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00:02My 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.
00:51An 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 is sick. So, have we got enough PPE to protect the ones we've got here?
01:47Tomorrow, I'll be implementing Orbeez infection prevention and control strategy.
01:53Additional PPE supplies are being delivered and visitor access will be restricted.
01:58The guys will be protected.
02:00Guys, I want you to take care of each other, OK?
02:04We may be about to re-enter hell.
02:05We may be about to re-enter hell.
02:35Thank you. Any word on the third swab?
02:39No. Nothing yet.
02:41That's our best chance of knowing what's going on.
02:43I 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
02:51OSC.
02:51Look, I haven't had time to eat today and you want me to diarise holding Nicole's hand?
02:54OK. When this is over, maybe mentoring Nicole might be good for you.
02:58When I 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.
03:12It'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.
03:28What? Who's G.I. Joe?
03:30That was my, um, CO when I first joined the army.
03:35Thank you for this.
03:43Major Byron.
03:44Can I buy?
03:46You look tired for him.
03:50Well, I had a seat on my office floor last night, so.
03:55Shall we?
03:57Sure.
03:58So, uh, medical engineering have raised the red flag over port-a-blocks in the Sox.
04:03Yeah, I'm sourcing an alternative delivery via different transports.
04:06Well, I can ask my lights to help.
04:08It's OK. We can manage.
04:09You know, I've only been here an hour.
04:12I already know it's the nurses that run this place.
04:15Let me, let me take that.
04:16Thank you very much.
04:17Er, resource please.
04:19Good to see you, Byron.
04:20Mm.
04:23He's helpful.
04:40Hiya.
04:42Sorry we're late.
04:43Parking was mad.
04:45Hiya, Dale.
04:52I, um, I haven't ordered any coffee because I, I mean, er, it's how we do it to me.
05:00It was milk, no sugar.
05:03Two sugars.
05:08How you been?
05:11Is what Matty's saying true?
05:14Without this pandemic, if that's what this is.
05:17Are we all just sitting ducks waiting to catch her?
05:21It's too early to tell.
05:24Well, is it safe?
05:28Is it safe for Matty to work?
05:29Mum, come on.
05:30I'm worried for you.
05:32Do you remember how sick your dad got in Covid?
05:34His dad spent a week in intensive care.
05:37We didn't think he was coming home.
05:38I'm sorry to hear that.
05:39Mmm.
05:45Anyway, er, Mum, you said you wanted to ask questions if we were going to spend more time together,
05:50you know, so, just ask.
05:53You know, maybe I'll get that decaf after all.
05:57OK.
06:01Well, if you don't sue to the orange ton over there, OK?
06:05Hiya, sir, will you just go and speak to this gentleman here for me?
06:08OK, can you wait here as well, please?
06:10Anyone with respiratory issues?
06:12I need help!
06:12My wife!
06:13Please!
06:14She's pregnant!
06:16How many weeks is she?
06:17Twenty-five.
06:18Twenty-six.
06:20She's 26 weeks.
06:21No, it's too early.
06:23I'm sorry.
06:24Can you lean on me?
06:25There we go.
06:27There we go.
06:28Come on.
06:28It's the ambulance I never came.
06:30I go over it myself as fast as I could, boy.
06:32I'll just get in.
06:33Well, you're doing a brilliant job, can 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.
06:45Hey, Debbie, your GP doesn't really suit me.
06:46I needed something with a bit more excitement.
06:49When did you last have a drink?
06:53I've been sober for six years.
06:56Mm-hmm.
06:58Uh, we should, we should probably go, you know, we're supposed to be on.
07:01You can give me ten more minutes.
07:03Actually, I, I have a question.
07:07How?
07:08How, how do you keep a secret like that for 25 years?
07:11It wasn't like it was hard.
07:13Who wants an Elke 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, I went to your flat, but you weren't in.
07:27So I waited.
07:28I waited.
