down your throat.
07:38We didn't know if it was your own.
07:40Or someone else's.
07:44But I...
07:45I remember thinking...
07:48Couldn'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. Keir.
08:12Okay.
08:13Yeah.
08:14Yeah.
08:15All right.
08:15Okay.
08:17I'm sorry.
08:18We have to go.
08:19It's an emergency.
08:20I barely know anything more than I did before.
08:22Do you have family?
08:24Friends?
08:25I mean...
08:25What did they think?
08:27I don't have anybody I can talk to you 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 me.
08:39Mum.
08:39Mum.
08:39Please 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.
08:55Look, I've had three weeks doing nothing.
08:56I'm actually happy to be here.
08:58Yes.
08:59Right, well.
09:00Raise yourself.
09:02I'm very...
09:03I'm very late.
09:05I'm late for my rounds.
09:06Sorry, Beryl, love.
09:07Are we holding you up?
09:08This one!
09:09Put that back on for me.
09:12Could you repeat the arms and chase bloods if they're not back in an hour?
09:16Yep.
09:17Beryl, I tell you what.
09:20Whoever'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.
09:39But if you keep her busy, she'll be fine.
09:41Okay.
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 going to be okay with all this?
09:55Yeah.
09:55Yeah, no.
09:56I want to be here.
09:57Okay.
09:57Good luck.
09:59Mask barrel, love.
10:07Hi, sir.
10:08My name's Cam.
10:08I'm going to be your nurse for the rest of today.
10:10How are you feeling?
10:12Full of 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.
10:21Um, well, 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.
10:45Um, this man needs a mask.
10:50Okay, yeah.
10:51Um, this patient is 26 weeks pregnant.
10:53I've had a quick look and the baby's crowning.
10:55Sorry, can you just put that on for me, please?
10:58Um, coughing, shortness of breath.
11:00Am I all right to give her entonox?
11:04Dylan, am I all right to give her entonox?
11:06No, no entonox with that cough, man.
11:09What's happening?
11:09We think your baby's coming.
11:11What, no?
11:12No.
11:12It's going to be okay now, isn't it?
11:14I tell you what, somebody call the obstetrics.
11:16I just want to speak to Rash.
11:22Hi there, we've got another preterm delivery.
11:25Gestation 26 weeks.
11:28Yeah, we need the neonatal resus team.
11:29Another one?
11:31Resus one.
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?
11:45Er...
11:45No rush.
11:46I'll be with you in a minute, Jessica.
11:50Hey.
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.
12:02Neither of us are going anywhere.
12:05Er...
12:06Is there any news from the consultant?
12:10It's the same, I'm afraid.
12:12There'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, well done.
13:03Well done.
13:06Oh, he's here, Laura.
13:08He's beautiful.
13:10Okay, so the baby's a bit floppy, he's not breathing,
13:12so let's cut this cord and, er...
13:16Is he okay?
13:17Er, well, he's not breathing at the moment,
13:19but we're going to have him transferred to neonatal
13:23and they'll try and stabilise him there, okay?
13:24Can we deliver the placenta?
13:26But you did great, Laura.
13:28Okay?
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.
13:45Um...
13:46Yeah, looks as though his heart's not beating at the moment.
13:48We're going to do everything we can to get him breathing, alright?
14:04It's taking deep breaths on that, Eileen, someone will be with us in a minute.
14:07Hey, Andy, you okay?
14:08Er, yeah, this is Eileen, 72, exacerbation of COPD,
14:12worsening cough and shortness of breath.
14:14Right, sir.
14:14Sat's on arrival at 80, rest to 36.
14:17She's had five milligrams of cigutamol,
14:19five hundred micrograms of ipotropium,
14:22and a hundred milligrams of hydrocortisone.
14:23Okay.
14:24Er, thank you.
14:25All right, let's, er, continue with oxygen here, please.
14:27A titrator saturator of 88 to 92%.
14:29Thank you, Andy.
14:30All right, Eileen, I'm gonna leave you with them now, okay?
14:33It's all right.
14:34It's all right.
