🏘️ Casualty (1986) - Season 48 Episode 1 ★ SEASON PREMIERE
Every day brings new lives, new challenges, new heartbeats. In Episode 1 "First Shift, New Stakes", Holby City's Emergency Department welcomes a new season with fresh faces, returning favorites, and cases that test skill, compassion, and resilience. From a multi-vehicle crash on the motorway to a quiet moment of connection in the waiting room, the team proves that in the ED, every second counts — and every person matters.
🔹 Episode Highlights:
• Season premiere energy: new staff arrivals, evolving relationships & high-stakes cases
• Major incident: a multi-casualty event tests triage, teamwork & quick decision-making
• Personal stories: patients' lives intersect with the staff's own struggles and hopes
• Emotional depth: moments of loss, triumph, and the quiet heroism of everyday care
• Signature Casualty intensity: medical authenticity + human drama + unforgettable storytelling
🔹 Series Info:
• Format: Medical Drama / Hospital Serial / Ensemble Cast
• Original Network: BBC One (UK) / BBC iPlayer / International Syndication
• Series Launch: 1986 | Season: 48 | Episode: 1 | Title: "First Shift, New Stakes" ★ PREMIERE
• Setting: Holby City Emergency Department, UK | Language: English
• Runtime: ~50-60 minutes (full) | Clip/Highlight version: ~10-15 min
🎧 Prefer audio? Listen to medical drama recaps & healthcare podcasts on Spotify, Apple Podcasts.
👉 Enjoying the series? Hit LIKE, SUBSCRIBE, and comment: "Which character are you most excited to follow this season? 👇" Turn on notifications 🔔 for Episode 2!
#ShowTVMovies #Casualty #BBC #FirstShiftNewStakes #S48E01 #MedicalDrama #HospitalTV #BingeWatch #BritishTV #EmergencyDepartment
⚠️ Copyright Disclaimer: This video is shared for promotional, review, and informational purposes only. All rights to "Casualty" belong to BBC Studios, Boundless, and associated producers. This upload complies with Fair Use guidelines (Section 107, U.S. Copyright Act). No copyright infringement intended.
Every day brings new lives, new challenges, new heartbeats. In Episode 1 "First Shift, New Stakes", Holby City's Emergency Department welcomes a new season with fresh faces, returning favorites, and cases that test skill, compassion, and resilience. From a multi-vehicle crash on the motorway to a quiet moment of connection in the waiting room, the team proves that in the ED, every second counts — and every person matters.
🔹 Episode Highlights:
• Season premiere energy: new staff arrivals, evolving relationships & high-stakes cases
• Major incident: a multi-casualty event tests triage, teamwork & quick decision-making
• Personal stories: patients' lives intersect with the staff's own struggles and hopes
• Emotional depth: moments of loss, triumph, and the quiet heroism of everyday care
• Signature Casualty intensity: medical authenticity + human drama + unforgettable storytelling
🔹 Series Info:
• Format: Medical Drama / Hospital Serial / Ensemble Cast
• Original Network: BBC One (UK) / BBC iPlayer / International Syndication
• Series Launch: 1986 | Season: 48 | Episode: 1 | Title: "First Shift, New Stakes" ★ PREMIERE
• Setting: Holby City Emergency Department, UK | Language: English
• Runtime: ~50-60 minutes (full) | Clip/Highlight version: ~10-15 min
🎧 Prefer audio? Listen to medical drama recaps & healthcare podcasts on Spotify, Apple Podcasts.
👉 Enjoying the series? Hit LIKE, SUBSCRIBE, and comment: "Which character are you most excited to follow this season? 👇" Turn on notifications 🔔 for Episode 2!
#ShowTVMovies #Casualty #BBC #FirstShiftNewStakes #S48E01 #MedicalDrama #HospitalTV #BingeWatch #BritishTV #EmergencyDepartment
⚠️ Copyright Disclaimer: This video is shared for promotional, review, and informational purposes only. All rights to "Casualty" belong to BBC Studios, Boundless, and associated producers. This upload complies with Fair Use guidelines (Section 107, U.S. Copyright Act). No copyright infringement intended.
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FunTranscript
00:01My name is Stevie
00:04and 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
00:20was 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...
00:35relentless.
00:37The overwhelming rise in patients presenting with respiratory illnesses
00:42has pushed this department to near collapse.
00:46And as such, the Trust's request for military assistance has been accepted.
00:51An army aide will arrive from tomorrow.
01:12Do we know what we're dealing with yet?
01:16No. No.
01:18The virus remains unidentified.
01:21Two viral swabs have returned inconclusive.
01:24We are waiting on the results of a third.
01:26Okay. Well, we know it's not flu.
01:28And the last time we were facing something like this, it was Covid, so...
01:31Which is why I think we need to prepare for the strong possibility
01:35that we are in the early days of a new pandemic.
01:38Half our team's off sick, so...
01:41Have we got enough PPE to protect the ones we've got here?
