- 1 day ago
Casualty S46E01
Category
đș
TVTranscript
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 swabs have returned inconclusive. We are waiting on the results of a third.
01:26OK. Well, we know it's not flu. And the last time we were facing something like this, it was Covid.
01:32So...
01:32Which is why I think we need to prepare for the strong possibility that we are in the early days
01:37of a new pandemic.
01:39Half our team's off sick, so...
01:42Have we got enough PPE to protect the ones we've got here?
01:47Tomorrow, I'll be implementing Orbeez infection prevention and control strategy.
01:53Additional PPE supplies are being delivered and visitor access will be restricted.
01:58We've got enough PPE to protect the ones we've got here.
01:58That's it. Guys, I want you to take care of each other, OK?
02:04We may be about to re-enter hell.
02:30You look awful.
02:32Thank you. So do you.
02:36Um, any word on the third swab?
02:39No. Nothing yet.
02:41That's our best chance of knowing what's going on.
02:42I know. And we've only got one overflow area remaining as well.
02:46Hey, listen. I spoke to Nicole and she said that you pushed back on her request for support with her
02:50OSC.
02:51Look, I haven't had time to eat today and you want me to die around holding Nicole's hand?
02:54OK. When this is over, maybe mentoring Nicole might be good for you.
02:59Well, I'll have you here. Can you sign this for me?
03:01Yeah.
03:05Kim's death wasn't your fault, Stevie.
03:08Now, I know wellbeing offered online counseling sessions.
03:11It's been nearly a week since the funeral and you haven't used any of it.
03:16The very fact you know that means I could report you to HR.
03:19Come on. I'm worried about it.
03:21Don't be. I'm fine.
03:28What? Who's G.I. Joe?
03:30That was my CO when I first joined the army.
03:35Thank you for this.
03:43Who's your Byron?
03:44Can I buy?
03:46You look tired for him.
03:49Well, I had to sleep on my office floor last night, so...
03:55Shall we?
03:57Sure.
03:58So, medical engineering will raise the red flag over Porter blocks in the Sox.
04:03Yeah, I'm sourcing an alternative delivery via different transport.
04:06Well, I can ask my lads to help.
04:08It's OK. We can manage.
04:09You know, I've only been here an hour.
04:12I already know it's the nurses that run this place.
04:15Let me take that.
04:16Thank you very much.
04:17Resource, please.
04:19Good to see you, Byron.
04:23He's helpful.
04:40Hiya.
04:42Sorry we're late. Parking was... mad.
04:45Hiya, Dale.
04:52I haven't ordered any coffee because I...
04:56I mean...
04:59Don't tell me, don't tell me.
05:00It was milk, no sugar.
05:03Two sugars.
05:04Huh.
05:08How you been?
05:11Is what Matty's saying true?
05:14We've got this pandemic, if that's what this is.
05:17Are we all just sitting ducks?
05:19Waiting to catch her.
05:21It's too early to tell.
05:24Well, is it safe?
05:28Is 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.
05:45Anyway...
05:47Mum, you said you wanted to ask questions if we were going to spend more time together, you know?
05:50So...
05:52Just...
05:52Ask.
05:53You know, maybe I'll...
05:55Get that deep enough after all.
05:57OK.
06:01Well, if you don't sue, take the orange tent over there, OK?
06:05Hi, sir.
06:06Will you just go and speak to this gentleman here for me?
06:09OK, can you wait here as well, please?
06:10Anyone with a respiratory issue...
06:12I need help!
06:12It's my wife!
06:13Please!
06:14She's pregnant!
06:16How many weeks is she?
06:1725.
06:1926.
06:19She's 26 weeks.
06:19She's 26 weeks.
06:21No!
06:21It's too early!
06:23I'm sorry!
06:24Can you lean on me?
06:25There we go!
06:27There we go!
06:28It's the ambulance in the queue.
06:30I'll go over it myself as fast as I could, God.
06:32I'll just get there.
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.
06:55Mm-hmm.
06:58We should probably go, you know, we're supposed to be on.
07:01You can give me ten more minutes.
