- 5 hours 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.
02:30You look awful.
02:33So do you.
02:34Yeah.
02:34Thank you, and any word on the third swap? 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
02:49of her OS signs. Look, I haven't had time to eat today and you want me to diarise holding Nicole's
02:53hand?
02:53Okay, 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 GI Joe? That was my CEO when I first joined the army
03:34Thank you for this
03:42Who's your Byron? Come on boy look tired for him
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 Porter blocks your socks
04:02I'm sourcing an alternative delivery by a different transport. Well, I can ask my lights to help. It's okay
04:07We can manage, you 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
04:39I am sorry we're late Hawking was mad I do
04:51I am I haven't ordered any coffee because I what I mean
04:58It's every day it was milk no sugar
05:02Two sugars
05:07How you been?
05:10Is what Mattie saying true?
05:13About this pandemic if that's what this is
05:16Are we all just sitting ducks waiting to catch her?
05:20It's too early to tell
05:24Well, is it safe?
05:27Is it safe for Mattie to work mum come on? I'm worried for you. You remember how sick your dad
05:32got in covert?
05:33His dad spent a week in intensive care. We didn't think he was coming home. I'm sorry to hear that
05:45Anyway, uh mom you said you wanted to ask questions if we were gonna spend more time together, you know,
05:50so
05:51Just ask you know, maybe I'll get that deep enough after all
05:56Okay
06:00If you don't suit the orange ton over there, okay? Thank you. Hi sir. Will you just go and speak
06:05to this gentleman here for me?
06:07Thank you. Okay. Can you wait here as well, please? Anyone with respiratory issues
06:11I need help! Please! My wife! Please! She's pregnant!
06:15How many weeks is it?
06:1725!
06:1826!
06:1926!
06:19She's 26 weeks!
06:20No! It's too early!
06:22It's too early!
06:23I'm gonna lean on me!
06:25There we go!
06:26There we go!
06:27Come on!
06:27It's the ambulance you never came! I go over it myself as fast as I could, God! I'll just get
06:32in!
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. I've got Dylan coming in in about 20 minutes.
06:40Okay, call him. Call him now.
06:44I think your GP didn't really suit me. I needed something with a bit more excitement.
06:48When did you last have a drink?
06:52Er, I've been sober for six years.
06:55Mm-hmm.
06:57Er, we should, we should probably go, you know, we're supposed to be on.
07:01You 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. Who wants an Elke in the baby's life?
07:16But you didn't give me a chance.
07:17Yeah, but I did. I tried to.
07:20The night I found out I was pregnant, I went to your flat, but you weren't in.
07:26So I waited. I waited.
07:29I waited.
07:30But then you came back blind, drunk, with blood down your front.
07:37We didn't know if it was your own or someone else's.
07:43But I, I remember thinking, I couldn't be a doctor, let alone a dad.
07:54I needed to protect my baby from you.
08:03Sorry, I've got, yeah.
08:06Hello, Dr. Keir.
08:11Er, erm, okay, yeah.
08:14Yeah, alright, okay.
08:16Um, I'm sorry, we have to go. It's an emergency.
08:19I barely know anything more than I did before.
08:21Do you have family? Friends?
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 me.
08:38Mum, Mum, please 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 doing nothing.
08:56I'm actually happy to be here.
08:58Right, well, raise yourself.
09:02I'm getting, I'm getting late. I'm late for my rounds.
09:06Sorry, Beryl, love. Are we holding you up?
09:08This one will 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, whoever's folded this has done a shoddy job for me.
09:22Could you do them for me properly?
09:27She used to work here years ago as a nurse.
09:31She thinks she still does, bless her.
09:33It's a dementia.
09:34Well, why is she in there?
09:35I know, I know.
09:37It's not the best place for her.
09:38But if you keep her busy, she'll be fine.
09:41Now, could you take over Bay D for me?
09:43I need to be somewhere.
09:44Mr. Gibson, he has lung cancer.
09:47I think the virus is exacerbating his symptoms.
09:50So, Cam, are you going to be okay with all this?
09:54Yeah.
09:55Yeah, no.
09:55I want to be here.
09:56Okay.
09:57Good luck.
09:58Mask barrel, love.
10:06Hi, sir.
10:07My name's Cam.
10:08I'm going to be your nurse for the rest of today.
10:09How are you feeling?
10:11Fourth time on this corridor.