01:46Tomorrow, I'll be implementing Orbeez infection prevention and control strategy.
01:52Additional PPE supplies are being delivered
01:55and visitor access will be restricted.
01:59Guys, I want you to take care of each other, okay?
02:03We may be about to re-enter hell.
02:04...
02:27Go.
02:30You look awful.
02:33So do you.
02:36Um, any word on the third swab?
02:38No, nothing yet.
02:40God, that's our best chance of knowing what's going on.
02:42I know, and we've only got one overflow area remaining as well.
02:45Hey, listen, I spoke to Nicole and she said that we'd push back on her request for support
02:49of her OSC.
02:50Look, I haven't had time to eat today and you want me to die her eyes holding Nicole's
02:53hand?
02:53OK, OK.
02:54When this is over, maybe mentoring Nicole might be good for you.
02:57When I have you here, can you sign this for me?
03:04Kim'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 them.
03:15The very fact you know that means I could report to the HR.
03:18Come on.
03:19I'm worried about it.
03:20Don't be.
03:21I'm fine.
03:26What?
03:28Who's G.A. Joe?
03:30That was my, um, C.O. when I first joined the army.
03:34Thank you for this.
03:42Who's your buyer?
03:43Can I buy?
03:45You look tired, Flynn.
03:49Well, I had to sleep on my office floor last night, so.
03:54Shall we?
03:56Sure.
03:57So, uh, medical engineering have raised the red flag over port-a-blocks and it sucks.
04:02Yeah, I'm-I'm sourcing an alternative delivery via different transports.
04:05Well, I can ask my lads to help.
04:07It's OK, we can manage.
04:08You know, I've only been here an hour.
04:11I already know it's the nurses that run this place.
04:14Let me-let me take that.
04:15Thank you very much.
04:16Er, resource please.
04:18Good to see you, Barry.
04:19Mm.
04:22He's helpful.
04:39Hiya.
04:41Sorry we're late.
04:42Parking was mad.
04:44Hiya, Dale.
04:51I, um, I haven't ordered any coffee because I, I mean, er, tell me, don't tell me.
04:59It was milk, no sugar.
05:02Two sugars.
05:07How you been?
05:10Is what Mattie's saying true?
05:13Without this pandemic, if that's what this is.
05:16Are we all just sitting ducks waiting to catch her?
05:20It's too early to tell.
05:24Well, is it safe?
05:27Is it safe for Mattie to work?
05:28Mum, come on.
05:29I'm worried for you.
05:31Do you remember how sick your dad got in Covid?
05:33His dad spent a week in intensive care.
05:36We didn't think he was coming home.
05:37I'm sorry to hear that.
05:38Mm.
05:44Anyway, er, Mum, you said you wanted to ask questions if we were going to spend more time
05:49together, you know, so, just ask.
05:52You know, maybe I'll get that decaf after all.
05:56OK.
06:01If you don't suit it, the orange tent over there, OK?
06:04Hiya, sir.
06:05Will you just go and speak to this gentleman here for me?
06:08OK, can you wait here as well, please?
06:09Anyone with a respiratory issue, please?
06:11I need help!
06:12My wife, please!
06:13She's pregnant!
06:15How many weeks is she?
06:1725.
06:1826.
06:1926.
06:19She's 26 weeks.
06:20No!
06:21It's too early!
06:22Are you worried?
06:23Are you going to lean on me?
06:25There we go.
06:27It's the ambulance in every care.
06:29I do over it myself as fast as I could, guys.
06:31I'll just get in.
06:32Well, you're doing a brilliant job.
06:33Can I get you to stand?
06:34I'm going straight in, guys.
06:36I don't have any consultants available.
06:38I've got Dylan coming in in about 20 minutes.
06:40OK, call him.
06:41Call him now.
06:44I don't know if your GP didn't really suit me.
06:46I needed something with a bit more excitement.
06:48When did you last have a drink?
06:52I've been sober for six years.
06:55Mm-hmm.
06:58We should probably go.
06:59You know, we're supposed to be on.
07:00You can give me 10 more minutes.
07:02Actually, I have a question.
07:06How?
07:07How do you keep a secret like that for 25 years?
07:11It wasn't like it was hard.
07:12Who wants an alky in the baby's life?
07:16But you didn't give me a chance.
07:17Yeah, but I did.
07:18I tried to.
07:20The night I found out I was pregnant,
07:22I went to your flat,
07:24but you weren't in.
07:26So I waited.
07:28I waited.
07:30But then you
07:33came back
07:34blind, drunk,
07:36with blood down your front.
07:37We didn't know if it was your own
07:38or someone else's.
07:43But I remember thinking
07:47I couldn't be a doctor,
07:50let alone a dad.
07:54I needed to protect my baby
07:56from you.
08:02Sorry, I've got...
08:03Yeah.
08:06Hello, Dr. Keogh.
08:11Uh, um, okay.
08:12Yeah.