07:03Actually, I have a question.
07:07How?
07:08How do you keep a secret like that for 25 years?
07:11It wasn't like it was hard.
07:13Who wants an Elkie in the baby's life?
07:16But you didn't give me a chance.
07:18Yeah, but I did.
07:19I tried to.
07:21The night I found out I was pregnant, I went to your flat, but you weren't in.
07:26So I waited.
07:28I waited.
07:31But then you came back blind drunk with blood down your phones.
07:38We didn't know if it was your own or someone else's.
07:44But I remember thinking, I couldn't be a doctor, let alone a dad.
07:54I needed to protect my baby from you.
08:03Sorry.
08:04Yeah.
08:07Hello, Dr. Keogh.
08:12Uh, um, okay.
08:13Yeah.
08:14Yeah.
08:15All right.
08:16Okay.
08:17Um, 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?
08:23Friends?
08:25I mean, what did they think?
08:26I don't have anybody I can talk to about Matty, you know.
08:29What does it matter, Mum?
08:32It matters to me.
08:33I won't have anyone be ashamed of you.
08:35No, I'm not ashamed of Matty.
08:37I mean, trust me, this is all about me.
08:39Mum, 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.
08:54Hey, no, look, I've had three weeks of doing nothing.
08:56I'm actually happy to be here.
08:58Yes.
08:59Right, well.
09:00Raise yourself.
09:02I'm very, I'm very late.
09:05I'm late for my rounds.
09:06Sorry, Beryl, love.
09:08Are we holding you up?
09:09This one.
09:10Yeah, pop that back on for me.
09:12Um, could you repeat our arms 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.
09:23Could 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.
09:38It's not the best place for her, but if you keep her busy, she'll be fine.
09:41Now, could you take over Bay D for me?
09:44I need to be somewhere.
09:45Mr. Gibson, he has lung cancer.
09:47I think the virus is exacerbating his symptoms, so...
09:52Cam, sure, are you going to be okay with all this?
09:55Yeah.
09:55Uh, yeah, no, I want to be here.
09:57Okay.
09:57Good luck.
09:59Mask barrel, love.
10:07Hi, sir.
10:08My name's Cam.
10:08I'm going to be your nurse for the rest of today.
10:10How are you feeling?
10:12Fourth 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, yeah, I will.
10:27I'm just going to pop that there.
10:38I've got cancerous cells that move faster than you.
10:47Um, let's find it, I need to mask.
10:50Okay.
10:51Um, this patient is 26 weeks pregnant.
10:53I've had a quick look and the baby's cranching.
10:55Sorry, can you just put that on for me, please?
10:58Um, coughing, shortness of breath...
11:00Am I all right to give rent an ox?
11:03Dylan, am I all right to give rent an ox?
11:06No, no rent an ox with that cough, man.
11:09What's happening?
11:10We think your baby's coming.
11:11What, no?
11:12No.
11:12It's going to be okay, though, isn't it?
11:14I tell you what, somebody call the obstetrics.
11:16I just want to speak to Rash.
11:22Hi there, we've got another preterm delivery.
11:24Uh, gestation 26 weeks.
11:28Uh, yeah, we need the neonatal resusting.
11:29Another one?
11:31Resus one.
11:36Hey, can you arrange for the neonatal resus team to be sent to the ED?
11:39I need to speak to Faith and Ian.
11:42Oh, do you have a minute, doctor?
11:43Uh, no rush.
11:46I'll be with you in a minute, Jessica.
11:50Hey, hey, um, guys, we're reviewing NICU's visitation.
11:55If the department decides to follow the ED's lead,
11:57there's a chance I may need to ask one of you to leave.
12:00But I'm really hoping it doesn't come to that.
12:03Neither of us are going to never.
12:05Um, is there any news from the consultant?
12:10It's the same, I'm afraid.
12:12There's no change.
12:14With Pearl's prematurity, we need to take each day as it comes.
12:21Look, I'm, I'm here on a Caesar rotation for the next month,
12:25so if there's anything I can do, anything at all,
12:28just let me know.