07:31But then you came back blind drunk with blood down your throat.
07:38We didn't know if it was your own or someone else's.
07:44But I, I remember thinking, I couldn't be a doctor, let alone a dad.
07:55I needed to protect my baby from you.
08:03Sorry, but, yeah.
08:07Hello, Dr. Keir.
08:12Uh, um, okay.
08:13Yeah.
08:15Yeah, all right.
08:16Okay.
08:17Um, I'm, I'm sorry, we have to go.
08:19It's an emergency.
08:20I barely know anything more than I did before.
08:22Do you have family?
08:24Friends?
08:25I mean, what did they think?
08:27I don't have anybody I can talk to you about Matty, you know.
08:29What does it matter, Mum?
08:32It matters to me.
08:34I 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, Mum, please don't make this any harder.
08:50All hands on deck today, I'm afraid.
08:53Sorry it's your first shift back.
08:55Hey, no, look, I've had three weeks doing nothing, I'm actually happy to be here.
08:57Nice.
08:59Right, well, brace yourself.
09:02I'm getting, I'm getting late, I'm late for my brows.
09:07Sorry, Beryl, love.
09:08Are we holding you up?
09:09This one!
09:10Yeah, pop that back on for me.
09:12Um, could you repeat words and chase bloods if they're not back in an hour?
09:16Yep.
09:17Uh, Beryl, I tell you what, whoever's folded this has done a shoddy job for me.
09:23Yeah, could you do them for me properly?
09:25Oh!
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, it's not the best place for her.
09:39But if you keep her busy, she'll be fine.
09:41Now, could you take over Bay D for me?
09:44I need to be somewhere.
09:45Mr Gibson, he has lung cancer.
09:47I think the virus is exacerbating his symptoms, so...
09:52Cam, are you sure you're going to be okay with all this?
09:55Yeah.
09:56Uh, yeah, no, I want to be here.
09:57Okay, good luck.
09:58All right.
09:59Mask barrel up!
10:07Hi sir, my name's Cam, I'm going to be your nurse for the rest of today.
10:10How are you feeling?
10:12Fourth time on this corridor.
10:14It's safe to say that I had more fun at my last colonoscopy.
10:18How do you think I'm feeling?
10:20Fair enough.
10:21Um, well, listen, I need to take your bloods, is 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.
10:47Uh, 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 crown on.
10:55Sorry, can you just put that on for me, please?
10:57Um, 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?
11:10Uh, we think your baby's coming.
11:11What, no?
11:12No.
11:12It's going to be okay, isn't it?
11:14No, no, no.
11:14I tell you what, somebody call the obstetrics.
11:16I just want to speak to Rash.
11:18Ah!
11:20Ah!
11:23Hi there.
11:23We've got another preterm delivery.
11:24Uh, gestation 26 weeks.
11:27Uh, yeah, we need the neonatal recess team.
11:30Another one?
11:31Recess one.
11:36Hey, can you arrange for the neonatal recess team to be sent to the ED?
11:39I need to speak to Faith and Ian.
11:42Oh, do you have a minute, Doctor?
11:45Uh...
11:45No rush.
11:46I'll be with you in a minute, Jessica.
11:50Hey.
11:51Hey.
11:52Um, guys, we're reviewing Niku's visitation.
11:55If the department decides to follow the ED's lead,
11:58there's a chance I may need to ask one of you to leave.
12:00But I'm really hoping it doesn't come to that.
12:03Neither of us are going anywhere.
12:05Um, is there any news from the consultant?
12:10It's the same, I'm afraid. There's no change.
12:14With Pearl's prematurity, we need to take each day as it comes.
12:18OK.
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.
12:29Thanks, mate.
12:58Thanks, mate.
13:00That's it.
13:00That's it.
13:01Good, good.
13:02Well done.
13:02Well done, well done.
13:03Well done.
13:06Oh, is it Laura?
13:08It's beautiful.
