- 2 days ago
Casualty S41E01 - Lethal Legacy
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00:01My name is Stevie, and 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 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.
00:52An 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,
01:31so...
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?
01:46For tomorrow, I'll be implementing Orbit infection prevention and control strategy.
01:53Additional PPE supplies are being delivered, and visitor access will be restricted.
01:59Guys, I want you to take care of each other, OK?
02:03We may be about to re-enter hell.
02:06A themeree?
02:08In theincarnation?
02:11A themere, what?
02:28Of course?
02:29Lель Digital Museum
02:29You look awful.
02:34So are 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,
02:48and she said that we'd push back on her request for support of her OSC.
02:51Look, I haven't had time to eat today,
02:52and you want me to diarise holding Nicole's hand?
02:54OK, OK.
02:55When 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 well-being offered online counselling sessions.
03:11It's been nearly a week since the funeral,
03:14and you haven't used any of it.
03:15The very fact you know that means I could report to the HR.
03:19Come on. I'm worried about it.
03:21Don't be. I'm fine.
03:27What?
03:28Who's G.I. Joe?
03:30That was my, um, C.O. when I first joined the army.
03:35Thank you for this.
03:43Major Byron.
03:44Can I buy?
03:46You look tired for him.
03:49Well, I had to sleep on my office floor last night, so...
03:55Shall we?
03:56Sure.
03:58So, uh, medical engineering have raised the red flag over port-a-blocks and socks.
04:02Yeah, I'm sourcing an alternative delivery via different transporters.
04:06I can ask my lights to help.
04:08It's okay. 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.
04:17Uh, resource, please.
04:18Good to see you, Barry.
04:23He's helpful.
04:40Hiya.
04:41Sorry we're late.
04:43Parking was...
04:44mad.
04:45Hiya, Dill.
04:51I...
04:52I haven't ordered any coffee because I...
04:56I mean...
04:58Uh...
04:59Tell me, don't tell me.
05:00It was milk, no sugar.
05:02Two sugars.
05:08How you been?
05:11Is what Matty's saying, Joe?
05:14Without 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?
05:27Is it safe for Matty to work?
05:29Mum, come on.
05:30I'm worried for you.
05:31Do 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.
05:39Mm-hmm.
05:42I don't think he was coming home.
05:45Anyway...
05:45Er, Mum.
05:47You said you wanted to ask questions if we were going to spend more time together, you know?
05:51So...
05:51Just...
05:52Ask.
05:53You know, maybe I'll...
05:55Get that decaf after all.
05:57OK.
06:01If you don't sue to the orange tent over there, OK?
06:05Hi, sir.
06:05Will you just go and speak to this gentleman here for me?
06:08OK.
06:09Can you wait here as well, please?
06:10Anyone with a respiratory issue...
06:11You need help?
06:12Please.
06:12My wife.
06:13Please.
06:14She's pregnant.
06:16How many weeks is she?
06:1725.
06:1826.
06:19She's 26 weeks.
06:21No.
06:21It's too early.
06:23It's too early.
06:25There we go.
06:28It's the ambulance in the queue.
06:30I'll do over it myself as fast as I could, but I'll just get in.
06:33Well, you're doing a brilliant job.
06:34Can I get you to stand up?
06:35Oh, me.
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.
06:44I don't think your GP didn'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.
06:58Uh, we should, we should probably go.
07:00You know, we're supposed to be on.
07:01You can give me ten more minutes.
07:03Actually, I, I have a question.
07:07How?
07:07How, how do you keep a secret like that for 25 years?
07:11It wasn't like it was hard.
07:13Who wants an alky in the baby's life?
07:16But you didn't give me a chance.
07:17Yeah, but I did.
07:18I tried to.
07:21The 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 front.
07:38We didn't know if it was your own or someone else's.
07:44But I, I, I remember thinking, couldn't be a doctor, let alone a dad.
07:54I needed to protect my baby from you.