12:30Thanks, mate.
12:55Baby's nearly here.
12:56That's it, Laura.
12:57Well done.
12:58Keep going.
12:59And that's it.
13:00That's it, that'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, uh...
13:16OK, is he OK?
13:18Well, he's not breathing at the moment,
13:19but we're going to have him transferred to neonatal
13:23and they'll try and stabilise him there, OK?
13:25Can we deliver the placenta?
13:26But you did great, Laura.
13:28Hurtin' 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 beating at the moment.
13:48We can do everything we can to get him breathing, all right?
14:04Keep taking deep breaths on that, Eileen.
14:06Someone will be with us in a minute.
14:07Hey, Andy, you OK?
14:09Hey, yeah, this is Eileen, 72, exacerbation of COPD,
14:12worsening cough and shortness of breath.
14:14Sats on arrival, 80, rest to 36.
14:17She's had 5 milligrams of Cibutamol,
14:19500 micrograms of Iprotropium
14:21and 100 milligrams of hypercortisone.
14:24OK, uh, thank you.
14:25All right, let's, uh, continue with oxygen here, please.
14:27A titrator saturator of 88 to 92%.
14:30All right, Eileen, I'm going to leave you with them now, OK?
14:33It's all right, Eileen.
14:34It's all right, don't fuss.
14:35I'm not fussing, I'm not fussing, I promise.
14:37I'm not eating cake over here, all right?
14:39I'm going to put this over you, all right?
14:43Nothing I haven't seen before, Alan.
14:48Eileen?
14:50As glamorous as ever in that gown.
14:53The price you can see over here, with those cataracts.
14:57Do you two know each other?
14:58Yeah, we were both teachers.
15:00Hobie High, English department.
15:03We went through the long, thankless hours.
15:08All the marking.
15:09Catherine would be turning in her grave
15:11if she found out you'd turned into such a grumpy old man.
15:17It's all an act.
15:19He was a great teacher.
15:29Any news on the oxygen in the cylinder, we stop?
15:3210-5, 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 to treat the corridor patients.
15:40Okay, well, how long will stocks last?
15:41Well, the rate we're going, uh, two, three hours.
15:47Okay, listen, we ration the cylinders until the delivery arrives.
15:50Anybody wants one, they run across the senior doctor first, okay?
15:53Yeah.
15:54No exceptions, excuse me.
15:55After you.
15:58Hi, Beryl, love.
16:22Hi, Beryl, love.
16:26Thank you, Beryl, love.
16:29It's a genius offer.
16:31What's going on?
16:32The guy's an infidious, okay?
16:41Okay, sir, so we've got your bloods back, and it looks like you've got quite severe anemia,
16:44so we're going to have to do a transfusion for him, is that all right?
16:47That is a trip hazard.
16:49Leave the poor boy alone.
16:52Uh, excuse me, sorry.
16:54You can't put him there.
16:56You've got to get me out of here, mate.
16:58Yeah, okay, I understand.
16:59I'll be with you shortly, okay?
17:01Nathan will be with you shortly.
17:02It's my missus' birthday.
17:04I understand.
17:04Where's your mask?
17:05Arse over tit.
17:07Someone is going to go.
17:08I need to clock off soon for my Brian.
17:11Okay, shall we get you some, uh, sheets?
17:12You were really good at folding the sheets earlier.
17:14We need to...
17:16Are you okay?
17:18I'm so, so sorry.
17:20Did I hurt you?
17:22No, I'm so sorry.
17:23What idiot has left that in the middle of a corridor?
17:26So sorry, sir.
17:27Sorry, everyone.
17:29I'm reading, that's my fault.
17:31I know.
17:31I know, look, I was excited to be back, but just, babe, D, I, F, they're just, it's doing
17:37my 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.
17:54I mean, I am going to talk to.
18:06I don't remember.
18:07I don't remember him because he didn't get everything.
18:07I don't think they didn't happen.
18:07But you're smart.
18:07It doesn't mean you shouldn'tokay.
18:08It doesn't mean you wouldn't beseck do it?
18:08Okay, you should have.