10:12You know, it'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.
10:22Is that okay?
10:22Yeah, well, get on with it.
10:23All right.
10:23Yeah, I will.
10:26I'm just going to pop that there.
10:37I've got cancerous cells that move faster than you.
10:47Er, this man needs a mask.
10:49Okay, yes.
10:50This patient is 26 weeks pregnant.
10:52I've had a quick look and the baby's crown on.
10:54I'm sorry, can you just put that on for me, please?
10:57Er, coughing, shortness of breath.
10:59Am I all right to give rent an ox?
11:03Dylan, am I all right to give rent an ox?
11:05No, no rent an ox with that cough, man.
11:08What's happening?
11:09Er, we think your baby's coming.
11:10What, no?
11:11No.
11:11It's going to be okay, though, isn't it?
11:13I tell you what, somebody call the obstetrics.
11:15I just want to speak to Rash.
11:17Ah!
11:19Ah!
11:22Hi there, we've got another preterm delivery.
11:23Er, gestation 26 weeks.
11:27Er, yeah, 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?
11:44Er...
11:44No rush.
11:45I'll be with you in a minute, Jessica.
11:49Hey.
11:50Hey.
11:51Um, guys, we're reviewing Nicky's visitation.
11:54If the department decides to follow the ED's lead,
11:57there's a chance I may need to ask one of you to leave.
11:59But I'm really hoping it doesn't come to that.
12:02Neither of us are going anywhere.
12:04Er...
12:05Is there any news from the consultant?
12:09It's the same, I'm afraid.
12:11There's no change.
12:13With Pearl's prematurity, we need to take each day as it comes.
12:20Look, I'm here on a Caesar rotation for the next month,
12:24so if there's anything I can do, anything at all,
12:27just let me know.
12:29Thanks, mate.
12:54Baby's nearly here.
12:55That's it, Laura.
12:56Well done.
12:57Keep going, that's it.
12:59That's it, that's it?
13:00Good, good.
13:01Well done, well done, well done.
13:02Well done!
13:05Oh, is it Laura?
13:07Is it a beautiful?
13:09OK, so the baby's a bit floppy, he's not breathing,
13:12so let's cut this cord and...
13:14OK, OK. Is he OK?
13:17Well, he's not breathing at the moment,
13:18but we're going to have him transfer to neonatal
13:22and they'll try and stabilise him there, OK?
13:24Can we deliver the placenta?
13:25But you did great, Laura.
13:27And your baby is in the best hands, I promise.
13:36Dylan, what's going on with you?
13:38Come on, we need Dr Keogh back in his room now.
13:42Sorry, sorry, sorry.
13:45It looks as though his heart's not beating at the moment.
13:48We're going to do everything we can to get him beating, alright?
14:03Keep taking deep breaths on that, Eileen.
14:05Someone will be with us soon, mate.
14:06Hey, Andy, you OK?
14:08Hey, yeah, this is Eileen, 72,
14:10exacerbation of COPD,
14:11worsening cough and shortness of breath.
14:13Sat's on arrival at 80, rest to 36.
14:16She's had five milligrams of segutamol,
14:18500 micrograms of ipotropium
14:21and 100 milligrams of hydrocortisone.
14:23OK, er, thank you.
14:24Alright, let's continue with oxygen here, please.
14:27Titratus saturators of 88 to 92%.
14:29Alright, Eileen, I'm going to leave you with them now, OK?
14:32It's all right, it's all right.
14:33Don't fuss!
14:34I'm not fussing, I'm not fussing.
14:35I'm not fussing.
14:35I'm not fussing.
14:36I'm not eating cake over here.
14:38I'm going to put this over you.
14:39Alright?
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,
14:54with those cataracts.
14:56Do you two know each other?
14:57Yeah, we were both teachers.
14:59Holby High, English department.
15:02God, we went through the long,
15:05thankless hours.
15:07All the marking.
15:09Catherine would be turning in her grave
15:11if she found out you'd turned into such a grumpy old man.
15:16It's all an act.
15:18He was a great teacher.
15:28Any news on the oxygen in the cylinder, do you stop?
15:3110.05.
15:32I mean, they should have left distribution by now.
15:33Your guess is as good as mine.
15:34If we don't receive it soon,
15:36we won't have enough oxygen to treat the corridor patients.
15:39Okay, well, how long will stocks last?
