- 1 day ago
Casualty S48E01 ORGANiC
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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.
02:04We may be about to dream a little...
02:16Up to you.
02:32Under the
02:34Thank you, um, any word on the third swab? No, nothing yet
02:40That's our best chance of knowing what's going on. I know we've only got one overflow area remaining as well
02:45Hey, listen, I spoke to Nicole and she said that we pushed back on her request for support
02:49with her OS signs. Look, I haven't had time to eat today and you want me to diarise holding Nicole's
02:53hand. Okay, when this is over
02:56Maybe mentoring Nicole might be good for you. Well, I'll have you here. Can you sign this for me?
03:04Kim's death wasn't your fault, Steve
03:08Now I know well-being offered online counseling sessions. It's been nearly a week since the funeral and you haven't
03:14used any of it
03:15The very fact you know that means I could report you to HR. Come on. I'm worried about it. Don't
03:21be. I'm fine
03:26What? Who's G.I. Joe? That was my CEO when I first joined the army
03:34Thank you for this
03:42Here's your Byron. Can I buy? Look tired, Flynn
03:49Well, I had to sleep on my office floor last night
03:52Shall we?
03:57So medical engineering will raise the red flag over portal blocks in your socks
04:02Yeah, I'm sourcing an alternative delivery by a different transport. Well, I can ask my lights to help. It's okay.
04:07We can manage
04:08You know
04:10I've only been here an hour. I already know it's the nurses that run this place
04:14Let me let me take that. Thank you very much. Resource, please. Good to see you, Byron
04:22He's helpful
04:40Hiya. Sorry we're late. Parking was mad. Hiya, Dale
04:51Hiya, I haven't ordered any coffee because I what I mean
04:58And tell me don't tell me it was milk. No sugar two sugars
05:07How you been?
05:10Is what Mattie's saying true?
05:13I don't know about this pandemic if that's what this is
05:16Are we all just sitting ducks waiting to catch her? It's too early to tell
05:24Mum
05:24Well, is it safe?
05:27Is it safe for Mattie to work? Mum, come on
05:29I'm worried for you. Do you remember how sick your dad got in Covid?
05:33His dad spent a week in intensive care. We didn't think he was coming home
05:37I'm sorry to hear that
05:41Hmm
05:45Anyway, Mum, you said you wanted to ask questions if we were going to spend more time together, you know,
05:50so
05:51Just ask
05:52You know, maybe I'll get that decaf after all
05:56OK
06:01If you don't sue to the orange ton over there, OK? Thank you
06:04Hi, sir, will you just go and speak to this gentleman here for me? Thank you
06:07OK, can you wait here as well, please? Anyone with respiratory issues
06:11I need help, please
06:11My wife, please
06:13She's pregnant
06:15How many weeks is she?
06:1725
06:1826
06:18She's 26 weeks
06:20No
06:20It's too early
06:21It's too early
06:23Can you lean on me?
06:25There we go
06:26There we go
06:27It's the ambulance you never came
06:28I go over it myself as fast as I could, God
06:31I'll just get there
06:32Well, you're doing a brilliant job, can I get you to stand up?
06:34Liam, we're 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
06:44Hey Debbie, your GP doesn't really suit me
06:45I needed something with a bit more excitement
06:48When did you last have a drink?
06:52Er, I've been sober for six years
06:54Mm-hmm
06:57Er, we should, we should probably go, you know, we're supposed to be on
07:00You can give me ten more minutes
07:02Actually, I, I have a question
07:06How, how, how do you keep a secret like that for 25 years?
07:11It wasn't like it was hard
07:12Who wants an Elke 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
07:27I waited
07:30But then you
07:33Came back
07:35Blind, drunk
07:36With blood down your front
07:37We didn't know if it was your own
07:39Or someone else's
07:43But I, I remember thinking
07:47Couldn't be a doctor
07:50Let alone a dad
07:54I needed to protect my baby
07:56From you
07:58Hmm
08:02Hmm
08:03Sorry, I've got, yeah
08:06Hello, Dr. Keir
08:11Er, erm, okay
08:12Yeah
08:14Yeah, all right, okay
08:16Um, I'm, I'm sorry, we have to go
08:18It's an emergency
08:19I, I barely know anything more than I did before
08:21Do you have family?
08:23Friends?
08:24I mean, what did they think?
08:26I don't have anybody I can talk to you about Matty, you know
08:28What does it matter, Mum?