08:14Yeah, all right.
08:15Okay.
08:16Um, I'm sorry.
08:17We have to go.
08:18It's an emergency.
08:19I barely know anything more
08:20than I did before.
08:21Do you have family?
08:23Friends?
08:24I mean,
08:25what did they think?
08:26I don't have anybody
08:26I can talk to you about Matty,
08:28you know.
08:28What does it matter, Mum?
08:31It matters to me.
08:33I won't have anyone
08:33be ashamed of you.
08:34No, I'm not ashamed of Matty.
08:36I mean, trust me,
08:36this is all about me.
08:38Mum, mum,
08:39please don't make this any harder.
08:43I don't know.
08:44I don't know.
08:45I don't know.
08:46I don't know.
08:48I don't know.
08:49All hands on deck today,
08:51I'm afraid.
08:52Sorry it's your first shift back.
08:54Hey, no, look,
08:54I've had three weeks
08:55to do nothing.
08:56I'm actually happy to be here.
08:57Yes.
08:58Right, well,
09:00raise yourself.
09:02I'm getting,
09:03I'm getting late.
09:04I'm late for my rounds.
09:06Sorry, Beryl, love.
09:07Are we holding you up?
09:08This one.
09:09Well, pop that back on for me.
09:11Could you repeat
09:12and chase blood
09:14if they're not back in an hour?
09:15Yep.
09:17Beryl,
09:18I tell you what,
09:19whoever's fond of this
09:20has done a shoddy job for me.
09:22Could you do them for me properly?
09:27She used to work here
09:28years ago as a nurse.
09:31I think she still does,
09:32bless her.
09:33It's a dementia.
09:34Well, why is she in there?
09:35I know, I know.
09:37It's not the best place for her,
09:38but if you keep her busy,
09:39she'll be fine.
09:40Now,
09:41could you take over Bay D for me?
09:43I need to be somewhere.
09:44Mr. Gibson,
09:45he has lung cancer.
09:47I think the virus
09:48is exacerbating his symptoms,
09:51so...
09:51Cam,
09:52sure you're going to be okay
09:53with all this?
09:54Yeah.
09:55Yeah, no,
09:55I want to be here.
09:56Okay, good luck.
09:58Mask barrel up!
10:06Hi, sir.
10:07My name's Cam.
10:08I'm going to be your nurse
10:08for the rest of today.
10:09How are you feeling?
10:11Fourth time on this corridor.
10:14It's safe to say
10:14that I had more fun
10:15at my last colonoscopy.
10:17How do you think I'm feeling?
10:19Fair enough.
10:20Well, listen,
10:21I need to take your blood.
10:22Is that okay?
10:22Yeah, well, get on with it.
10:23All right.
10:23Yeah, I will.
10:26I'm just going to pop that there.
10:37I've got cancerous cells
10:39that move faster than you.
10:48This man needs a mask.
10:49Okay, yes.
10:50This patient is 26 weeks pregnant.
10:52I've had a quick look
10:53and the baby's crown on.
10:54Sorry, can you just put that on for me, please?
10:57Um, coughing, shortness of breath.
10:59Am I all right to give her Antonox?
11:03Dylan, am I all right to give her Antonox?
11:05No, no Antonox with that cough, man.
11:08What's happening?
11:08We think your baby's coming.
11:10What, no?
11:11No.
11:11It's going to be okay, though, isn't it?
11:13No, no, no.
11:13I tell you what,
11:14somebody call the obstetrics.
11:15I just want to speak to Rash.
11:22Hi there, we've got another preterm delivery.
11:24Uh, gestation 26 weeks.
11:27Uh, yeah, we need the neonatal resus team.
11:29Another one?
11:30Resus one.
11:35Hey, can you arrange for the neonatal resus team
11:37to be sent to the ED?
11:38I need to speak to Faith and Ian.
11:41Oh, do you have a minute, doctor?
11:42Uh, no rush.
11:45I'll be with you in a minute, Jessica.
11:49Hey.
11:50Hey, um, guys,
11:52we're reviewing Niku's visitation.
11:54If the department decides to follow the ED's lead,
11:57there's a chance I may need to ask one of you to leave.
11:59But I'm really hoping it doesn't come to that.
12:02Neither of us are going to never.
12:04Um, is there any news from the consultant?
12:09It's the same, I'm afraid.
12:11There's no change.
12:13With Pearl's prematurity,
12:15we need to take each day as it comes.
12:20Look, I'm here on a Caesar rotation for the next month,
12:24so if there's anything I can do,
12:26anything at all,
12:27just let me know.
12:29Thanks, mate.
12:53Baby's nearly here.
12:55That's it, Laura.
12:56Well done.
12:57Keep going.
12:58That's it.
12:59That's it.
12:59That's it.
13:00Good, good.
13:01Well done.
13:01Well done.
13:01Well done.
13:03Well done.
13:05Why is it, Laura?
13:07It's beautiful.