15:40Well, the rate we're going,
15:42er, two or three hours.
15:46Okay, listen.
15:47We ration the cylinders until the delivery arrives.
15:49Anybody wants one,
15:50they're going to 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 distribution.
16:21Can't organise that.
16:22No, no, no.
16:23It's fine. Thank you.
16:24I've got it in control.
16:29It's a generalist offer.
16:31What's going on?
16:32The guy doesn't even think he is.
16:33Okay?
16:40Okay, er, sir, so we've got your bloods back,
16:42and it looks like you've got quite severe anemia,
16:43so we're going to have to do a transfusion thing.
16:45Is that all right?
16:46That is a trip hazard.
16:48He's a poor boy, love.
16:51Er, excuse me.
16:53Sorry.
16:53You can't put him there.
16:55You've got to get me out of here, mate.
16:57Er, yeah, okay, I understand.
16:59I'll be with you shortly, okay?
17:00Nathan will be with you shortly.
17:02It's my missus's birthday.
17:03I understand.
17:04Where's your mask?
17:05Arse over tit.
17:06Someone is going to go.
17:07I need to clock off soon for my briar.
17:10Okay, should we get you some, er, sheets?
17:12You were really good at folding the sheets earlier.
17:15Are you okay?
17:17I'm so, so sorry.
17:19Did I hurt you?
17:21No.
17:21I'm so sorry.
17:22What idiot has left that in the middle of the corridor?
17:25So sorry, sir.
17:26Sorry, everyone.
17:28Er, I'm reading.
17:29That's my fault.
17:31I know.
17:31Look, I was excited to be back, but just, babe, D-I-F,
17:35they're just...
17:35It's doing my head in.
17:36I don't know what I'm doing.
17:37Why are you calling them by their letters?
17:39It's because they're elderly.
17:40It doesn't mean you shouldn't learn their names.
17:41I didn't mean it like that.
17:43Just treat them like human beings.
17:45You might remember a bit better.
17:47My foot is really hurting.
17:49Sorry.
18:23You should be ready for it.
18:28Phoebe.
18:29This is Piotra, 20.
18:30Research to you guys.
18:31Presenting me severe, respiratory distress,
18:33shortness of Revan and your demon to his gateway.
18:35We've treated an anaphylaxis.
18:37Go, go, go.
18:37Go, go.
18:38Go, go.
18:38Go, go.
18:39Go, go, go.
18:39Any no-analysis about anaphylaxis?
18:41When did you last have eye and adrenaline?
18:42Er, no to the first question and six minutes ago.
18:45Do you guys know any more about the virus,
18:47about how it's infecting patients?
18:49No.
18:49Only what you do.
18:51Go, go, go, go.
18:52Go, go, go, go, go.
18:54Go, go, go, go, go.
18:55Go, go, go, go, go, go.
19:00Go, go, go, go, go, go, go, go, go, go, go.
19:05Yes.
19:06Significant swelling of the airway.
19:08Let's do an adrenalin nebuliser
19:10and we'll do another 500mg of adrenalin nebuliser, please.
19:14Struggling.
19:14You're not pushing air properly at all.
19:16Yeah, okay.
19:17Yeah, it's Strider.
19:18He's got cordoedema.
19:19Maddie, when you can,
19:20give us a call to you.
19:20He's going to need airway support.
19:22Yep.
19:23Just get some oxygen on,
19:24help you breathe.
19:25This isn't working.
19:27You might need a surgical airway.
19:29Can I get the RSI kit, please,
19:32and the difficult airway probably.
19:48Excuse me, lads.
19:49Yep.
19:50How do we do?
19:51Yeah, sure.
19:53The results of the third viral swab are back
19:55and they are 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,
20:02it's vital that we maintain safety proportions
20:04until we know anything more, okay?
20:05Yeah.
20:05I'm going to give you a shout when I know.
20:06Yep.
20:08Hey, stop messing about.
20:09I'll take that to base seven.
20:22He's still deteriorating.
20:23I'm 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.
20:36Glottic oedema.
20:37Right, we're not going to be able to intubate.
20:40Let's do a cricothyroidomy.
20:44Scalpel.
20:58Is that bougie?
21:03Which other way?
21:04Is anybody hurt?
21:05Is anybody hurt?
21:06Is everyone okay?
21:17Oh, wait, now the lights decide to go.