13:10OK, so the baby's a bit floppy, he's not breathing,
13:12so let's cut this cord and...
13:16Is he OK?
13:17Er, well, he's not breathing at the moment,
13:19but we're going to have him transferred to, er, neonatal
13:23and they'll try and stabilise him there, OK?
13:25Can we deliver the placenta?
13:26But you did great, Laura, OK?
13:28And your baby is in the best hands, I promise.
13:36Dylan.
13:37What's going on with you?
13:39Come on, we need Dr Keogh back in his room now.
13:42Sorry, sorry, sorry.
13:46Um...
13:46It looks as though his heart's not breathing at the moment.
13:48We're going to do everything we can to get him breathing, all right?
14:04It's taking deep breaths from that, Eileen.
14:06Someone will be with us in a minute.
14:07Hey, Andy, you OK?
14:09Hey, yeah, this is Eileen, 72,
14:11exacerbation of COPD, worsening cough and shortness of breath.
14:14Sats on arrival at 80, rest to 36.
14:17She's had 5 milligrams of cigutamol,
14:19500 micrograms of ipotropium
14:22and 100 milligrams of hydrocortesone.
14:24OK, er, thank you.
14:25All right, let's, er, continue with oxygen here, please.
14:27Titrata saturates of 88 to 92%.
14:30All right, Eileen, I'm going to leave you with them now, OK?
14:33It's all right, it's all right.
14:34Don't fuss!
14:35I'm not fussing, I'm not fussing.
14:36I'm not fussing.
14:36I'm not fussing.
14:37I've not eaten cake already, huh?
14:39I'm going to 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, with those cataracts.
14:56You 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'd 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?
15:3210.05. I mean, they should have left distribution by now.
15:34Your guess is as good as mine.
15:35If we don't receive it soon, we won't have enough oxygen
15:38to treat the corridor patients.
15:40OK, well, how long will stocks last?
15:41Well, the rate we're going, uh, two, three hours.
15:47OK, listen.
15:48We ration the cylinders until the delivery arrives.
15:50Anybody wants one, they run across the senior doctor first, OK?
15:53Yeah.
15:54No exceptions. Excuse me.
15:55After you.
15:58Hi, Beryl, love.
16:15So what's the ETA?
16:17Look, I've been arranged for a unit to pick up the delivery
16:21if distribution can't organise themselves.
16:23No, no, no, it's fine, thank you.
16:25I've gone and...
16:30Mr James, awful.
16:31What's going on?
16:32The guy doesn't even think he is.
16:34OK?
16:40OK, er, 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 pill, is that all right?
16:47That is a trip hazard.
16:49Leave the poor boy in there.
16:52Er, excuse me, sorry.
16:54You can't put him there, guys.
16:56Got to get me out of here, mate.
16:58Er, yeah, OK, I understand.
16:59I'll be with you shortly, OK?
17:01Nathan will be with you shortly.
17:03That's my missus's birthday.
17:04I understand.
17:04Where's your mask?
17:05Arse over tit, someone is going to go.
17:08I need to clock off soon for my Brian.
17:11OK, shall we get you some, er, sheets?
17:12You were really good at folding the sheets earlier.
17:14We need to...
17:16Are you OK?
17:18I'm so, so sorry.
17:20Did I hurt you?
17:22No, I'm so sorry.
17:23What idiot has left that in the middle of the corridor?
17:26So sorry, sir.
17:27Sorry, everyone.
17:29Er, Rita, that's my fault.
17:31I know.
17:32I know, look, I was excited to be back, but just, bae, D, I, F,
17:36they're just, it's doing my head in, I don't know what I'm doing.
17:38Why are you calling them by their letters?
17:40Just because they're elderly doesn't mean you shouldn't learn their names.
17:43I didn't mean it like that.
17:44Just treat them like human beings.
17:46You might remember a bit better.
17:47My foot is really hurting.
17:50Sorry.