14:34It's all right.
14:34Don't fuss!
14:35I'm not fussing, I'm not fussing.
14:36Enough.
14:37I've not eaten cake over here.
14:39Can I just put this over you?
14:40All 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.
14:55With those cataracts.
14:57Do you two know each other?
14:58Yeah, we were both teachers.
15:00Holby High, English department.
15:03We went through the long, thankless hours.
15:08All the marking.
15:09Catherine would be turning in her grave
15:11if 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?
15:32100.05.
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,
15:37we won't have enough oxygen to treat the corridor patients.
15:39Okay, well, how long will stocks last?
15:41Well, the rate we're going are two or three hours.
15:47Okay, listen.
15:48We ration the cylinders until the delivery arrives.
15:50Anybody wants one,
15:51they run across the senior doctor first, okay?
15:53Yeah.
15:53No exceptions. Excuse me.
15:55After you.
15:58Okay, Beryl, love.
16:14So what's the ETA?
16:17Look, I've been arranged for a unit to pick up the delivery
16:20if distribution can't organise themselves.
16:23No, no, no, it's fine.
16:25I've gone around and gone.
16:29Is it Jane? That's awful.
16:31What's going on?
16:32The guy's in the ETAs, okay?
16:34Interesting.
16:41Okay, sir, so we've got your bloods back
16:42and it looks like you've got quite severe anaemia,
16:44so we're going to have to do a transfusion thing.
16:45Is that all right?
16:46That is a trip hazard.
16:48Leave the poor boy alone.
16:52Er, excuse me, sorry.
16:54You can't put him there.
16:55You've got to get me out of here, mate.
16:58Er, yeah, okay, I understand.
16:59I'll be with you shortly, okay?
17:01Nathan will be with you shortly.
17:02It'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.
17:11Okay, shall we get you some, er, sheets?
17:12You were really good at folding the sheets earlier.
17:14We need to...
17:16Are you okay?
17:18I'm so, so sorry.
17:20Did I...
17:21Did I hurt you?
17:22No, I'm so sorry.
17:23What idiot has left that in the middle of the corridor?
17:25So sorry, sir.
17:27Sorry, everyone.
17:29Er, Rita, that's my fault.
17:31I know.
17:31I know, look.
17:32I was excited to be back, but just, babe, D, I, F.
17:36They'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.
17:51Okay, that's a good one.
17:55You guys are looking really busy.
17:58She's sitting there.
18:04She'llмер her in.
18:07You said...
18:07You can do her, there he takes a left side with theuating.
18:10They don't know how bad he is.
18:10But he's not even...
18:10It's been a good indoor four days.
18:11I noticed!
18:11No, no, no.
18:11Not that this is .
18:24We should be ready for it.
18:29Phoebe, this is Piotra, 20.
18:31Resource to you guys.
18:32Presenting with severe respiratory distress,
18:34shortness of breath and angiordema to his gateway.
18:36We've treated his anaphylaxis.
18:38Go, go, go, wait a minute.
18:40Any known allergies with anaphylaxis?
18:42And when did you last have I'm 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?
18:50No, only what you do.
18:52On lift.
18:53Ready, ready, lift.
18:57Said that again then?
18:59Matthew, can you move?
19:00Go ahead.
19:01I'm going to do primary survey to check your airway, sir, okay?
19:06Yes.
19:06Significant swelling at the airway.
19:09Now let's do an adrenaline nebuliser
19:11and we'll do another 500mg of adrenaline nebuliser, please.
19:14Struggling.
19:15You're not pushing air properly at all.
19:17Yeah, okay.
19:18Yeah, it's Strider.
19:18He's got four to oedema.
19:20Matthew, when you can give it to you,
19:21and you participate,
19:22you're going to need airway support.
19:23Yeah.
19:23Just get some oxygen on,
19:24help you breathe.
19:26Right, okay, this isn't working.
19:27You might need a surgical airway.
19:29Okay, can I get the RSI kit, please,
19:33and the difficult airway trolley.
19:49Excuse me, lads.