08:31It matters to me
08:33I won't have anyone be ashamed of you
08:34No, I'm not ashamed of Matty
08:36I mean, trust me, this is all about
08:38Me
08:38Mum, Mum
08:39Please don't make this any harder
08:49All hands on deck today, I'm afraid
08:52Sorry it's your first shift back
08:54Hey, no, look, I've had three weeks of doing nothing
08:55I'm actually happy to be here
08:57Yes
08:58Right, well, raise yourself
09:02I'm getting, I'm getting late, I'm late for my rounds
09:05Sorry, Beryl, love, are we holding you up?
09:08This one!
09:09You'll pop that back on for me
09:11Could you repeat the arms and chase bloods if they're not back in an hour?
09:15Yep
09:17Beryl, I tell you what
09:19Whoever's folded this has done a shoddy job for me
09:22Could you do them for me properly?
09:25Thank you
09:27She used to work here years ago as a nurse
09:30She thinks she still does, bless her
09:33It's a dementia
09:34Well, why is she in there?
09:35I know, I know, it's not the best place for her
09:38But if you keep her busy, she'll be fine
09:40Now, could you take over Bay D for me?
09:43I need to be somewhere
09:44Mr Gibson, he has lung cancer
09:46I think the virus is exacerbating his symptoms
09:51Cam, are you going to be okay with all this?
09:54Yeah, yeah, no, I want to be here
09:56Okay, good luck
09:58Mask barrel up
10:06Hi sir, my name's Cam, I'm going to be your nurse for the rest of today
10:09How are you feeling?
10:11Fourth time on this corridor
10:14It's safe to say that I had more fun at my last colonoscopy
10:17How do you think I'm feeling?
10:19Fair enough
10:20Well, listen, I need to take your bloods, is that okay?
10:22Yeah, well get on with it
10:23Alright, yeah, I will
10:26I'm just going to pop that there
10:37I've got cancerous cells that move faster than you
10:41Um, this man needs a mask
10:49Okay, yes, this patient is 26 weeks pregnant
10:52I've had a quick look and the baby's crumbling
10:54Sorry, can you just put that on for me please?
10:57Um, coughing, shortness of breath
10:59Am I alright to give rent an ox?
11:03Dylan, am I alright to give rent an ox?
11:05No, no end stocks with that cough, man
11:08What's happening?
11:09We think your baby's coming
11:10What, no?
11:11No
11:11It's going to be okay, isn't it?
11:13I tell you what, somebody call the obstetrics
11:15I just want to speak to rash
11:22Hi there, we've got another preterm delivery
11:25Gestation 26 weeks
11:27Yeah, we need the neonatal resus team
11:29Another one?
11:30Resus one
11:35Hey, can you arrange for the neonatal resus team to be sent to the ED?
11:38I need to speak to Faith and Ian
11:41Oh, do you have a minute, Doctor?
11:43Um
11:44No rush
11:45I'll be with you in a minute, Jessica
11:49Hey
11:50Um, guys, we'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
12:01Neither of us are going anywhere
12:04Um, is there any news from the consultant?
12:09It's the same, I'm afraid
12:11There's no change
12:13Which
12:13With Pearl's prematurity
12:15We need to take each day as it comes
12:17Okay
12:20Look, I'm
12:21I'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
12:45Thank you
12:54Baby's nearly here
12:55That's it, Laura, well done
12:56Keep going, that's it
12:59That's it, that's it
13:00Good, good, well done
13:01Well done, well done
13:02Well done
13:05Oh, is it Laura?
13:07He's beautiful
13:09Okay, so the baby's a bit floppy
13:11He's not breathing
13:11So let's cut this cord
13:13And er...
13:15Is he okay?
13:16Er, well, he's not breathing at the moment
13:18But we're going to have him transferred to neonatal
13:22And they'll try and stabilise him there
13:23Okay, can we deliver the placenta?
13:25But you did great, Laura
13:26Okay, and your baby is in the best hands, I promise
13:30Ha
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 can do everything we can to get him beating, alright?
13:50Ha
13:50Ha
13:51Ha
13:51Ha
13:52Ha
13:52Ha
13:53Ha
13:54Ha
13:54Ha
13:55Ha
13:56Ha
14:03Keep taking deep breaths on that, Eileen, someone will be with us in a minute
14:06Hey, Andy, are you there?