18:24You should be ready for it.
18:28Phoebe.
18:30This is Yotra, 20.
18:31Resource tree, guys.
18:32Presenting with severe respiratory distress, shortness of breath and angiordema to his gateway.
18:36We've treated as anaphylaxis.
18:38No, no, no, no.
18:40Any known allergies but angiordema to my classes?
18:42And when did they last have eye on adrenaline?
18:43Er, no 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, ready.
18:54Ready, ready, lift.
18:55On lift, ready, ready, lift.
18:55On lift.
18:57Say that again, mate.
18:59Mattie, can you move?
19:00Go ahead.
19:01Ok, I'm going to be a primary survey to check your airway, sir, okay?
19:06Yes, significant swelling at the airway.
19:09Let's do an adrenaline nebuliser and we'll do another 500 megagrams of adrenaline nebuliser, please.
19:14Struggling. You're not pushing air properly at all.
19:17Yeah, okay. Yeah, it's Strider. He's got cordoedema.
19:20Maddie, when you can, give it a seat. You need a tissue, you're going to need airway support.
19:23Just get some oxygen on and help you breathe.
19:26This isn't working. You might need a surgical airway.
19:29Okay, can I get the RSI kit, please, and the difficult airway, probably. Thank you.
19:49Excuse me, lads. Yep. How 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 a virus.
19:59How come we know even less than we did this morning?
20:02Well, for now, it's vital that we maintain safety proportions until we know anything more, okay?
20:06I'm going to give you a shout when I know.
20:07Yep.
20:09Hey, stop messing about. I'll take that to day seven.
20:22He's still to Tearer right now. Struggling to get any air in.
20:25Right, let's get the air gel out.
20:28What's happening with the lads?
20:36Yeah, okay, he's got severe glottic oedema.
20:38Right, we're not going to be able to intubate.
20:41Let's, yeah, let's do a cricotherodontomy.
20:45Scalpel.
20:59Is that bougie?
21:04Which other way? Is anybody hurt?
21:06Is anybody hurt? Is everyone okay?
21:18Oh, boy, now the lights decide to go.
21:20Let's just...
21:21That's perfect.
21:22That's...
21:23That's really, really helpful.
21:43more light more light
21:45okay more light than i can't sing not let's prep for a reflexology session yes closer please
21:51okay let's attack bbm please
22:00um there's still some resistance here like yeah we've got end total but the tube must have gone
22:05down the right near bronchus so it's only the right hand side that's moving
22:10it's 85 percent the end title's still a bit low
22:18why it was the short circuit when the cylinder hit it yeah well at least it's just the lights
22:25prompts and monitors seem to be working help you test this board you move this out of the way
22:34that's that's still hovering at 90 percent why can't we see them please
22:41but he's okay he's safe um well as you know he's with nika at the moment and uh they've managed
22:47to
22:47get his heart started which is great but um i'm afraid the two of you just too ill to go
22:52up there
22:52at the moment you can't stop us from being with him no one can even tell us what this thing
22:55we all have
22:56is okay no but but whatever it is we need to protect him from it um do you have any
23:02history of heart
23:03problems okay um i want to repeat the buzz please can we get a chest x-ray and an ecg
23:09as well
23:11please just let me see him please and let's let's cut back on her fluids um as soon as that
23:17x-ray
23:17comes i want to see it please you've got an idea what it is don't you let me talk to
23:22radiology okay
23:23i want her top of the list
23:26i want her top of the list
23:45i'll lose it likewise
23:49you feel okay yeah never better byron you give it another go yeah
23:55let's do it
24:14it's after still at 85. yeah i know okay give me a bit more light please a bit more than
24:18that
24:20you okay yeah fine come on
24:36good okay yeah numbers are normalizing and uh we're adequately auctioneating so that's good
24:43let's complete the rsa checklist please
24:52you know there's uh always a place for your world wyverns underneath you in court if you ever get bored
24:59thank you for this seriously i appreciate it no worries