19:50Yep.
19:51How do we do?
19:52Yeah, sure.
19:54The results of the third viral swab are back and they're negative.
19:58We're not dealing with the virus.
19:59How come we know even less than we did this morning?
20:02Well, for now,
20:03it's vital that we maintain safety proportions until we know anything more, okay?
20:06Yep.
20:06I'm going to 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 any air in.
20:25Right, let's get the air gel out.
20:28What's happening with the lights?
20:35Yeah, okay, he's got severe glottic oedema.
20:38Right, we're not going to be able to intubate.
20:41Let's do a cricothyronomy.
20:45Scalpel.
20:59Hey, Fuji.
21:04Which other way?
21:05Is anybody hurt?
21:06Is anybody hurt?
21:07Is everyone okay?
21:15Oh, great.
21:19Now the lights decide to go.
21:20Let's just...
21:21That's perfect.
21:22That's...
21:22That's really, really helpful.
21:43No.
21:43No.
21:44More light.
21:44More light, Matty, okay?
21:45More light isn't like can't sing.
21:46Not let's prep for a reflexology session.
21:48Yes?
21:48Closer, please.
21:51Okay.
21:51Okay.
21:52Okay, let's attach the BBM, please.
22:00Um, there's still some resistance here, like?
22:03Yeah, we've got intubal, but the tube must have gone down the right knee on Broncos, so it's only the
22:06right-hand side that's moving.
22:10It's not 85%.
22:12Entitle's still a bit low.
22:17Right, what's the short circuit of when the cylinder hits it?
22:21Yeah.
22:21Well, at least it's just the lights.
22:25Promptor monitors seem to be working.
22:27Help me test this board.
22:29Can you move this out of the way?
22:34Okay, so that's still hovering at 90%.
22:38Why can't we see him?
22:39Please.
22:41But he's okay.
22:42He'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, but, um, I'm afraid the two of you are just too ill to go up there at the
22:52moment.
22:52You can't stop us from being with him.
22:54No one can even tell us what this thing we all have is.
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.
23:07Can we get a chest x-ray and an ECG as well?
23:11Please, just let me see him.
23:13Please.
23:14Um, let's, let's cut back on her fluids.
23:16Um, as soon as that x-ray comes, I want to see it, please.
23:19You've got an idea what it is, don't you?
23:22Let me talk to radiology, okay?
23:23I want her top of the list.
23:45It's a little light, wise.
23:47I think we're okay.
23:51Yeah, never better, Barron.
23:53You give it another go?
23:54Yeah, let's do it.
23:57Wow.
23:59Wow.
24:02Wow.
24:14It's after Stella 85.
24:15Yeah, I know.
24:16Okay, give me a bit more light, please.
24:18A bit more than that.
24:21You okay?
24:22Yeah, fine.
24:25Come on.
24:29Okay.
24:37Good, okay.
24:38Yeah, numbers are normalising, and we're adequately auctioneating, so that's good.
24:44Let's complete the RSA checklist, please.
24:52You know, there's always a place for your Royal Wyverns engineering court, if you ever get bored.
24:59Thank you for this.
25:00Seriously, I appreciate it.
25:02No worries.
25:04Jack.
25:08You still are ready in this transportation?
25:11Yeah, of course.
25:12You would.
25:20What am I doing here?
25:23You're in hospital.
25:24Okay?
25:25I'm your nurse.
25:26I'm Cam.
25:27Cam?
25:28Yeah.
25:29Beryl?
25:30I'm Beryl.
25:32I'm a nurse, too.
25:33I know you are, Beryl.
25:34I know.
25:35Listen, you were really helping me earlier with the sheets.
25:37Do you remember the bed sheets?
25:39You were folding them for me.
25:40Look, they're on the floor now.
25:41Now, if you can help me fold those, that would be great, Beryl, yeah?
25:46Thank you so much.
25:47I'll be with you soon.
25:48Okay?
25:50I'll be with you soon.
25:50Sorry.
25:51Sorry.
25:53Sorry.
25:55That should be it now with the lights, Mr. Gibson.