21:19Let's just...
21:20That's perfect.
21:21That's...
21:22That's really, really helpful.
21:42No.
21:42No, more light.
21:43More light, Matthew, okay?
21:44More light isn't like can't sing.
21:45Not let's prep for a reflexology session.
21:47Yes?
21:48Closer, please.
21:51Okay, let's attack the BBM, please.
21:59Um, there's still some resistance here, like?
22:02Yeah, we've got end tidal, but the tube must have gone down the right in the broncus, so it's only
22:05the right-hand side that's moving.
22:09It's half 85%.
22:11End tidal's still a bit low.
22:17By almost a 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.
22:28You move this out of the way.
22:33Oh, he's that still hovering at 90%.
22:37Why can't we see him?
22:39Please.
22:40Look, he's okay.
22:41He's safe.
22:43Um, well, as you know, he's with Nika at the moment, and they've managed to get his heart started, which
22:48is great, but, um, I'm afraid the two of you are just too ill to go up there at the
22:51moment.
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.
23:00Um, do you have any history of heart problems?
23:04Okay, um, I want to repeat the buzz, please. Can we get a chest x-ray and an ECG as
23:09well?
23:10Please, just let me see him. Please.
23:13And let's, let's cut back on her fluids. Um, as soon as that x-ray comes, I want to see
23:18it, 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.
23:44What was it alive, wise?
23:48You feel okay?
23:50Yeah, never better, Byron.
23:52You give it another go?
23:53Yeah, let's do it.
24:13It's after Stella 85.
24:14Yeah, I know. Okay, give me a bit more light, please.
24:17A bit more than that.
24:20You okay?
24:21Yeah, fine.
24:24Come on.
24:28Okay.
24:36Good, okay. Yeah, numbers are normalising and, uh, we're adequately auctioneating, so that's good.
24:43Let's complete the RSA checklist, please.
24:51You know there's, uh, always a place for your world wyverns engineering court, if you ever get bored.
24:58Thank you for this.
25:00Thank you for this.
25:00Seriously, I appreciate it.
25:01No worries.
25:04Jack.
25:07And you're still arraising your transportation.
25:10Yeah, of course.
25:11Move with me.
25:20What am I doing here?
25:21You're in hospital.
25:23Okay?
25:24I'm your nurse.
25:25I'm Cam.
25:27Cam.
25:28Yeah.
25:29Beryl.
25:30Beryl.
25:30I'm Beryl.
25:31I'm a nurse, too.
25:32I know you are, Beryl.
25:34I know.
25:34Listen, you were, 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?
26:08Heath, the 70s.
26:10How old do you think I am?
26:13I ran marathons.
26:18Not so long ago.
26:20You're worse than my grandson, Henry.
26:24Not as bad as my grandson, Isaac.
26:27He would rather I was dead.
26:29He had just done the blow.
26:32I've blown his inheritance on cigarettes and vino.
26:39Is she going to be okay?
26:41Hey.
26:42We're doing everything we can.
26:43It's just alright.
26:44Hey.
26:48What's the doctor playing at?
26:49The doctor's going to be here very soon.
26:50Okay?
26:51I'll chase him.
26:51But until that point, I'm going to need you to sit down for us.
26:54Okay?
26:54It's a busy hospital.
27:06Oh, 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.
27:17Say, er, basically means that her heart isn't pumping efficiently.
27:23So that could be due to heart failure, although it's quite rare in somebody of her age.
27:28Sometimes it's an abnormal response to treatment.
27:31Erm, exposure to chemicals.
27:33Erm, they 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 and Blit.
27:48Well, but she might be an anomaly.
27:51I don't, I 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, Jodie, really.
28:01I'm not.
28:01I think we wait for more evidence.
28:03Er, I...
28:04Jodie, do you ever, 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.
28:37Right, Siobhan.
28:38No, it's not a good time.
28:39Our patients, okay, maybe all of them.
28:42Dylan thinks he might be exposed to something like a chemical.
28:44Just, Jodie, with respect.
28:46One of our patients, Laura Beach, okay, she's getting worse.
28:50She's not getting better from treatment, she's getting worse.
28:52So, we've got to find the source.
28:54We've got to...
28:54We've got to change the direction.
28:55We've got to work how I...
28:56Stop, stop.
28:56Can I just stop you right there, okay?