14:08Hey, yeah, this is Eileen, 72, exacerbation of COPD, worsening cough and shortness of breath
14:13Sats on arrival 80, rest 36
14:15She's had 5mg of segutamol, 500mcg of ipotropium and 100mg of hydrocortisone
14:23Okay, er, thank you
14:24All right, let's continue with oxygen here, please
14:26A titrator saturators of 88 to 92%
14:29Alright, Eileen, I'm gonna leave you with them now, okay?
14:32It's all right, it's all 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
14:56Do you two know each other?
14:57Yeah, we were both teachers
14:59Holby High, English Department
15:02We went through the long, thankless hours
15:07All the marking
15:08Catherine would be turning in her grave
15:11If she found out you'd turned into such a grumpy old man
15:16It's all an act
15:18He was a great teacher
15:28Any news on the oxygen in the cylinder, we stopped?
15:3110.05, I mean, they should have left distribution by now
15:33Your guess is as good as mine
15:34If we don't receive it soon, we won't have enough oxygen to treat the corridor patients
15:38Okay, well, how long will stocks last?
15:40Well, the rate we're going
15:42Er, two, three hours
15:46Okay, listen, we ration the cylinders until the delivery arrives
15:49Anybody wants one, they're gonna pass the senior doctor first, okay?
15:52Yeah
15:53No exceptions, excuse me
15:54After you
15:57Hi, Beryl, love
16:14So what's the ETA?
16:16Look, I've been arranged for a unit to pick up the delivery of...
16:21Distribution can't organise, I'm sorry
16:22No, no, no, it's fine, thank you
16:24I'll go around and...
16:29It's a journalist offer
16:30What's going on?
16:31The guy doesn't even think of this, okay?
16:39Okay, er, sir, so we've got your bloods back and it looks like you've got quite severe anemia
16:43So we're gonna have to do a transfusion thing, is that alright?
16:46That is a trip hazard
16:48Poor boy, love
16:51Er, excuse me, sorry
16:53You can't put him there
16:55Gotta get me out of here, mate
16:57Er, yeah, okay, I understand, I'll be with you shortly, okay?
17:00Nathan will be with you shortly
17:02It's my missus's birthday
17:03I understand, where's your mask?
17:05Arse over tit, someone is going to go
17:07I need to clock off soon for my Brian
17:10Okay, shall we get you some, er, sheets? You 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, what idiot has left that in the middle of the corridor?
17:25So sorry, sir, sorry everyone
17:28Er, really, that's my fault
17:30I know
17:30I know, look, I was excited to be back but just, babe, D, I, F, they're just, it's doing my
17:36head in, I don't know what I'm doing
17:37Why are you calling them by their letters?
17:39Just because they're elderly doesn't mean you shouldn't learn their names
17:42I didn't mean it like that, I...
17:43Just treat them like human beings
17:45You might remember a bit better, my foot is really hurting
17:49Sorry
18:18Sorry
18:23I should be ready for her
18:25Thank you
18:28Phoebe
18:29This is the Yotra, 20s
18:30Research to you guys
18:31Presenting with severe respiratory distress, shortness of Revan and your demon to his airway
18:35We've treated his anaphylaxis
18:37What is this?
18:40Any known allergies for anaphylaxis?
18:41When did they last have I am adrenaline?
18:42Er, no to the first question and six minutes ago
18:45Do you guys know any more about the virus?
18:47How it's infecting people?
18:49No
18:49Only what you do
18:51On lift
18:52Ready, ready, lift
18:55On lift, ready, ready, lift
18:56Said that again then?
18:58Matty, can you move, get more?
18:59I'm going to do a primary survey to check your airway sir, okay?
19:05Yes, I'm going to scroll in at the airway
19:08Let's do an adrenaline nebuliser and we'll do another 500mg of adrenaline nebuliser, please
19:14Struggling, not pushing air properly at all
19:16Yeah, okay
19:17Yeah, it's Strider, he's got cordoedema
19:19Matty, when you can give it to me, if it's going to need airway support
19:22Just get some oxygen on and help you breathe
19:25By the case, this isn't working
19:26You might need a surgical airway
19:28Can I get the RSI kit, please?
19:32And the difficult airway trolley, thank you
19:48Excuse me lads
19:49Yep, how do we do?
19:51Yeah, sure
19:53The results of the third viral swab are back and they're negative
19:57We're not dealing with a 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, okay?
20:05Yep
20:05Give me a shout when I know
20:06Hey, stop messing about, I'll take that to day seven
20:22He's still deteriorating now, struggling to get any air in
20:24Right, let's get the air gel out
20:27What's happening with the lads?