18:08Look at that.
18:09Okay, all right.
18:09Take that picture.
18:09It doesn't matter what you do, please.
18:09Open your head.
18:10I suppose you look upper communic dal side.
18:11Take that picture outside, right?
18:11Take that picture.
18:11Let's see if I'm done.
18:12Got it here.
18:13I don't know.
18:13See if I'm in surgery.
18:16I trust you.
18:16I don't know you.
18:24We should be ready for it.
18:29Phoebe, this is Piotra, 20.
18:31Research to you guys.
18:32Presenting Mr. Vera, spirit of distress,
18:34shortness of breath and angioedema to his gateway.
18:37We've treated it as anaphylaxis.
18:39What is this?
18:40Any analysis for anaphylaxis?
18:42When did the last have I am adrenaline?
18:43No to the first question and six minutes ago.
18:46Do you guys know anymore about the virus?
18:48How it's infecting people.
18:50Only what you do.
18:52On lift.
18:53Ready, ready, lift.
18:55On lift.
18:57Say that again, mate.
18:59Matthew, can you move?
19:00I'm going to do a primary survey.
19:03We'll check your airway, sir, OK?
19:06Yes.
19:07Significant swelling of the airway.
19:09Let's do an adrenaline nebuliser
19:11and we'll do another 500 micrograms of adrenaline nebuliser, please.
19:14Struggling.
19:15We're not pushing air properly at all.
19:17Yeah, OK.
19:18Yeah, it's Strider.
19:19He's got cordoedema.
19:20Matthew, when you can, give it a point to you.
19:21If it's going to need airway support.
19:23Yeah.
19:23Just get some oxygen on and help you breathe.
19:26Right, OK.
19:27This isn't working.
19:27You might need a surgical airway.
19:30Can I get the RSI kit, please?
19:33And the difficult airway trolley.
19:49Excuse me, lads.
19:50Yep.
19:51How do we do?
19:52Yeah, sir.
19:54The results of the third viral swab are back and they're negative.
19:58We're not dealing with the virus.
19:59How come we know even less than we did this morning?
20:02Well, for now, it's vital that we maintain safety proportions until we know anything more.
20:06If I was going to give you a shot when I know.
20:07Yep.
20:09Hey, stop messing about.
20:10I'll take that to day seven.
20:22He's still deteriorating.
20:24I'm struggling to get any air in.
20:25Right.
20:25Let's get the agile out.
20:28What's happening with the lights?
20:36Yeah, OK.
20:36He's got severe glottic oedema.
20:38Right.
20:38We're not going to be able to intubate.
20:40Let's, um...
20:41Yeah, let's do a cricocereidotomy.
20:45Scalpel.
20:59Takuji.
21:04Which other way?
21:05Is anybody hurt?
21:06Is anybody hurt?
21:07Is everyone OK?
21:12No.
21:13No!
21:18Probably the lights decided to go.
21:20That's just...
21:21That's perfect.
21:22That's...
21:22That's...
21:23That's really, really helpful.
21:43No, no, more light, more light, Matty, okay, more light than I can't see, not let's prep for a reflexology
21:48session, yes? Closer, please.
21:51Okay, let's attack the BBM, please.
22:00Um, there's still some resistance here, like?
22:03Yeah, we've got entitled, but the two must have gone down the right in the bronchus, so it's only the
22:06right-hand side that's leaving.
22:10It's at 85%. The entitled's still a bit low.
22:18Right, it was the short circuit of when the cylinder hit it.
22:21Yeah, well, at least it's just the lights.
22:25Promptor monitors seem to be working.
22:27How do we test this board?
22:29Can you move this out of the way?
22:34Okay, so that's still hovering at 90%.
22:38Why can't we see him, please?
22:41Look, he's okay. He's safe.
22:44Um, well, as you know, he's with Nika at the moment, and they've managed to get his heart started, which
22:48is great, but, um, I'm afraid the two of you are just too ill to go up there at the
22:52moment.
22:52No, no, you can't stop us from being with him. No one can even tell us what this thing we
22:55all have is.