28:58If Dr Keogh thinks his theory viable, he should share it with Dr Byron.
29:02And until then, try staying within your pay grade.
29:06Hmm?
29:23That's one...
29:25Uh...
29:27Do pony...
29:29Pony...
29:30Uh...
29:32Keep you updated on the anaphylaxis patient.
29:34Okay.
29:34We need to talk.
29:39I know, I already know.
29:41I'm fine, I promise.
29:43Okay.
29:44Okay, Mr Gibson, the transfusion should be finished now.
29:48So...
29:48Uh, Mr Gibson.
29:51Uh, Dr Byron, can I borrow you, please?
29:54Okay.
29:57Uh, take a look at his oxygen cylinder for me.
30:01He is low, yeah.
30:03Okay.
30:03So, transfusion associated circuitry overload.
30:05Um, let's stop the transfusion.
30:07Gemma, can you give this gentleman...
30:09Uh, yeah, sorry.
30:11Uh, intravenous diuretic, please, help me.
30:13That will calm me down.
30:13Don't give him any more blood.
30:15Get another oxygen cylinder.
30:16Clear.
30:17Uh, yeah, blood gas shows CO2 at 14.
30:19Yeah, sure.
30:19And a pH level of 7.24.
30:22Yeah, uh, she's got a respiratory acidosis.
30:24What now, Beryl?
30:25Tachycardic and hypocapnic with hypoxia.
30:27It's type 2 respiratory failure.
30:28Beryl?
30:29Can you get her on in there?
30:30Two litres of oxygen, please.
30:31Go back to bed, please.
30:32Uh, can.
30:32Can you make it two cylinders, please?
30:35Yeah, excuse me.
30:35Thank you, sorry.
30:50I don't know where my charts have gone.
30:52I'll be right back, Beryl, okay?
30:53Someone's taken my charts!
30:55It's been hours now, Beryl.
30:56Okay, please bear with me, okay?
31:00Byron, 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,
31:07it 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,
31:29so we need to decide which one.
31:31Advocate for your patients.
31:33Uh, Mrs Parrish's prognosis might be terminal,
31:36but 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?
32:07Yeah.
32:08Seriously.
32:09I mean, you only need to look at the woman to know
32:11if she needs the oxygen more than that.
32:13Okay, Jack, I appreciate your help today,
32:15but we are the medics, so 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, just keep her as comfortable as we can
32:30and call the palliative care team, so 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...
33:23I'm really sorry, but...
33:24I have just got to run through some routine questions with you.
33:28Erm...
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.
33:40Erm...
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.
34:16I'm sorry.
34:17I'm sorry.
34:17About Laura.
34:18Sorry.
34:21Jodie.
34:24Come on, man.
34:26What?
34:28You know what happens when you get too involved with patients?
34:35You know, I get other people might have the wrong idea of me.
34:37But I didn't think you'd be one of them.
34:45Call Lina.
34:49Call Lina.
34:49Call Lina.
34:50Call Lina.
34:54Tell her.
34:56Tell her.
34:58Tell her.
35:03Tell her I love her.
35:09Come on, Piotr, mate. Stay with us.
35:38Come on, Piotr, mate.
35:44He's taken them.
35:47Give me my chance back.
35:50I can't do my rounds without them.
35:53Give my chance back. I need them back.
35:57Shut it, shut it, shut up before your rounds.
35:59I'll give my chance back.
36:01I need them back!
36:03Shut up!
36:08Get off! Get off!
36:11Stop resisting!
36:18I hope we've got you. It's all right. It's OK.
36:22What are you doing? We need your help.
36:24It's all right. It's all right.
36:27It's all right. It's all right.
36:30What are we set?
36:36Right, Nicole, can you add your 80 of yours now, please?
36:40And let's do a 10-milligram 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, OK?
36:53So from now on, might I suggest you use your medical degree
36:55to treat patients and not Duolingo.
36:56Nicole, how we doing?
36:58Yeah.
36:59OK, yeah.
37:00I think we're looking at a possible flash pulmonary oedema.
37:03Perhaps they're out.
37:04What do you think's causing it?
37:05I don't know.
37:07OK, 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, try treating up against the BP.
37:17OK?
37:20Sats are rising.
37:22Yeah.
37:22Yeah.
37:24They are.
37:25Stay with them.
37:26Keep a close eye.
37:26Keep me updated.