20:35Yeah, okay, he's got severe glottic oedema
20:37Right, we're not going to be able to intubate
20:39Let's, um, yeah, let's do a cricothyroidomy
20:44Scalpel
20:45Scalpel
20:58Is that bougie?
21:03Which other way, is anybody hurt?
21:05Is anybody hurt?
21:06Is everyone okay?
21:17Probably now the lights decide to go
21:19Let's just
21:20That's perfect, that's, that's
21:22That's really, really helpful
21:34Come on
21:42No, no, more light, more light, Madsel, okay?
21:44More light is a light that can't sing
21:45Not, let's prep for a reflexology session
21:47Yes? Closer please
21:50Okay, let's attack the BBM, please
21:59Erm, there's still some resistance here, like.
22:02Yeah, we've got end tidal, but the tube must have gone down the right in the broncus,
22:05so it's only the right-hand side that's moving.
22:09It's at 85%.
22:11End tidal's still a bit low.
22:17Right, what's the short circuit 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?
22:33Well, he's sat still hovering at 90%.
22:37Why can't we see him, please?
22:40But he's okay. He's safe.
22:43Erm, well, as you know, he's with Nika at the moment,
22:45and they've managed to get his heart started, which is great,
22:48but I'm afraid the two of you are just too ill to go up there at the moment.
22:52You 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.
23:00Erm, do you have any history of heart problems?
23:05Okay, erm, I want to repeat the buzz, please.
23:07Can we get a chest x-ray and an ECG as well?
23:10Please, just let me see him. Please.
23:13And let's cut back on her fluids.
23:15Erm, 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?
23:21Let me talk to radiology, okay? I want her top of the list.
23:44I want to go!
23:52Let's go!
23:52Do you want to give it another go?
23:54Yeah, let's do it.
24:13Santa's still at 85.
24:14Yeah, I know.
24:15Okay, give me a bit more light, please.
24:17A bit more than that.
24:20You okay?
24:20Hello?
24:21Yeah, fine.
24:24Come on.
24:28Okay.
24:36Good, okay.
24:37Yeah, numbers are normalising and we're adequately auctioneating, so that's good.
24:43Let's complete the RSI checklist, please.
24:51You know, there's always a place for your worldwide engineering court, if you ever get bored.
24:58Thank you for this.
25:00Seriously, I appreciate it.
25:01No worries.
25:04Jack.
25:07Can you still arrange transportation?
25:10Yeah, of course.
25:11Move with me.
25:19What am I doing here?
25:22You're in hospital.
25:24Okay?
25:24I'm your nurse.
25:25I'm Cam.
25:27Cam?
25:27Yeah.
25:29Yeah.
25:29Beryl.
25:30I'm Beryl.
25:31I'm a nurse too.
25:32I 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.
25:40Look, they're on the floor now.
25:41If you can help me fold those, that would be great, Beryl, yeah?
25:45Yeah.
25:45Thank you so much.
25:46I'll be with you soon.
25:47Okay?
25:49Sorry.
25:49Sorry.
25:52Okay.
25:54That should be it now with the lights, Mr Gibson.
25:56Huh.
25:57Reminds me of the power artiches.
26:00Back in the day.
26:01When, er, when Thingy was Prime Minister.
26:04Was that Churchill?
26:05The Blitz?
26:08Keith.
26:09The 70s.
26:10How old do you think I am?
26:14I ran marathons.
26:18Not 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'd just done blow.
26:31I'd blown his inheritance on cigarettes and pino.
26:35Cough.
26:36Cough.
26:37Cough.
26:38Cough.
26:40She gonna be okay?
26:41Well, we're doing everything we can.
26:43Let's do some work.
26:44Hey!
26:48What's the doctor playing at?
26:49The doctor's gonna be here very soon, okay?
26:51I'll chase him.
26:51But until that point, I'm gonna need you to sit down for us.
26:54Okay?
26:54It's a busy hospital.
27:06Okay.
27:07Oh, Dylan.
27:08Yeah?
27:09Laura Beecher's x-ray.
27:10Is that fluid on the walls?
27:12Er, that's pulmonary edema.
27:14Er, let's take her off her fluids and I'll give her some furosomide.
27:18Say, er.
27:18It basically means that her heart isn't pumping efficiently, so 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, exposure to chemicals.
27:34They respond like this and 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 we waiting?
27:57Dylan, come on, this is you.
27:57You're right about everything.
27:59I'm not, J.D., really.