25:58Reminds me of the power artiches back in the day, when Thingy was Prime Minister.
26:04It was like Churchill, the Blitz.
26:09Keith, the 70s.
26:11Oh, do you think I am?
26:14I ran marathons not so long ago.
26:20You're worse than my grandson, Henry.
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.
26:40Is she going to be okay?
26:43We're doing everything we can.
26:44It's just a night.
26:44Hey.
26:48What's the doctor playing at?
26:50The doctor's going to be here very soon.
26:51Okay, I'll chase him, but until that point, Mr. Acker, I'm going to need you to sit down for us.
26:54Okay, it's a busy hospital.
27:07Oh, Dylan.
27:09Yeah.
27:10Laura Beecher's x-ray.
27:11Is that fluid on the walls?
27:13Er, that's pulmonary edema.
27:15Let's take her off her fluids and I'll give her some furosomide.
27:19Say, yeah.
27:20Basically, it means that her heart isn't pumping efficiently, so that could be due to heart failure,
27:27although it's quite rare in somebody of her age.
27:29Sometimes it's an abnormal response to treatment, exposure to chemicals.
27:34They respond like this with the rash around her mouth, like that, obviously.
27:38Chemical exposure would explain why the third bioswab is negative.
27:41Yeah, potentially exposed, though.
27:43I mean, there are no other patients presenting this one.
27:45Yeah, but, Dylan, this could be huge.
27:47You've got to tell Siobhan I'm playing.
27:49Well, but she might be an anomaly.
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, J.D., really.
28:01I'm not.
28:02I think we wait for more evidence.
28:05J.D., do 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, so he never will be.
28:38All right, Siobhan.
28:39No, it's not a good time.
28:40Our patients, okay, maybe all of them, Dylan thinks he might be exposed to something like
28:44a chemical.
28:45Well, just, Jodie, with respect.
28:47One of our patients, Laura Beach, okay, she's getting worse.
28:51She's not getting better from treatment, she's getting worse, so we've got to find the source.
28:54We've got to change the direction.
28:56We've got to work our lives.
28:57Can I just stop you right there, okay?
28:59If Dr. Keogh thinks his theory viable, he should share it with Dr. Byron.
29:04And until then, try staying within your pay grade.
29:25That's one, uh, DuPony, DuPony, uh...
29:31Sorry, I was unable to detect the language...
29:33Keep updated on the anaphylaxis patient, okay?
29:35I'm going to do that at the shop floor.
29:37But...
29:39We need to talk.
29:40I know, I already know.
29:42I'm fine, I promise.
29:44Okay.
29:45Okay, Mr. Gibson, the transfusion should be finished now, so...
29:49Uh, Mr. Gibson.
29:51Mr. Gibson.
29:52Uh, dogs, fire him.
29:53Can I borrow you, please?
29:54Okay.
29:57Uh, take a look at his oxygen seat.
30:01It is low, yeah.
30:03I think it's a transfusion associated circuitry overload.
30:06Um, let's stop the transfusion.
30:08Jenna, can you give this gentleman, uh, yeah, sorry, uh, intravenous diuretic, please, I think that will calm her down.
30:14Don't give him any more blood.
30:16Don't give him any more blood.
30:16Get another oxygen cylinder.
30:17Claire, uh, yeah, blood gas shows CO2 up 14 and a pH level of 7.24.
30:22Yeah, uh, she's got a respiratory acidosis.
30:24What now, Beryl?
30:26Tachycardic and hypocafenic with hypoxia is type 2 respiratory failure.
30:29Um, can you get her on in there?
30:30Two litres of oxygen, please.
30:32Yeah, absolutely.
30:32Go back to bed, please.
30:32Uh, can.
30:33Can, can you make it two cylinders, please?
30:35I was busy.
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 now.
30:57Okay, please bear with me, okay?
31:00Byron, there was a delay releasing the vehicle from the barracks.
31:04Delivery's another 20 minutes away.
31:06Look, if you'd accepted my help in the first place, it would have been here by now.
31:12Just one.