37:51Why am I here?
37:53It's OK, Beryl.
37:54Don't be afraid.
37:55We're here to help you, OK?
37:56It's Cam.
37:57Cam, your nurse.
37:58Cam.
38:00Cam.
38:03That's all right, I'm Cam.
38:05Cam.
38:07Cam's going to help me.
38:09Yeah.
38:10Let's get you to bed now, OK?
38:12I'll take you back.
38:23I've got to be the doctor who's doing the medicine.
38:25So do the medicine.
38:43There's nothing more we can do.
38:44She's being moved to a side room.
38:45Jack, thank you. I don't know what we'd have done without your help today.
38:55I know, darling, I know. Give us all the strong stuff.
38:59We've given her all the more things we can.
39:01OK, can you pass me a finger?
39:04You've done all right today, sir.
39:10Listen, I can call Isaac for you if you want.
39:13I mean, I'm not really supposed to.
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, yeah, he's very unwell.
39:44Unwell.
39:46Sick?
39:48Yes, yes, sick.
39:51Look, he wanted to tell you.
39:53No, Piotr wanted to tell you.
39:57Lena, he loves you.
39:59OK?
40:02He loves you.
40:13That was tough, Eileen.
40:16Seriously tough.
40:17You did well.
40:19Keep your chin up.
40:25I'm OK.
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.
40:34Let the side down.
40:37No.
40:38I always knew you didn't have it, didn't you?
40:43To do what, Jack?
40:47Really, I just don't need a reminder.
41:04Doctor Keogh, can I get a second opinion please, Doctor Nash has left.
41:09Yeah, yeah, yeah.
41:09OK.
41:11Yeah, he's in respiratory distress, isn't he?
41:14Have we all got anaphylaxis?
41:15Yeah.
41:17All of the things normal, sats are normal, blood's normal?
41:20Yeah, pulmonary oedema.
41:22But the echo shows no heart failure, so we don't know what's causing...
41:25How long have you had that rash?
41:28That must have literally just developed.
41:31That's weird.
41:31I've seen two patients with the same rash today.
41:46Yeah, yeah, come on.
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, yeah, I've seen it before.
42:03A chemical attack in Afghanistan.
42:05Of course it's chemical.
42:07So, we need to isolate each case, locate the source,
42:11because we need to avoid a week by this week again.
42:13Yeah, yeah.
42:13Listen, 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, that Matty...
42:26Matthew...
42:27Linlake...
42:28Matty.
42:28Matty, yeah, yeah, yeah.
42:29He's my son.
42:33Okay, Dylan, I... I don't...
42:36Whatever, man.
42:37Okay, 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.
42:56Um, sorry.
42:58It's, um, Dr. Byron from whole BED.
43:01Can you transfer me to your clinical lead, please?
43:03Presently.
43:09I miss Kim too, you know.
43:11I do, I just wanted to tell you.
43:14Hey, look, I know it's weird, but if you ever want to talk...
43:16About what?
43:18What wisdom could you possibly have to offer me, Matty?
43:20You are a barely competent junior.
43:22You couldn't be left alone with a patient for five minutes.
43:25Yeah, well, maybe you shouldn't have left them with me then.
43:27Oh, grow up.
43:29Really?
43:30Look, I know you're hurting, okay?
43:32I'm hurting too, except I'm not taking it out on everybody else.
43:35Or is that what you're trying to do?
43:36You're trying to push everybody away because you don't want to know the truth?
43:38Hold on a second.
43:40I do want to know the truth, okay?
43:41So don't you dare, don't you dare stand there and psychoanalyse me, okay?
43:44I want to know the truth.
43:45I'm so sick and tired of everyone walking around telling me,
43:48it's not my fault, it's not my fault, she's dead.
43:50Yeah, well, it is, okay?
43:51Yeah, I know that, Matty, okay?
43:53I know I'm guilty!
43:57Yeah, you are guilty.
44:00So am I.
44:10Um, yeah, no, I just, I want to let you know that, um,
44:13it turns out we're not dealing with the virus.
44:17Yeah.
44:18And, and, and, Sarah, I've thought about it and I, um,
44:21I want to, I want to be honest with everybody about,
44:24about, about me and Matty.
44:26Now, 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.
44:47I will take care of him.
44:51You have my word.
44:54I'm sorry.
44:56I'll keep him on the right path.
44:59All right.
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