13:09Okay, so the baby's a bit floppy.
13:11He's not breathing,
13:12so let's cut this cord and, uh...
13:15Is he okay?
13:16Uh, well, he's not breathing at the moment,
13:18but we're going to have him transferred to, uh, neonatal,
13:22and they'll try and stabilise him there, okay?
13:24Can we deliver the placenta?
13:25But you did great, Laura.
13:27Hating your baby is in the best hands, I promise.
13:35Dylan.
13:37What's going on with you?
13:38Come on, we need Dr Keogh back in his room now.
13:42Sorry, sorry, sorry.
13:45Um...
13:45It looks as though his heart's not beating at the moment.
13:47We're going to do everything we can to get him beating, all right?
14:03Keep taking deep breaths on that, Eileen.
14:05Someone will be with us in a minute.
14:06Hey, Andy.
14:07Hey, yeah, this is Eileen, 72.
14:10Exacerbation of COPD, worsening cough, and shortness of breath.
14:13Sat's on arrival at 80, rest to 36.
14:16She's had 5 milligrams of subutamol,
14:18500 micrograms of ipotropium,
14:21and 100 milligrams of hydrocortisone.
14:23Okay, uh, thank you.
14:24All right, let's, uh, continue with oxygen here, please.
14:26A titrator saturator of 88, 92%.
14:29All right, Eileen, I'm going to leave you with them now, okay?
14:32It's all right, it's all right.
14:33Don't fuss!
14:34I'm not fussing, I'm not fussing, I promise.
14:36I've nothing capable of.
14:38Can I put this over you?
14:39All right.
14:42Nothing I haven't seen before, Alan.
14:47Eileen?
14:49As glamorous as ever in that gown.
14:52The price you can see over here, with those cataracts.
14:56You two know each other?
14:57Yeah, we were both teachers.
14:59Hold me high in this department.
15:02God, we went through the long, thankless hours.
15:07All the marking.
15:08Catherine would be turning in her grave
15:10if she found out you'd turned into such a grumpy old man.
15:16It's all an act.
15:18He was a great teacher.
15:28And then we used on the oxygen in the cylinder, we stopped.
15:31I don't know, five.
15:31I mean, they should have left distribution by now.
15:33Your guess is as good as mine.
15:35If we don't receive it soon,
15:36we won't have enough oxygen to treat the cordial patients.
15:39Okay, well, how long will stocks last?
15:40Well, the rate we're going,
15:42uh, two, three hours.
15:46Okay, listen, we ration the cylinders
15:48until the delivery arrives.
15:49Anybody wants one,
15:50they run across the senior doctor first, okay?
15:52Yeah.
15:53No exceptions.
15:54Excuse me.
15:54After you.
15:57Okay, barrel, love.
16:14So, what's the ETA?
16:16Look, I've got a raise for a unit
16:19to pick up the delivery of distribution
16:21called an organiser.
16:22No, no, no, it's fine.
16:24I've gone around.
16:29It's a genius offer.
16:30What's going on?
16:32The guy doesn't even think of this, okay?
16:39Okay, sir, so we've got your bloods back
16:41and it looks like you've got quite severe anemia
16:43so 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.
16:51Uh, excuse me.
16:53Sorry.
16:53You can't put him there.
16:55You've got to get me out of here, mate.
16:57Uh, yeah, okay, I understand.
16:59I'll be with you shortly, okay?
17:00Nathan will be with you shortly.
17:02It's my missus's birthday.
17:03I understand.
17:04Where's your mask?
17:04Arse over tit.
17:06Someone is going to go.
17:07I need to clock off soon for my Brian.
17:10Okay, shall we get you some, uh, sheets?
17:12You were really good at folding the sheets earlier.
17:13We need to...
17:15Are you okay?
17:17I'm so, so sorry.
17:19Did I hurt you?
17:21No, I'm so sorry.
17:22What idiot has left that in the middle of a corridor?
17:24Oh, so sorry, sir.
17:26Sorry, everyone.
17:28I'm reading, that's my fault.
17:30I know, look, I was excited to be back,
17:33but just, babe, D, I, F,
17:35they're just, it's doing my head in.
17:36I don't know what I'm doing.
17:37Why are you calling them by their letters?
17:39Just because they're elderly
17:40doesn't mean you shouldn't learn their names.
17:42I didn't mean it like that.
17:43Just treat them like human beings.
17:45You might remember a bit better.
17:47My foot is really hurting.
17:49Sorry.
17:50I don't know what I'm doing.
18:23Thanks, we should be ready for it.
18:29Phoebe, this is Piotra, 20.
18:30Research to you, guys.
18:31Presenting Mr. Beer is through to distress,
18:33a shortness of breath,
18:34and go deeper to his gateway.
18:35We've treated his anaphylaxis.
18:39Any no analysis for anaphylaxis?
18:41When did you last have eye on adrenaline?
18:42No to the first question,
18:44and six minutes ago.