28:01I'm not.
28:01I think we wait for more evidence.
28:04J.D., do you ever think about your dad?
28:08What?
28:10I 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.
28:38No, it's not a good time.
28:39Our patients, okay, maybe all of them, Dylan thinks they 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, so we've got to find the source.
28:54We've got to, we've got to change the direction.
28:55We've got to work our lives.
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?
29:24That's one, uh, DuPone, DuPone, uh...
29:30Sorry, I was unable to detect the language...
29:32Keep you updated on the anaphylaxis patient, okay?
29:34I'm going to do not shut the door.
29:38We need to talk.
29:39I know, I already know.
29:41I'm, I'm fine, I promise.
29:43Okay.
29:44Okay, Mr. Gibson, the transfusion should be finished now, so, uh, Mr. Gibson.
29:50Mr. Gibson.
29:52Uh, Dr. Byron, can I borrow you, please?
29:54Okay.
29:56Uh, take a look who's oxygen sitting there for me.
30:01It is low, yeah, yeah.
30:02Okay, I think it's a transfusion associated circuitry overload.
30:06Um, let's stop the transfusion.
30:07Jenna, can you give this gentleman, uh, uh, yeah, sorry.
30:11Uh, intravenous diuretic, please, I'll be allowed to calm her down.
30:13Don't give him any more blood.
30:15Get another oxygen cylinder.
30:16Yeah, sure.
30:17Uh, yeah, blood gas shows CO2 at 14 and a pH level of 7.24.
30:21Yeah, uh, she's got a respiratory acidosis.
30:24What now, Beryl?
30:25Tachycardic and hypocapnic with hypoxia is type 2 respiratory failure.
30:28Beryl?
30:29Can you get her on there?
30:30Two litres of oxygen, please.
30:31Go back to bed, please.
30:32Uh, can.
30:32Can you make it two cylinders, please?
30:34Yeah, I was busy.
30:35Thank you, sorry.
30:50I don't know where my charts have gone.
30:52I'll be right back, Beryl, okay?
30:54Someone's taken my charts!
30:55It's been hours now, Beryl.
30:56Okay, please bear with me, okay?
31:00Beryl, there was a delay releasing the vehicle from the barracks.
31:03Deliveries another 20 minutes away.
31:05Look, if you'd accepted my help in the first place, it would have been here by now.
31:11Just one.
31:12Don't tell me that's all 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.
31:33Uh, 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,
31:41which 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, Cam's right.
32:00Okay, give the oxygen canister to Mr Gibson.
32:02Let's run.
32:03Mrs Parrish is never on air for now.
32:05She gets a cylinder the second the resupply arrives, okay?
32:08Seriously?
32:09I mean, you only need to look at the woman to know she needs the oxygen more than her.
32:13Okay, Jack, I appreciate your help today, but we are the medics,
32:16so why don't you let us do our job.
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,
32:31so they're aware as well.
32:35I'll give you to what I mean.
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.
32:46Mr Gibson, please.
32:49That's it, deep breaths for me.
32:54Well, I'll speak to Dr Keo about another dose of throsamide.
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?
33:07If he's on his own up there.
33:09The best team are looking after him, okay?
33:13But we do.
33:14We love him.
33:16I know.
33:17I know you do.
33:21Laura.
33:22I'm really sorry, but I have just got to run through some routine questions with you.
33:28The answer may help us reunite you with your baby.
33:30Zach.
33:31His name is Zach.
33:33It's a lovely name.
33:38Okay.
33:40Do 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 for 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?
34:13I'm sorry.
34:15I'm sorry.
34:17I'm sorry about Laura.
34:18Sorry.
34:18you're not my big sister, do you do?
34:24That was a big deal.
34:25Come on, man.
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.
34:52Call Lina. Tell her.
35:03Tell her I love her.
35:09Come on, Piotr, mate. Stay with us.
35:44It's taken them. Give me my chance back.
35:50I can't do my rounds without them.
35:54Give my chance back. I need them back.
35:57Shut it, shut it. Shut up before your rounds.
35:59Give my chance back.
36:01I need them back.
36:03Shut up!
36:08Get off! Get off!
36:11Stop resisting!
36:14Get off! Get off!
36:18I hope we've got you. It's all right. It's okay.
36:22What are you doing?
36:23We need your help.
36:24It's all right.
36:26It's all right.
36:27It's all right.
36:27It's all right.
36:27It's all right.
36:30What are we set?