25:04jack
25:08are you still around your transportation yeah of course
25:21what am i doing here you're in hospital okay i'm your nurse i'm cam
25:28cam yeah
25:30beryl i'm beryl i'm a nurse too i know you are beryl i know listen you were you were really
25:36helping me
25:37earlier with the sheets do you remember the bed sheets you were folding them for me look they're on
25:41the floor now if you can help me fold those that would be great beryl yeah thank you so much
25:47i'll be with you soon okay sorry sorry
25:54okay that should be it now with the lights mr gibson huh reminds me of the power artistes
26:01back in the day when the when thingy was prime minister was that churchill the blitz
26:09keith the 70s oh do you think i am i ran
26:18marathons not so long ago or worse than my grandson henry not as bad as my grandson isaac
26:28he would know i was dead he just don't know i've blown his inheritance on cigarettes and
26:40she gonna be okay we're doing everything we can it's just right
26:48what's the doctor playing at the doctor's gonna be here very soon okay i'll chase him but until
26:52that point that's right i'm gonna need you to sit down for us okay it's a busy hospital
27:08phillan yeah laura beaches x-ray is that fluid on the walls uh that's pulmonary edema um let's take
27:16her off her fluids and i'll give her some for us and i say that basically means that her her
27:22heart
27:22isn't isn't pumping efficiently so that could be due to to heart failure although it's quite
27:28rare in somebody of her age sometimes it's an abnormal response to treatment um exposure to
27:33chemicals um they respond like this and with the rash around her mouth might slide up chemical
27:38exposure would explain why the third bowel swab is negative yeah potentially exposed though i mean
27:43there are no other patients presenting this one yeah but dylan this could be huge you've got to tell
27:48one of them well but she might be an anomaly i don't i don't think it's a pattern yet yet
27:54this
27:55isn't a pattern yet dylan why are we in dylan corn this is you you're right about everything
28:00i'm not jd really i'm not i think we wait for more evidence
28:05jd do you ever do you ever think about your dad
28:09what i try not to think about him some people don't change dylan max he wasn't meant to be a
28:39one of our patients okay maybe all of them dylan thinks he might be exposed to something like a
28:44chemical just joady with respect one 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 we've got to change the direction stop can i just stop you right there okay if dr keogh
29:00thinks his theory viable he should share it with dr byron and until then try staying within your pay grade
29:06hmm
29:24that's one uh do pony pony sorry i was unable to detect the
29:33keep you updated on the anaphylaxis patient okay i'm gonna do it off the shop floor
29:39we need to talk i know i already know i'm i'm fine i promise
29:45okay mr gibson the transfusion should be finished now so uh mr gibson
29:51mr gibson uh dr byron can i borrow you please uh take a look at his oxygen
29:59is low yeah yeah it's a transfusion associated circuitry overload um let's stop the transfusion
30:08jenna can you give this gentleman uh uh yeah sorry uh intravenous diuretic please i think that'll calm me down
30:14don't give him any more blood get another oxygen cylinder yeah uh yeah blood gas shows co2 at 14
30:20and a ph level of 7.24 yeah uh she's got a respiratory acidosis well now barrel tachycardic and
30:26hypacademic with hypoxia is type 2 respiratory failure can you get around there two liters of oxygen please
30:32go back to bed uh can can can you make it two cylinders please thank you sorry
30:50i don't know where my charts have gone i'll be right back beryl okay someone's taken my chance
30:56it's been hours now okay please bear with me okay byron there was a delay releasing the vehicle from
31:03the barracks delivery is another 20 minutes away look if you'd accepted my hope in the first place it
31:08would have been here by now just one don't tell me that's what we've got it's the last one okay