08:03Sorry, I've got, yeah.
08:07Hello, Dr. Keogh.
08:11Uh, um, okay.
08:13Yeah.
08:14Yeah, all right.
08:15Okay.
08:17Um, I'm, I'm sorry, we have to go.
08:19It's an emergency.
08:19I barely know anything more than I did before.
08:22Do you have family?
08:23Friends?
08:24I 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?
08:31It 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.
08:44Sorry.
08:50Oh, hands on deck today, I'm afraid.
08:53Sorry it's your first shift back.
08:54Hey, no, look, I've had three weeks to do nothing.
08:56I'm actually happy to be here.
08:58Yes.
08:59Right, well, raise yourself.
09:02I'm getting, I'm getting late.
09:05I'm late for my rounds.
09:06Sorry, Beryl, love.
09:07Are we holding you up?
09:09This one.
09:09Yeah, pop that back on for me.
09:11Um, could you repeat our hands and chase bloods if they're not back in an hour?
09:16Yep.
09:17Uh, Beryl.
09:18Well, I tell you what, whoever's fond of 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.
09:37It'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, are you sure you're going to be okay with all this?
09:55Yeah.
09:55Uh, yeah, no, I want to be here.
09:57Okay.
09:57Good luck.
09:58All right.
09:59Mask barrel, love.
10:07Hi, sir.
10:07My name's Cam.
10:08I'm going to be your nurse for us 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 blood.
10:22Is 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.
10:47Um, this man needs a mask.
10:50Okay, um, 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?
11:03Dylan, am I all right to give her entonox?
11:05No, no entonox with that cough, man.
11:09What's happening?
11:09Uh, we think your baby's coming.
11:11What, no?
11:11No.
11:12It's going to be okay, though, isn't it?
11:13No, no, no, no, no.
11:14I tell you what, somebody call the obstetrics.
11:16I just want to speak to Rash.
11:22Hi there, we've got another pre-term delivery.
11:24Uh, gestation 26 weeks.
11:27Uh, yeah, we need the neonatal resus thing.
11:29Another one?
11:31Resus one.
11:36Hey, uh, can you arrange for the neonatal resus thing to be sent to the ED only to speak
11:39to Faith and Ian?
11:41Oh, do you have a minute, Doctor?
11:43Uh, no rush.
11:46I'll be with you in a minute, Jessica.
11:50Hey.
11:51Hey, um, guys, we're reviewing Niku's visitation.
11:55If the department decides to follow the ED's lead, there's a chance I may need to ask one
11:59of you to leave.
12:00But I'm really hoping it doesn't come to that.
12:02Neither of us are going to never.
12:05Um, is there any news from the consultant?
12:10It's the same, I'm afraid.
12:11There'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 seat of rotation for the next month, so if there's anything I
12:26can do, anything at all, just let me know.
12:30Thanks, mate.
12:54Baby's nearly here.
12:56That's it, Laura.
12:57Well done.
12:58Keep going.
12:59That's it.
13:00That's it.
13:00That's it.
13:01Good, good.
13:01Well done.
13:02Well done, well done, well done.
13:02Well done.
13:06Oh, is it Laura?
13:08It's beautiful.
13:10Okay, so the baby's a bit floppy, he's not breathing, so let's cut this cord and, uh...
13:16Is he okay?
13:17Uh, well, he's not breathing at the moment, but we're going to have him transferred to, um,
13:22neonatal, and they'll try and stabilise him there, okay?
13:24Can we deliver the placenta?
13:26But you did great, Laura.
13:28Hitting your baby is in the best hands, I promise.
13:37Dillon, what's going on with you?
13:39Come on, we need Dr. Keogh back in his room now.
13:42Sorry, sorry, sorry, sorry.
13:44Um, it looks as though his heart's not beating at the moment.
13:48We're going to do everything we can to get him beating, all right?
14:04He's taking deep breaths on that, Eileen, someone will be with us in a minute.
14:07Hey, Eddie, you okay?