22:56Okay, no, but whatever it is, we need to protect him from it, haven't we?
23:01Um, do you have any history of heart problems?
23:05Okay, um, I want to repeat the buzz, please.
23:07Can we get a chest x-ray and an ECG as well?
23:11Please, just let me see him.
23:13Please.
23:14Um, let's, let's cut back on her fluids.
23:16Um, as soon as that x-ray comes, I want to see it, please.
23:19You've got an idea what it is, don't you?
23:22Let me talk to radiology, okay?
23:23I want her top of the list.
23:45I was in a live wise.
23:49Are you okay?
23:51Yeah, never better, Byron.
23:53Can you give it another go?
23:54Yeah, let's do it.
24:14Santa's still at 85.
24:15Yeah, I know.
24:16Okay, give me a bit more light, please.
24:18A bit more than that.
24:21You okay?
24:22Yeah, fine.
24:25Come on.
24:27Hey.
24:30Okay.
24:37Good, okay.
24:38Yeah, numbers are normalising and, uh,
24:41we're adequately oxygenating, so that's good.
24:44Let's complete the RSI checklist, please.
24:52You know, there's, uh, always a place for your world wyverns or engineering court, if you ever get bored.
24:59Thank you for this.
25:01Seriously, I appreciate it.
25:02No worries.
25:03No worries.
25:04Jack.
25:08Are you still already in your transportation?
25:11Yeah, of course.
25:12You've written.
25:20What am I doing here?
25:23You're in hospital.
25:24Okay?
25:25I'm your nurse.
25:26I'm Cam.
25:28Cam?
25:28Yeah.
25:30Beryl?
25:31I'm Beryl.
25:32I'm a nurse, too.
25:33I know you are, Beryl.
25:34I know.
25:35Listen, you were really helping me earlier with the sheets.
25:37Do you remember the bed sheets?
25:39You were folding them for me.
25:40Look, they're on the floor now.
25:42If you can help me fold those, that would be great, Beryl, yeah?
25:46Thank you so much.
25:47I'll be with you soon.
25:48Okay?
25:50Sorry.
25:50Sorry.
25:53Okay.
25:55That should be it now with the lights, Mr Gibson.
25:57Huh.
25:58Reminds me of the power artiches.
26:01Back in the day.
26:02When, uh, when Thingy was Prime Minister.
26:05Was that Churchill?
26:06The Blitz?
26:07Ha, ha, ha, ha.
26:09Keith, the 70s.
26:11How old do you think I am?
26:14I ran marathons not so long ago.
26:21You're worse than my grandson, Henry.
26:24Not as bad as my grandson, Isaac.
26:28He would rather I was dead.
26:30It just don't blow.
26:32I've blown his inheritance on cigarettes and vino.
26:36Ha, ha, ha, ha.
26:38Ha, ha, ha, ha.
26:40Is she going to be okay?
26:42Oh, we're doing everything we can.
26:44It's just alright.
26:44Nate!
26:48What's the doctor playing at?
26:50The doctor's going to be here very soon, okay?
26:51I'll chase him.
26:52But until that point, Mr Acker,
26:53I'm going to need you to sit down for us.
26:54Okay?
26:55It's a busy hospital.
27:08Oh, Philan.
27:09Yeah?
27:10Laura Beecher's x-ray.
27:11Is that fluid on the mules?
27:13Uh, that's pulmonary edema.
27:15Let's take her off her fluids,
27:17and I'll give her some furosomide.
27:18So, uh, basically it means that her heart isn't pumping efficiently,
27:24so that could be due to heart failure,
27:27although it's quite rare in somebody of her age.
27:29Sometimes it's an abnormal response to treatment,
27:32exposure to chemicals.
27:34So they respond like this,
27:36and the rash around her mouth might start up.
27:38Chemical exposure would explain why the third bioswap is negative.
27:41Yeah, potentially exposed, though.
27:43I mean, there are no other patients presenting this, right?
27:45Yeah, but, Dylan, this could be huge.
27:47You've got to tell Siobhan and Flynn.