31:17guys uh
31:17with me please
31:24we've got one oxygen canister and two patients that need it we can't just magic up a cubicle so
31:30we need to decide which one advocate for your patients uh mrs parrish's prognosis might be terminal
31:36but she needs that oxygen well her respect form shows she doesn't want her to uk or intubation
31:42which she would probably end up on mr gibson's prognosis is better
31:49yeah i agree mr gibson would benefit more can we reach a consensus on this
31:55chef we don't have a lot of time
31:59okay okay can's right okay give the oxygen canister to mr gibson let's run mrs parrish's nev on air
32:05for now she gets a cylinder the second the resupply arrives okay yeah seriously
32:10we only need to look at the woman to know she needs the oxygen more than me okay jack i
32:14appreciate
32:15your help today but we are the medic so why don't you let us do our job thank you
32:23um i think we need to consider full palliation here um can we call next to ken to discuss
32:29in the meantime let's keep as comfortable as we can and call the palliative care team so they're aware
32:33as well thank you give you to what i mean i don't want it i'm sorry alan please i don't
32:41want it i'm sorry
32:44i don't want it come on please put it back on for me mr gibson please
32:49that's it deep breaths for me
32:55well i'll speak to dr keil about another dose of therosamide the treatment seems to be working
33:01is um is he on his own he might not think his mom and dad love him will he if
33:09he's on his own up there
33:10the best team are looking after him okay but we do we love him i know i know you do
33:22laura i'm i'm really sorry but i have just got to run through some routine questions with you
33:28um the answer may help us reunite you with your baby
33:31zach his name is zach it's a lovely name
33:40okay um do you suffer from any stress at work do you drink or do you smoke
33:47i want to see my baby i don't have time for this stupid question i should be with him and
33:55instead
33:55i'm on trial no you're not we just want to see you and you're not letting us
33:59laura i am trying to help you well then do your job and take me to my son
34:07can you put your mask on please
34:14i'm sorry i'm sorry about laura
34:22jody
34:25come on man what you know what happens when you get too involved with patients
34:35you know i get other people might have the wrong idea of me but i didn't think you'd be one
34:39of them
34:46yeah
34:48call lena
34:49call lena
34:52Poviedz je?
34:53Call Nina. Tell her.
34:57Poviedz je. Poviedz je.
35:00Poviedz je.
35:01Poviedz je.
35:01Ε½e jo kocham.
35:04Tell her I love her.
35:10Come on Piotra mate, stay with us.
35:22Ok.
35:45She's taken them.
35:47She gave my charge back.
35:51I can't do my rounds without them.
35:54Give my charge back. I need them back.
35:58Shut it, shut it. Shut up about your rounds.
36:00Give my charge back. I need them back.
36:04Shut up!
36:06Hey! Hey!
36:09Get off! Come on! Get off!
36:12I'm resisting!
36:15Come on!
36:16Get off of here!
36:19I think we've got you.
36:21It's all right. It's all okay.
36:23What are you doing? We need your help.
36:25It's all right.
36:28Are we set?
36:37Right. Nicole, can you draw 80 of your smid, please?
36:41And let's do a 10-illigram bolus of isosorbite dinitrate.
36:45Yeah.
36:46Why did you call me?
36:47I asked you to keep me updated.
36:48And you've had your phone on you all afternoon.
36:50Yeah. I did call. You didn't answer.
36:52Yeah. Well, this is a simple case of oxygen fluids.
36:54Okay. So from now on,
36:54might I suggest you use your medical degree to treat patients
36:56and not Duolingo.
36:57Nicole, how are we doing?
36:59Yeah.
36:59Okay. Yeah.
37:00I think we're looking at a possible flash pulmonary edema.
37:04Corrupts throughout.
37:05What do you think's causing it?
37:06For now.
37:07Okay. Uh, Lisa, can we do an urgent x-ray, please?
37:10Uh, let's stop fluids and we'll repeat the ECG.
37:13And Nicole, when you're ready, let's do an IV infusion.
37:16We'll do two mils an hour.
37:17Try treating up against the VEP.
37:21Sats arising.