36:37Right. Nicole, can you add your 80 of yours now, please?
36:40And let's do a 10mg bolus of isosorbite 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. You didn't answer.
36:51Yeah, well, this is a simple case of oxygen fluids.
36:53Okay, so from now on,
36:53might I suggest you use your medical degree to treat patients
36:55and not geolingo.
36:57Nicole, how we doing?
36:58Yeah.
36:58Okay, yeah.
36:59I think we're looking at a possible flash pulmonary oedema.
37:03Perhaps throughout.
37:04What do you think it's causing?
37:05Dunno.
37:07Okay, Lisa, can we do an urgent x-ray, please?
37:09Let'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.
37:16Try treating up against the BP.
37:20So that's a riser.
37:22Yeah.
37:22Yeah.
37:24They are.
37:25Stay with him.
37:26Keep a close eye.
37:26Keep me updated.
37:46Okay.
37:51Why am I here?
37:53It's okay, Beryl.
37:54Don't be afraid.
37:55We're here to help you, okay?
37:56It's Cam.
37:56Get your nurse.
37:58Cam.
37:59Cam.
38:03That's all right.
38:03I'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.
38:15I'll take you back.
38:23I've been a doctor.
38:24He's doing the medicine.
38:25So do the medicine.
38:43There's nothing more we can do.
38:44Jack, thank you.
38:47I don't know what we would have done without your help today.
38:55I know, I know.
38:57Give her some of the strong stuff.
38:59We've given her all the more things we can.
39:01Okay.
39:02Can you pass me a finger?
39:04You've done all right today, sir.
39:10I can call Isaac for you if you want.
39:13I mean, I'm not really supposed to, but...
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.
39:40Er...
39:41Yeah, he's very unwell.
39:44Unwell.
39:46Sick?
39:48Yes, yes, sick.
39:51Look, he wanted to tell...
39:52No, Piotr wanted to tell you.
39:57Lena, he loves you.
39:59Okay?
40:02He loves you.
40:13That was tough, Eileen.
40:16Seriously tough.
40:17You 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 unit.
40:33Weak links like him let the side down.
40:37You know, I always knew you didn't have it, didn't you?
40:43Yeah.
40:44To do what, Jack?
40:47Really, just don't need a reminder.
41:04Dr. Keogh, can I get a second opinion please, Dr. Nash has left.
41:09Yeah, yeah, yeah. Okay.
41:11Yeah, he's in respiratory distress, isn't he?
41:14Have we all got anaphylaxis?
41:16Yeah.
41:17All of the things normal, sats are normal, blood's normal?
41:20Yeah, pulmonary oedema, but the echo shows no heart failure so we don't know what's causing...
41:25How long have you had that rash?
41:27Er, that must have literally just developed.
41:31That's what we had. I'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 and 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, because we need to avoid a week by this week
42:13again.
42:13Yeah, yeah, listen, I'm going to call St James who got a coordinated response on this.
42:17Oh!
42:19Yeah, what's up?
42:20Oh, um, so, um, as my line manager I have a duty to inform you that, uh, the Matty...
42:27Matty...
42:28Lindlake... Matty.
42:28Matty, yeah, yeah, yeah.
42:29He's my son.
42:33Okay, Dylan, I don't...
42:36Whatever, man. Okay, just let's focus on this.
42:38If you want me to escalate it with HR myself, I'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 whole BED. Can you transfer me to your clinical lead, please?
43:03Fair to do.
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, you 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? I'm hurting too, except I'm not taking it out on everybody else.
43:35Or is that what you're trying to do? You're trying to push everybody away because you don't want to know
43:38the truth?
43:38Hold on a second.
43:40I do want to know the truth, okay? So don't you dare, don't you dare stand there and psychoanalyse me,
43:44okay?
43:44I want to know the truth.
43:45I'm so sick and tired of everyone walking around telling me it's not my fault, it's not my fault, she's
43:49dead.
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.
44:10Um, yeah, no, I just, I want to let you know that, um, it turns out we're not dealing with
44:15the virus.
44:17Yeah.
44:18And, and, and Sarah, I've thought about it and I, um, I want to, I want to be honest with
44:23everybody about, about me and Matty.
44:26No, I'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.
44:44You have my word.
45:01I'll keep him on the right path.
45:05You have my word.
45:05I'm happy for it and I will not.
45:21Thank you so much.
45:21Thank you so much.
45:21We hope you, and I, am very happy in us too which way solve solve all these problems.
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