18:45Do you guys know any more about the virus?
18:47Not how it's infecting people.
18:49Only what you do.
18:51On lift.
18:52Ready, ready, lift.
18:56Say that again, mate.
18:58Bobby, can you move?
18:59Bobby, go ahead.
19:00I'm going to do a primary survey.
19:02Go check your airway, sir, okay?
19:05Yes.
19:06I'm not going to spell it at the airway.
19:08Okay, let's do an adrenaline nebulizer,
19:10and we'll do another 500 micrograms of adrenaline nebulizer, please.
19:14Struggling.
19:14Do you want to push an air properly at all?
19:16Yeah, okay.
19:17Yeah, it's Strider.
19:18He's got cordoedema.
19:19Matty, when you can,
19:20give him some T amyphotis.
19:21He's going to need airway support.
19:22Yeah.
19:23Just get some oxygen on,
19:23help you breathe.
19:25Right, okay, this isn't working.
19:26You might need a surgical airway.
19:28Um, can I get the RSI kit, please,
19:32and, uh, the difficult airway prolly.
19:48Excuse me, lads.
19:49Yep.
19:50Coming through.
19:51Yeah, sure.
19:53The results of the third viral swab are back,
19:55and they're negative.
19:57We're not dealing with a virus.
19:58How come we know even less than we did this morning?
20:01Well, for now,
20:02it's vital that we maintain safety proportions
20:04until we know anything more,
20:05if I didn't give you a shout when I know.
20:06Yep.
20:08Hey, stop messing about.
20:09I'll take that to base seven.
20:22He's still to T amyphotis right now.
20:23I'm struggling to get any air in.
20:24Right, let's get the air gel out.
20:27What's happening with the lights?
20:35Yeah, okay, he's got severe glottic oedema.
20:37Right, we're not going to be able to intubate.
20:39Uh, let's, um, yeah, let's do a cricotheranomy.
20:44Scalpel.
20:58That bougie?
21:03Which other way?
21:04Is anybody hurt?
21:05Is anybody hurt?
21:06Is everyone okay?
21:17Oh, boy, I know the lights decide to go.
21:19Let's just, that's perfect.
21:21That's, that's, that's, that's really, really helpful.
21:42No, no, more light, more light matter, okay?
21:44More light isn't, I can't sing.
21:45Not, let's prep for a reflexology session.
21:47Yes?
21:48Closer, please.
21:51Okay, let's attack the BBM, please.
21:59Um, there's still some resistance here, like?
22:02Yeah, we've got entitled, but the tube must have gone down the right knee and bronchus,
22:05so it's only the right-hand side that's moving.
22:09It's half 85%.
22:11Entitle's still a bit low.
22:17Why, it was the short circuit of when the cylinder hits it?
22:20Yeah.
22:21Well, at least it's just the lights.
22:24Promptor monitors seem to be working.
22:26Help me test this board.
22:28Can you move this out of the way?
22:33Oh, he's that still hovering at 90%.
22:37Why can't we see him, please?
22:40But he's okay.
22:41He's safe.
22:43Um, well, as you know, he's with Nika at the moment, and they've managed to get his heart
22:47started, which is great, but, um, I'm afraid the two of you are just too ill to go up there
22:51at the moment.
22:51You can't stop us from being with him.
22:53No one can even tell us what this thing we all have is.
22:55Okay, no, but whatever it is, we need to protect him from it, can't we?
23:00Um, do you have any history of heart problems?
23:04Okay, um, I want to repeat the buzz, please.
23:06Can we get a chest x-ray and an ECG as well?
23:10Please, just let me see him.
23:12Please.
23:13And let's, let's cut back on her fluids.
23:15Um, as soon as that x-ray comes, I want to see it, please.
23:18You've got an idea what it is, don't you?
23:21Let me talk to radiology, okay?
23:22I want her top of the list.
23:44I thought it was a little odd wise.
23:48You feel okay?
23:50Yeah, never better, Byron.
23:52You give it another go?
23:53Yeah, let's do it.
23:57Wow.
24:13It's after Stella 85.
24:14Yeah, I know.
24:15Okay, give me a bit more light, please.
24:17A bit more than that.
24:20You okay?
24:22Yeah, fine.
24:24Come on.
24:26Hey.
24:29Okay.
24:36Good, okay.
24:37Yeah, numbers are normalising, and, uh, we're adequately auctioneating, so that's good.
24:43Let's complete the RSI checklist, please.
24:51You know, there's, uh, always a place for your Royal Wyverns engineering court, if you ever get bored.
24:58Thank you for this.
25:00Seriously, I appreciate it.
25:01No worries.
25:03Jack.
25:07Can you still arrange your transportation?
25:10Yeah, of course.
25:11You would.
25:19What am I doing here?
25:22You're in hospital.
25:23Okay?
25:24I'm your nurse.
25:25I'm Cam.
25:27Cam?
25:27Yeah.
25:29Beryl?
25:30I'm Beryl.