37:23Yeah.
37:23Yeah.
37:25They are.
37:26Stay with them.
37:27Keep it to a side.
37:27Keep me updated.
37:52Why am I here?
37:54It's okay, Beryl.
37:55Don't be afraid.
37:55We're here to help you, okay? It's Cam.
37:58Cam, your nurse.
37:58Cam.
38:00Cam.
38:03That's all right, not 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.
38:16Mom.
38:24I've been a doctor. He's 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.
38:48I don't know what we would have done without your help today.
38:56I know, Gerald, I know.
38:58Give us all the strong stuff.
39:00We've given her the more thing we can.
39:02Okay, can you pass me a finger?
39:05You've done all right today, sir.
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.
39:21Eileen's grandson is Isaac.
39:26I'm really sorry.
39:27It's all right.
39:31It's all right.
39:42Yeah, he's very unwell.
39:45Unwell.
39:47Sick?
39:49Yes.
39:50Yes, sick.
39:52Look, he wanted to tell...
39:53No, Piotr wanted to tell you.
39:57Lena, he loves you.
40:00Okay.
40:03He loves you.
40:14That was tough, Eileen.
40:17Seriously tough.
40:18He did well.
40:20Keep your chin up.
40:26Can we go?
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.
40:38No.
40:38No.
40:39I always knew.
40:40You did never, didn't you?
40:44To do what, Jack?
40:48Really, this don't need a reminder.
41:05Doctor Keogh, can I get a second opinion, please?
41:07Doctor Nash has left.
41:10Yeah, yeah, yeah.
41:10Okay.
41:12Yeah, he's in respiratory distress, isn't he?
41:15Have we all got anaphylaxis?
41:16Yeah.
41:18All of the things normal.
41:20Sats are normal.
41:20Blood's normal?
41:21Yeah, pulmonary oedema.
41:23But the echo shows no heart failure, so we don't know what's causing...
41:26Parents have had that rash?
41:28That must have literally just developed.
41:31That's weird.
41:32I've seen two patients with the same rash today.
41:46Yeah, yeah, come in.
41:49It's chemical.
41:51The rashes are the symptomatic connection.
41:54Patients who are reacting adversely to treatment is causing pulmonary oedema,
41:58and it's the slow-developing rash around the mouth, that proves it's chemical, right?
42:02Yeah.
42:03Yeah, I've seen it before.
42:04A chemical attack in Afghanistan.
42:06Of course it's chemical.
42:08So, we need to isolate each case, locate the source, because we need to avoid a weak bite 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!
42:20Yeah, what's up?
42:22As my line manager, I have a duty to inform you that the Matty...
42:27Matty...
42:29Matty, yeah, yeah, yeah.
42:30He's my son.
42:34Okay, Dylan, 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.
42:44Dylan.
42:46Um, thank you for telling me.
42:49No worries.
42:57Hi, um, sorry, it's, um, Dr. Byron from the whole BED.
43:02Can you transfer me to your clinical lead, please?
43:04Urgently. Thank you.
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, you couldn't be left alone with a patient for five minutes.
43:26Yeah, 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?
43:33I'm hurting too, except I'm not taking it out on everybody else.
43:36Or 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.
43:41I 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 it's not my fault, it's not my fault, she's
43:50dead.
43:51Yeah, well it is, okay?
43:51Yeah, I know that, Matty, okay?
43:54I know I'm guilty.
43:58Yeah, you are guilty.
44:01So am I.
44:12Yeah, no, I just, I want to let you know that, um, it turns out we're not dealing with the
44:16virus.
44:18Yeah.
44:19And, Tara, I've thought about it and I, um, I want to, I want to be honest with everybody about,
44:24about me and Matty.
44:27No, I've, 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.
44:37I will take care of him.
44:41I'll keep him on the right path.
44:45You have my word.
45:21Oh, I have to wait for you, Victor.
45:25clarified stopped.
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