14:08Hi, uh, yeah, this is Eileen, 72, exacerbation of COPD, worsening cough and shortness of breath.
14:14Sat's on arrival at 80, rest to 36.
14:17She's had 5 milligrams of subutamol, 500 micrograms of ipotropium, and 100 milligrams of hypercortisone.
14:23Okay, uh, thank you.
14:25All right, let's, uh, continue with oxygen here, please.
14:27A titurator saturator is of 88 to 92 percent, thank you.
14:30All right, Eileen, I'm going to leave you with them now, okay?
14:33It's all right, it's all right.
14:34Don't fuss!
14:35I'm not tossing, I'm not tossing.
14:36I'm not tossing, I'm not tossing, I promise.
14:37I'm not incapable of you, huh?
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.
14:56Do you two know each other?
14:58Yeah, we're both teachers.
15:00I'll be high in this department.
15:03We went through the long, long, thankless hours.
15:07All the marking.
15:09Catherine would be turning in her grave if she found out you'd turned into such a grumpy old man.
15:17It's all an act.
15:19He was a great teacher.
15:29And then we used on the oxygen in the cylinder we stopped.
15:3110-5, 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 cordial patients.
15:39Okay, well, how long will stocks last?
15:41Well, the rate we're going, uh, two or 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.
15:53No exceptions.
15:54Excuse me.
15:55After you.
15:58Okay, Barrel, love.
16:14So, what's the ETA?
16:17Look, I've got a raise for a unit to pick up the delivery of distribution called Organised.
16:23No, no, no, it's fine.
16:25I've gone around.
16:30It's a jam, it's awful.
16:31What's going on?
16:32The guy's in the interview with us, okay?
16:40Okay, 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?
16:46That is a trip hazard.
16:48Leave the poor boy in there.
16:52Excuse me, sorry.
16:54You can't put him there.
16:55You've got to get me out of here, mate.
16:57Uh, yeah, okay, I understand.
16:59I'll be with you shortly, okay?
17:00Nathan will be with you shortly.
17:03It's my missus's birthday.
17:04I understand.
17:04Where's your mask?
17:05Arse over tit.
17:06Someone is going to go.
17:08I need to clock off soon for my Brian.
17:10Okay, shall we get you some, uh, sheets?
17:12You were really good at folding the sheets earlier.
17:16Are you okay?
17:18I'm so, so sorry.
17:20Did I hurt you?
17:22No?
17:22No, I'm so sorry.
17:23What idiot has left that in the middle of a corridor?
17:25So 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
17:36my head in.
17:37I don't know what I'm doing.
17:38Why are you calling them by their letters?
17:39Just 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.
18:24We should be ready for it.
18:29Stevie, this is Piotra, 20.
18:31Resource to you, guys.
18:32Presenting me severe, respiratory distress, strutters of breath, and go deeper to his gateway.
18:36We've treated his anaphylaxis.
18:40Any no analogies for anaphylaxis?
18:42When did it last have I am adrenaline?
18:43No to the first question and six minutes ago.
18:45Do you guys know any more about the virus?
18:48About how it's infecting people?
18:49No.
18:50Only what you do.
18:52On lift.
18:53Ready, ready, lift.
18:55On lift.
18:57Say that again, mate.
18:58Bobby, can you move?
19:00Bobby, he's all gone.
19:01I'm going to do a primary survey to go check your airway, sir, okay?
19:06Yes.
19:07Significant spelling of the airway.
19:08Let's do an adrenaline nebuliser, and we'll do another 500 micrograms adrenaline.
19:14Struggling.
19:15Do you want to push an air properly at all?
19:17Yeah, okay.
19:18Yeah, it's Strider.
19:18He's got cordoedema.
19:20Matty, when you can, give him a 20.
19:21You need a test.
19:21You're going to need airway support.
19:23Yeah.
19:23Just get some oxygen on.
19:24I'll help you breathe.