25:31I'm a nurse, too.
25:33I know you are, Beryl.
25:34I know.
25:34Listen, you were really helping me earlier with the sheets.
25:37Do you remember the bed sheets?
25:38You were folding them for me.
25:39Look, they're on the floor now.
25:41If you can help me fold those, that would be great, Beryl, yeah?
25:45Thank you so much.
25:46I'll be with you soon.
25:47Okay?
25:48Okay.
25:49Sorry.
25:49Sorry.
25:52Sorry.
25:53Okay.
25:54That should be it now with the lights, Mr. Gibson.
25:57Reminds me of the power artiches, back in the day, when Thingy was Prime Minister.
26:04What was that?
26:04Churchill?
26:05The Blitz?
26:08Keith, the 70s.
26:10How old do you think I am?
26:13I ran marathons not so long ago.
26:20You're worse than my grandson, Henry.
26:23Not as bad as my grandson, Isaac.
26:27He would know I was dead.
26:29He just dumped the blow.
26:31I've blown his inheritance on cigarettes and peed over.
26:39Is she going to be okay?
26:42We're doing everything we can.
26:43This and I.
26:44Hey.
26:48What's the doctor playing at?
26:49The doctor's going to be here very soon.
26:50Okay, I'll chase him.
26:51But until that point, Mr. Acker, I'm going to need you to sit down for us.
26:54Okay, it's a busy hospital.
27:06Oh, Dylan.
27:08Yeah.
27:09Laura Beecher's x-ray.
27:10Is that fluid on the mules?
27:12That's pulmonary edema.
27:15Let's take her off her fluids and I'll give her some thurosomide.
27:18Say that.
27:19Basically means that her heart isn't pumping efficiently,
27:23so that could be due to heart failure,
27:26although it's quite rare in somebody of her age.
27:29Sometimes it's an abnormal response to treatment,
27:32exposure to chemicals.
27:34They respond like this with the rash around her mouth might slide up.
27:37Chemical exposure would explain why the third bowel swab is negative.
27:41Yeah, potentially exposed, though.
27:42I mean, there are no other patients presenting this one.
27:44Yeah, but, Dylan, this could be huge.
27:47You've got to tell Siobhan I'm playing.
27:48Well, but she might be an anomaly.
27:51I don't think it's a pattern yet.
27:53Yet?
27:54This isn't a pattern yet, Dylan.
27:55Why are you waiting?
27:56Dylan, call me, this is you.
27:57You're right about everything.
27:59I'm not, Jodie, really.
28:01I'm not.
28:01I think we wait for more evidence.
28:04Jodie, do you ever think about your dad?
28:08What?
28:09I try not to think about him.
28:12Some people don't change Dylan.
28:14Max, he wasn't meant to be a dad, so he never will be.
28:37All right, Siobhan.
28:38That's not a good time.
28:39Our patients, okay, maybe all of them, Dylan thinks he might be exposed to something like a chemical.
28:44Just, Jodie, with respect.
28:46One of our patients, Laura Beach, okay, she's getting worse.
28:50She's not getting better from treatment, she's getting worse.
28:52So we've got to find the source.
28:54We've got to change the direction.
28:55Stop, stop.
28:56Can I just stop you right there, okay?
28:58If Dr Keogh thinks his theory viable, he should share it with Dr Byron.
29:02And until then, try staying within your pay grade, hmm?
29:23That's one, uh, do Pony, Pony, uh...
29:30Sorry, I was unable to detect the language...
29:32Keep me updated on the anaphylaxis patient, okay?
29:34I need it off the shop floor.
29:36What?
29:38We need to talk.
29:39I know, I already know.
29:41I'm fine, I promise.
29:43Okay.
29:44Okay, Mr Gibson, the transfusion should be finished now, so...
29:48Uh, Mr Gibson.
29:50Mr Gibson.
29:51Uh, Dr Byron, can I borrow you, please?
29:57Uh, take a look at his oxygen cylinder for me.
30:00It is low, yeah, yeah.
30:03Okay, I think it's a transfusion associated circuitry overload.
30:05Um, let's stop the transfusion.
30:07Gemma, can you give this gentleman, uh...
30:10Yeah, sorry, uh, intravenous diuretic, please,
30:12hopefully that will calm me down.
30:13Don't give him any more blood.
30:15Get another oxygen cylinder.
30:16Yeah, sure.
30:17Yeah, blood gas shows CO2 at 14 and a pH level of 7.24.
30:21Yeah, uh, she's got a respiratory acid.
30:23Not now, Beryl.
30:25Tachycardic and hypocapnic with hypoxia is type 2 respiratory failure.
30:28Um, can you get him on in there?
30:30Two litres of oxygen, please.
30:31Go back to bed, please.
30:32Uh, can.
30:32Can, can, can you make it two cylinders, please?
30:35Yeah, please, please.
30:35Thank you, sorry.
30:50I don't know where my charts have gone.