27:49Well, but she might be an anomaly.
27:52I don't... I don't think it's a pattern yet.
27:54Yet?
27:55This isn't a pattern yet, Dylan.
27:56Why are we waiting?
27:57Dylan, come on, this is you.
27:58You're right about everything.
28:00I'm not, Jodie, really.
28:01I'm not.
28:02I think we wait for more evidence.
28:04Uh, I...
28:05Jodie, do you ever...
28:06Do you ever think about your dad?
28:09What?
28:10I try not to think about him.
28:13Some people don't change Dylan.
28:16Max, he wasn't meant to be a dad, so he never will be.
28:38All right, Siobhan.
28:39No, it's not all the time.
28:40Our patients, okay, maybe all of them, Dylan thinks he might be exposed to something like a chemical.
28:45Just, Jodie, with respect.
28:47One of our patients, Laura Beach, okay, she's getting worse.
28:51She's not getting better from treatment, she's getting worse.
28:53So we've got to find the source.
28:55We've got to change the direction.
28:56Stop, stop.
28:57Can I just stop you right there, okay?
28:59If Dr Keogh thinks his theory viable, he should share it with Dr Byron.
29:04And until then, try staying within your pay grade, hmm?
29:24That's one.
29:28Do pony... pony...
29:31Sorry, I was unable to detect the language.
29:33Keep me updated on the anaphylaxis patient, okay?
29:35I'm going to do it off the shop door.
29:37What?
29:39We need to talk.
29:40I know, I already know.
29:42I'm fine, I promise.
29:44Okay.
29:45Okay, Mr Gibson, the transfusion should be finished now.
29:48So, Mr Gibson, Mr Gibson.
29:52Dr Byron, can I borrow you, please?
29:54Okay.
29:58Take a look at his oxygen cylinder for me.
30:01It is low, yeah.
30:03Okay, I think it's a transfusion associated circle 3 overload.
30:07Let's stop the transfusion.
30:08Gemma, can you give this gentleman...
30:10Uh, yeah, sorry, intravenous diuretic, please, help me, that will calm her down.
30:14Don't give him any more blood.
30:16Get another oxygen cylinder.
30:17Yeah, sure.
30:18Yeah, blood gas shows CO2 at 14 and a pH level of 7.24.
30:22Yeah, she's got a respiratory acidosis.
30:25What now, Beryl?
30:26Tachycardic and hypokatemic with hypoxia.
30:27It's type 2 respiratory failure.
30:29Beryl?
30:29Can you get him on 2 litres of oxygen, please?
30:32Go back to bed, please.
30:33Can.
30:33Can.
30:34Can you make it 2 cylinders, please?
30:35Yeah, I'll go to bed.
30:36Thank you, sorry.
30:51I don't know where my charts have gone.
30:53I'll be right back, Beryl, okay?
30:54Someone's taken my charts.
30:56It's been hours now.
30:57Okay, please bear with me, okay?
31:00Byron, there was a delay releasing the vehicle from the Barris.
31:04Delivery is another 20 minutes away.
31:06Look, if you'd accepted my help in the first place,
31:08it would have been here by now.
31:12Just one.
31:13Don't tell me that's all we've got.
31:14Where's the last one?
31:16Okay, guys, with me, please.
31:24We've got one oxygen canister and two patients that need it.
31:28We can't just magic up a cubicle, so we need to decide which one.
31:32Advocate for your patients.
31:33Uh, Mrs Parrish's prognosis might be terminal, but she needs that oxygen.
31:39Well, her respect form shows she doesn't want ITU care or intubation,
31:42which she would probably end up on.
31:45Mr Gibson's prognosis is better.
31:49Yeah, I agree.
31:50Mr Gibson would benefit more.
31:52Can we reach a consensus on this?
31:55Shiv, we don't have a lot of time.
31:59Okay, okay, can's right.
32:01Okay, give the oxygen canister to Mr Gibson.
32:03Let's run Mrs Parrish's neb on air for now.
32:06She gets a cylinder the second the resupply arrives, okay?
32:08Yeah.
32:09Seriously?