31:13Don't tell me that's all we've got.
31:14Where's the last one?
31:16Okay, guys, uh, with me, please.
31:24We've got one oxygen canister and two patients that need it.
31:27We can't just magic up a cubicle, so we need to decide which one.
31:32Advocate for your patients.
31:33Uh, Mrs Parrish's prognosis might be terminal, but she needs that oxygen.
31:39Well, her respect form shows she doesn't want ITU care intubation,
31:42which she would probably end up on.
31:44Mr Gibson's prognosis is better.
31:49Yeah, I agree.
31:51Mr Gibson would benefit more.
31:52Can we reach consensus on this?
31:55Shiv, we don't have a lot of time.
31:59Okay, okay, Cam's right.
32:01Okay, give the oxygen canister to Mr Gibson.
32:03Let's run.
32:04Mrs Parrish is 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 to know she needs the oxygen more than that.
32:14Okay, Jack, I appreciate your help today, but we are the medics,
32:16so why don't you let us do our job.
32:22Shiv, um, I think we need to consider full palliation here.
32:26Um, can we call next to Ken to discuss?
32:29In the meantime, let's keep her as comfortable as we can and call the palliative care team,
32:32so they're aware as well.
32:36I'll give you to what I mean.
32:37I don't want it.
32:38I'm sorry, Alan.
32:40Please!
32:41I 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.
32:50Deep breath for me.
32:55Well, I'll speak to Dr Keil about another dose of throsamide.
32:58The treatment seems to be working.
33:02Is, um...
33:02Is 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.
33:10The 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...
33:25I have just got to run through some routine questions with you.
33:28Erm...
33:29The answer may help us reunite you with your baby.
33:31Zack.
33:32His name is Zack.
33:34It's a lovely name.
33:41Erm...
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 for this stupid question.
33:53I should be with him and instead I'm on trial.
33:56No, you're not.
33:57We just want to see you.
33:58And 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.
34:17I'm sorry.
34:18I'm sorry.
34:18Oh, Laura.
34:19Sorry.
34:22Jodie.
34:25Come on, ma'am.
34:27What?
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.
34:39Wait her...
34:40Is that the...
34:40Oh...
34:42Is that the...
34:45Is that the...
34:47Call Lena.
34:50Zadzvon du Lenny.
34:52Powiedz je.
34:53Call Lena.
34:55Tell her.
34:57Powiedz je.
34:58Powiedz je.
34:59Powiedz je, Ĺľe jo kocham.
35:04Tell her I love her.
35:10Come on, Piotra, mate.
35:11Stay with us.
35:47Um, give my charts back.
35:50I can't do my rounds without them.
35:54Give my charts back. I need them back.
35:58Shut it, shut it. Shut up about your rounds.
36:00Give my charts back.
36:02I need them back.
36:03Shut up!
36:05Hey! Hey!
36:09Get off! Come on! Get off!
36:12I'm resisting!
36:15Get off! Get out of here!
36:19Get off!
36:19I hope we've got you.
36:21It's all right. It's all okay.
36:22What are you doing? We need your help.
36:25It's all right.
36:30Have a set?
36:37Right. Nicole, can you add draw 80 if yours might, please?
36:41And let's do a 10mg bolus of isosorbite di-nitrate.
36:45Yeah.
36:45Why didn't you call me?
36:47I asked me to keep me updated.
36:48And you've had your phone on me all afternoon.
36:50Yeah, I did call. You didn't answer.
36:51Yeah, well, this is a simple case of oxygen and fluids, okay?
36:54So from now on, might I suggest you use your medical degree to treat patients and not Duolingo.
36:57Nicole, how we doing?
36:59Yeah.
36:59Okay, yeah.
37:00Um, I think we're going to add a possible flash pulmonary oedema, perhaps throughout.
37:05What do you think's causing it?
37:06Dunno.
37:07Okay, uh, Lisa, can we do an urgent x-ray, please?
37:10Uh, let'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 2 mLs an hour, try treating up against the BP.
37:21So that's a riser?
37:23Yeah.