30:52I'll be right back, Beryl, okay?
30:53Someone's taken my charts.
30:55It's been hours now.
30:56Okay, please, bear with me, okay?
31:00Byron, there was a delay releasing the vehicle from the Byron's.
31:03Delivery's another 20 minutes away.
31:05Look, if you'd accepted my help in the first place,
31:07it would have been here by now.
31:11Just one.
31:12Don't tell me that till we've got.
31:13Where's the last one?
31:15Okay, guys, uh, with me, please.
31:23We'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.
31:31Advocate for your patients.
31:32Uh, Mrs Parrish's prognosis might be terminal, but she needs that oxygen.
31:38Well, her respect form shows she doesn't want ITU care or intubation, which she would probably end up on.
31:44Mr Gibson's prognosis is better.
31:48Yeah, I agree.
31:50Mr Gibson would benefit more.
31:51Can we reach a consensus on this?
31:54Shiv, we don't have a lot of time.
31:58Okay, okay, can's right.
32:00Okay, give the oxygen canister to Mr Gibson.
32:02Let's run Mrs Parrish's neb on air for now.
32:05She gets a cylinder the second the resupply arrives, okay?
32:07Yeah.
32:08Seriously?
32:09I mean, you only need to look at the woman to know if she needs the oxygen more than me.
32:13Okay, Jack, I appreciate your help today, but we are the medics, so why don't you let us do our
32:17job?
32:21Shiv, um, I think we need to consider full palliation here.
32:25Um, can we call next to Ken to discuss?
32:28In the meantime, let's keep her as comfortable as we can and call the palliative care team, so they're aware
32:32as well.
32:35I'll give you to Eileen.
32:36I don't want it.
32:38I'm sorry, Alan.
32:39Please!
32:40I don't want it!
32:41I'm sorry.
32:43I don't want it!
32:44Come on, please, put it back on for me.
32:45Mr Gibson, please.
32:49That's it. Deep breaths for me.
32:54Well, I'll speak to Dr Keogh about another dose of therosamide.
32:58The treatment seems to be working.
33:01Is, um...
33:02Is he on his own?
33:04He 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?
33:12But we do.
33:14We love him.
33:16I know.
33:17I know you do.
33:22Laura, I'm...
33:23I'm really sorry, but...
33:24I have just got to run through some routine questions with you.
33:27Um, the answer may help us reunite you with your baby.
33:30Zach.
33:31His name is Zach.
33:32It's a lovely name.
33:37Okay.
33:39Um, do you suffer from any stress at work?
33:43Do you drink?
33:44Or do you smoke?
33:46I want to see my baby.
33:48I don't have time
33:49for this stupid question.
33:53I should be with him and instead I'm on trial.
33:55No, you're not.
33:56We just want to see you.
33:57And you're not letting us?
33:58Laura, I am trying to help you.
34:00Well, then do your job and take me to my son.
34:07Can you put your mask on, please?
34:14I'm sorry.
34:15I'm sorry.
34:17About Laura.
34:18Sorry.
34:22Jodie.
34:24Come on, ma'am.
34:26What?
34:28You know what happens when you get too involved with patients?
34:34You know, I get other people might have the wrong idea of me.
34:37But I didn't think you'd be one of them.
34:46Call Lina.
34:48Call Lina.
34:55Tell her.
34:58Tell her I love her.
35:09Come on, Piotr, mate.
35:11Stay with us.
35:50I can't do my rounds without them.
35:53Give my chance back.
35:55I need them back.
35:57Shut it, shut it.
35:57Shut up before you're rounds.
35:59Give my chance back.
36:01I need them back.
36:03Shut up.
36:04Hey, hey.
36:08Get off.
36:10Get off.
36:11Stop resisting.
36:15Get off.
36:18Get off.
36:19I hope we've got you.
36:20It's all right.
36:21It's all OK.
36:22What are you doing?
36:23We need your help.
36:30Got a set?
36:36Right.
36:37Nicole, can you add your 80 if yours may, please?
36:40And let's do a 10-illigram bolus of isosorbide dinitrate.
36:44Yeah.
36:45Why didn't you call me?
36:46I asked you to keep me updated.
36:47And you've had your phone on me all afternoon.
36:49Yeah, I did call.
36:50You didn't answer.
36:51Yeah, well, this is a simple case of oxygen fluids, OK?
36:53So from now on, might I suggest you use your medical degree to treat patients and not Duolingo.
36:56Nicole, how are we doing?
36:58Yeah.
36:58OK, yeah, um, I think we're looking at a possible flash pulmonary oedema that corrupts the road.
37:04What do you think's causing it?
37:05For now.
37:07OK, uh, Lisa, can we do an urgent x-ray, please?
37:09Uh, let's stop fluids and we'll repeat the ECG.
37:12And Nicole, when you're ready, let's do an IV infusion.
37:15We'll do two mils an hour, try treating up against the BEP.
37:20That's a rising.