32:10I mean, you only need to look at the woman to know she needs the oxygen more than her.
32:14Okay, Jack, I appreciate your help today,
32:16but we are the medics, so why don't you let us do our job?
32:22Shiv, um,
32:23I think we need to consider full palliation here.
32:26Um, I'm going to call next to Ken to discuss.
32:29In the meantime, let's keep her as comfortable as we can
32:31and call the palliative care team, so they're aware as well.
32:36I'll give you to Wiley.
32:37I don't want it.
32:38I'm sorry, Alan.
32:40Please!
32:41I don't want it!
32:42I'm sorry.
32:44I don't want it!
32:45Come on, please, put it back on for me.
32:46Mr Gibson, please.
32:49That's it, deep breaths for me.
32:55Well, I'll speak to Dr Keogh about another dose of therosamide.
32:58The treatment seems to be working.
33:02Is, um...
33:03Is he on his own?
33:05He might not think his mum and dad love him, will he?
33:08If he's on his own up there.
33:10The best team are looking after him, okay?
33:13But we do.
33:15We love him.
33:16I know.
33:17I know you do.
33:22Laura, I'm really sorry, but I have just got to run through
33:26some routine questions with you.
33:28Um, the answer may help us reunite you with your baby.
33:31Zach.
33:32His name is Zach.
33:34It's a lovely name.
33:38Okay.
33:40Um, do you suffer from any stress at work?
33:44Do you drink or do you smoke?
33:47I want to see my baby.
33:49I don't have time for this stupid question.
33:54I should be with him and instead I'm on trial.
33:56No, you're not.
33:57We just want to see you.
33:58And you're not letting us?
33:59Laura, I am trying to help you.
34:01Well, then do your job and take me to my son.
34:08Can you put your mask on, please?
34:14I'm sorry.
34:16I'm sorry about Laura.
34:19I'm sorry.
34:22Jodie.
34:25Come on, ma'am.
34:27What?
34:29You know what happens when you get too involved with patients?
34:35You know, I get all the people might have the wrong idea of me.
34:38But I didn't think you'd be one of them.
34:47Call Lina.
35:01Call Lina.
35:04Tell her I love her.
35:10Come on, Piotra, mate.
35:11Stay with us.
35:41You're welcome.
35:47I can't do my rounds without them.
35:54Give my chance back.
35:56I need them back.
35:58Shut it, shut it.
35:58Shut up before your rounds.
36:00Give my chance back.
36:02I need them back.
36:04Shut up.
36:05Hey, hey.
36:09Get off.
36:10Get off.
36:12Stop resisting.
36:16Get off.
36:19Get off.
36:19Get off.
36:19I hope we've got you.
36:21It's all right.
36:22It's all okay.
36:23What are you doing?
36:24We need your help.
36:25It's all right.
36:27It's all right.
36:31All right, let's do it.
36:37Right.
36:38Nicole, can you add your 80 if you're was made, please?
36:41And let's do a 10mg bolus of isosorbite di-nitrate.
36:45Yeah.
36:45Why 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.
36:51You didn't answer.
36:52Yeah, well, this is a simple case of oxygen fluids, okay?
36:54So from now on, might I suggest you use your medical degree to treat patients and not geolingo.
36:57Nicole, how are we doing?
36:59Yeah.
36:59Okay, yeah, I think we're looking at a possible flash pulmonary oedema.
37:03Crepes throughout.
37:05What do you think it's causing?
37:06Dunno.
37:07Okay, Lisa, can we do an urgent x-ray, please?
37:10Let's stop fluids and we'll repeat the ECG.
37:13And 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 BP.
37:21Sats arising?
37:23Yeah, yeah, they are.
37:26Stay with them.
37:27Keep the toes at eye.
37:27Keep me updated.
37:52Why am I here?
37:54It's okay, Beryl.
37:55Don't be afraid.
37:56We're here to help you, okay?
37:57It's Cam, you're your nurse.
37:58Cam.
38:00Cam.
38:03That's all right, I'm Cam.
38:06Cam.
38:08Cam's going to help me.