37:23Yeah.
37:24They are.
37:26Stay with them. Keep a close eye.
37:27Keep me updated.
37:27Keep me updated.
37:52Why am I here?
37:54It's okay, Beryl. Don't be afraid. We're here to help you, okay?
37:57It's Cam.
37:57Can you 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?
38:13I'll take you back.
38:15What?
38:24The doctor is doing the medicine.
38:26So do the medicine.
38:44There's nothing more we can do, she'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, I know
38:57Give us all the strong stuff
38:59We've given her all the morphine we can
39:02Okay, can you pass me a finger?
39:05You've done all right today, sir
39:09Thank you
39:11Listen, I can call Isaac for you if you want
39:14I mean, I'm not really supposed to, but
39:16It's Henry
39:18My grandson's Henry
39:20Eileen's grandson is Isaac
39:25I'm really sorry
39:26It's all right
39:30It's all right
39:41Yeah, he's very unwell
39:45Unwell
39:47Sick
39:48Yes
39:49Yes, yes, sick
39:51Look, he wanted to tell you
39:53No, Piotr wanted to tell you
39:57Lena, he loves you
39:59Okay
40:00He loves you
40:14That was tough, Eileen
40:16That was tough, Eileen
40:16Seriously tough
40:17You did well
40:20Keep your chin up
40:26I'm okay
40:27I'm okay
40:28You need to toughen up your men, Baron
40:31That lad wouldn't last a day in my unit
40:34Weak links like him, let the side down
40:38You know, I always knew you didn't have it in you
40:44To do what, Jack?
40:48Really, just don't need a reminder.
41:05Dr. Keogh, can I get a second opinion, please, Dr. Masher's left?
41:09Yeah, yeah, yeah, OK.
41:12Yeah, he's in respiratory distress, isn't he?
41:15Have we all got anaphylaxis? Yeah.
41:18All of the things normal, sats are normal, blood's normal?
41:21Yeah, pulmonary oedema.
41:23But the echo shows no heart failure, so we don't know what's causing...
41:25How has he had that rash?
41:28That must have literally just developed.
41:31That's weird. I've seen two patients with the same rash today.
41:46Yeah, yeah, come on.
41:50It's chemical.
41:51The rashes are the symptomatic connection.
41:54Patients are reacting adversely to treatment.
41:57It's causing pulmonary oedema, and 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. Of course it's chemical.
42:08So, we need to isolate each case, locate the source, because we need to avoid a week by this week
42:13again.
42:14Yeah, yeah, listen, I'm going to call St. James. We've got a coordinated response on this.
42:17Oh!
42:19Yeah, what's up?
42:21Oh, um, so, um, as my line manager, I have a duty to inform you that, er, that Matty...
42:27Matty...
42:28Matty...
42:28Linlake...
42:29Matty...
42:29Matty, yeah, yeah, yeah.
42:30He's my son.
42:34Okay, Dylan, I... I don't...
42:37Whatever, man. Okay, just, let's focus on this.
42:39If you want me to escalate it with HR myself, I'm happy to do that.
42:42Hold on, hold on.
42:43Dylan.
42:46Um, thank you for telling me.
42:50No worries.
42:56Hi, um, sorry, it's, um, Dr. Byron from OBED.
43:02Can you transfer me to your clinical lead, please?
43:04Pergently.
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?
43:19What 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?
43:37You'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 psychoanalyse me, okay?
43:45I want to know the truth.
43:46I'm so sick and tired of everyone walking around telling me,
43:49it'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.
43:58You're guilty.
43:58Yeah, you are guilty.
44:00So am I.
44:12Yeah, I know, I just, I want to let you know that, um, it turns out we're not dealing with
44:16a virus.
44:17Yeah, and Sarah, I've thought about it and I, um, I want to, I want to be honest with everybody
44:24about, uh, about me and Matty.
44:27Now, 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.
44:36I will take care of him.
44:41I'll keep him on the right path.
44:45You have my word.
44:48I'll keep him on the right path.
44:49I'll keep him on the right path.
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