37:22Yeah, yeah, they are.
37:25Stay with them, keep it to a side, keep me updated.
37:51Why am I here?
37:53It's okay, Beryl. Don't be afraid.
37:55We're here to help you, okay?
37:56It's Cam. Cam, your nurse.
37:58Cam.
37:59Cam.
38:03That's right, I'm Cam.
38:05Cam.
38:07Cam's going to help me.
38:09Yeah.
38:10Let's get you to bed now, okay?
38:12I'll take you back.
38:23I've got to be the doctor who's doing the medicine.
38:25So do the medicine.
38:43There's nothing more we can do.
38:44She'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.
38:55I know, Tom. I know.
38:57Give us all the strong stuff.
38:59We've given her all the more things we can.
39:01Okay.
39:02You pass me your finger?
39:04You've done all right today, sir.
39:10Listen, I can call Isaac for you, if you want.
39:13I mean, I'm not really supposed to, but I'm...
39:15It's Henry.
39:17My 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.
39:44Unwell.
39:46Sick?
39:48Yes.
39:49Yes.
39:49Sick.
39:51Look, he wanted to tell you...
39:53No, Piotr wanted to tell you...
39:57Lena, he loves you.
40:01He loves you.
40:13That was tough, Eileen.
40:16Seriously tough.
40:17He did well.
40:19Keep your chin up.
40:25Can we go?
40:27You need to toughen up your men, Baron.
40:30That lad wouldn't last a day in my units.
40:33Weak links like him.
40:34Let the side down.
40:37No.
40:38I always knew you didn't have it, didn't you?
40:43To do what, Jack?
40:47Really, I just don't need a reminder.
41:04Doctor Keogh, can I get a second opinion, please, Dr Nash has left.
41:09Yeah, yeah, yeah.
41:09Okay.
41:11Yeah, he's in respiratory distress, isn't he?
41:14Have we all got anaphylaxis?
41:15Yeah.
41:17All of the things normal, sats are normal, blood's normal?
41:20Yeah, pulmonary oedema, but the echo shows no heart failure,
41:24so we don't know what's causing...
41:25How long has he had that rash?
41:28That must have literally just developed.
41:30That's weird.
41:31I've seen two patients with the same rash today.
41:46Yeah, yeah, come in.
41:49It's chemical.
41:50The rashes are the symptomatic connection.
41:54Patients are reacting adversely to treatment.
41:56It's causing pulmonary oedema,
41:57and it's the slow-developing rash around the mouth.
41:59That proves it's chemical, right?
42:01Yeah.
42:02Yeah, I've seen it before.
42:03A chemical attack in Afghanistan.
42:05Of course it's chemical.
42:07So, we need to isolate each case, locate the source,
42:11because we need to avoid a week by this 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, the Matty...
42:27Matthew...
42:27Linlaker...
42:28Matty...
42:28Matty, yeah, yeah, yeah.
42:29He's my son.
42:33Okay, Dylan, I...
42:35I don't...
42:36Whatever, man.
42:37Okay, just let's focus on this.
42:38If you want me to escalate it with HR myself,
42:40I'm happy to do that.
42:41Hold on, hold on.
42:43Dylan.
42:45Um, thank you for telling me.
42:48No worries.
42:56Hi, um, sorry, it's, um, Dr. Byron from Colby ED.
43:01Can you transfer me to your clinical lead, please?
43:03Urgently.
43:09I miss Kim, too, you know.
43:11I do, I just wanted to tell you.
43:14Hey, look, I know it's weird, but if you ever want to talk...
43:16About what?
43:18What wisdom could you possibly have to offer me, Matty?
43:20You are a barely competent junior.
43:22You couldn't be left alone with a patient for five minutes.
43:25Yeah, well, maybe you shouldn't have left him with me, then.
43:26Oh, grow up!
43:28Really?
43:30Look, 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?
43:38Hold on a second.
43:40I do want to know the truth, okay?
43:41So don't you dare, don't you dare stand there and psychoanalyse me, okay?
43:44I want to know the truth.
43:45I'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.
43:57Yeah, you are guilty.
44:00So am I.
44:11Yeah, no, I just, I want to let you know that, um,
44:13it turns out we're not dealing with the virus.
44:17Yeah.
44:18And, and, and, and, and Tara, I've, I've thought about it,
44:20and I, um, I want to, I want to be honest with everybody
44:23about, about me and Matty.
44:26I've, I've thought about it, and I want this.
44:29It's taken Matty a long time to find his calling,
44:32and I would hate to see him screw it up.
44:34No.
44:36I will take care of him.
44:40I'll keep him on the right path.
44:43You have my word.
44:51Details of organisations offering help and support with eating disorders
44:56are available on the BBC Action Line website.
44:59Thanks, God.
45:00Thanks, God.
45:01Thanks, God.
45:02Thanks, God.
45:05Have a great day.
45:10Thanks, God.
45:12Bye for now.
45:19Thanks, God.
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