38:10Yeah.
38:11Let's get you to bed now, okay?
38:13I'll take you back.
38:23I've got to be the doctor who's doing the medicine.
38:26So do the medicine.
38:44There's nothing more we can do.
38:45She's being moved to a side room.
38:46Jack, thank you.
38:48I don't know.
38:48I don't know what we'd have done without your help today.
38:56I know, Beryl.
38:57I know.
38:58Give us all the strong stuff.
39:00We've given her all the more things we can.
39:02Okay.
39:03Can 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.
39:50Sick.
39:51Look, he wanted to tell you...
39:54No, Piotr wanted to tell you...
39:57Lena, he loves you.
40:00Okay?
40:03He loves you.
40:14That was tough, Eileen.
40:16Seriously tough.
40:18You 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.
40:39I always knew you didn't have it, didn't you?
40:44To do what, Jack?
40:48Really, I just don't need a reminder.
41:05Dr. Keogh, can I get a second opinion, please, Dr. Masha's left?
41:10Yeah, yeah, yeah.
41:10Okay.
41:12Yeah, he's in respiratory distress, isn't he?
41:15Have we all got anaphylaxis?
41:16Yeah.
41:18All of the things normal, sats are normal, blood's normal?
41:21Yeah, pulmonary oedema.
41:23But the echo shows no heart failure, so we don't know what's causing...
41:25How long has he had that rash?
41:28Er, that must have literally just developed.
41:31That's what we had.
41:32I've seen two patients with the same rash today.
41:46Yeah, yeah, come on.
41:50It's chemical.
41:51The rashes are the symptomatic connection.
41:54Patients are reacting adversely to treatment.
41:57It's causing pulmonary oedema,
41:58and it's the slow-developing rash around the mouth.
42:00That proves it's chemical, right?
42:02Yeah.
42:02Yeah, 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,
42:11locate the source,
42:12because we need to avoid a beat by this week again.
42:14Yeah, yeah, listen, I'm going to call St. James.
42:15We've got a coordinator response on this.
42:17Oh.
42:20Yeah, what's up?
42:21Oh, um, so, um, as my line manager,
42:23I have a duty to inform you that, uh, the Matty...
42:27Matty...
42:28Linlake...
42:29Matty...
42:29Matty, yeah, yeah, yeah.
42:30He's my son.
42:34Okay, Dylan, I...
42:36I don't...
42:37Whatever, man.
42:38Okay, just, let's focus on this.
42:39If you want me to escalate it with HR myself,
42:41I'm happy to do that.
42:42Hold on, hold on.
42:44Dylan.
42:46Um, thank you for telling me.
42:50No worries.
42:57Hi, um, sorry, it's, um, Dr. Byron from OVED.
43:02Can you transfer me to your clinical lead, please?
43:04Urgently.
43:09I miss Kim too, you know.
43:12I do, I just wanted to tell you.
43:15Hey, look, I know it's weird, but if you ever want to talk...
43:17About what?
43:19What wisdom could you possibly have to offer me, Matty?
43:21You are a barely competent junior.
43:23You couldn't be left alone with a patient for five minutes.
43:26Yeah, 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.
43:40I do want to know the truth, okay?
43:42So don't you dare, don't you dare stand there and psychoanalyse me, okay?
43:45I want to know the truth.
43:46I'm so sick and tired of everyone walking around telling me,
43:49it's not my fault, it's not my fault, she's dead.
43:50Yeah, well, it is, okay?
43:51Yeah, I know that, Matty, okay?
43:54I 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,
44:14it turns out we're not dealing with the virus.
44:18Yeah.
44:19And, and, and, and, and, and, and Sarah, I, I've thought about it,
44:21and I, um, I want to, I want to be honest with everybody about,
44:24about me and Matty.
44:27No, I've thought about it and I want this.
44:30It's taken Matty a long time to find his calling
44:33and I would hate to see him screw it up.
44:35No, I will take care of him.
44:41I'll keep him on the right path.
44:45You have my word.
45:00You have my word.
45:23Transcription by CastingWords
Comments