19:26Right, okay.
19:26This isn't working.
19:27You might need a surgical airway.
19:30Can I get the RSI kit, please, and the difficult airway trolley?
19:48Excuse me, lads.
19:50Yep.
19:51How 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.
20:06Oh, Dave, I'm going to give you a sharp one, I know.
20:07Yep.
20:09Hey, stop messing about.
20:10I'll take that to B7.
20:22He's still to Teary right now.
20:24Struggling to get in here.
20:25Right, let's get the air gel out.
20:28What's happening with the lights?
20:36Yeah, okay, he's got severe glottic oedema.
20:38Right, we're not going to be able to integrate.
20:41Let's do a cricotherodomy.
20:45Scalpel.
20:59That's busy.
21:04Which other way?
21:05Is anybody hurt?
21:06Is anybody hurt?
21:07Is everyone okay?
21:18Oh, great.
21:19Now the lights decide to go.
21:19Let's just...
21:21That's perfect.
21:22That's really, really helpful.
21:43More light, more light, Matthew, okay?
21:45More light as in I can't sing, not let's prep for a reflexology session.
21:48Yes?
21:48Closer, please.
21:51Okay, let's attack the BBM, please.
21:54Okay.
22:00Um, there's still some resistance here, like?
22:03Yeah, we've got end tidal, but the tube must have gone down the right knee and bronchus,
22:06so it's only the right-hand side that's moving.
22:10It's 85%.
22:11The end tidal's still a bit low.
22:17Why, it was the short circuit of when the cylinder hits it.
22:20Yeah.
22:21Well, at least it's just the lights.
22:25Promptor monitors seem to be working.
22:27Help me test this board.
22:29Can you move this out of the way?
22:34Oh, he's that still hovering at 90%.
22:38Why can't we see him, please?
22:41But he's okay.
22:42He's safe.
22:43Um, well, as you know, he's with Nika at the moment,
22:46and they've managed to get his heart started, which is great,
22:49but, um, I'm afraid the two of you are just too ill to go up there at the moment.
22:52You can't stop us from being with him.
22:54No-one can even tell us what this thing we all have is.
22:56Okay, no, but whatever it is, we need to protect him from it, can't we?
23:00Um, do you have any history of heart problems?
23:05Okay, 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 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?
23:21Let me talk to radiology, okay?
23:23I want her top of the list.
23:45We're losing a lot of lives.
23:49Do you feel good?
23:51Yeah, never better, Byron.
23:53You giving it another go?
23:54Yeah, me too.
24:13South is still at 85.
24:15Yeah, I know. Okay, give me a bit more light, please.
24:18A bit more than that.
24:20You okay?
24:22Yeah, fine.
24:25Come on.
24:27Hey.
24:29Okay.
24:37Good, okay. Yeah, numbers are normalizing,
24:39and we're adequately oxygenating, so that's good.
24:42All right. Let's complete the RSA checklist, please.
24:52You know, there's always a place for your Wyverns Engineering Court,
24:56if you ever get bored.
24:59Thank you for this.
25:00Seriously, I appreciate it.
25:02No worries.
25:04Jack.
25:08Can you still arrange your transportation?
25:11Yeah, of course.
25:12Leave it with me.
25:20What am I doing here?
25:23You're in hospital.
25:24Okay?
25:25I'm your nurse.
25:26I'm Cam.
25:27Cam?
25:28Yeah.
25:29Beryl.
25:30I'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?
25:38You 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?
25:49Sorry.
25:50Sorry.
25:53Okay.
25:54That should be it now with the lights, Mr Gibson.
25:57Huh.
25:58Reminds me of the power artiches back in the day,
26:02when, er, when Thingy was Prime Minister.
26:04What was that?
26:05Churchill?
26:06The Blitz?
26:06Ha, ha, ha, ha.
26:09Keith, the 70s.
26:11How old do you think I am?
26:14I ran marathons.
26:18Not so long ago.
26:21Or worse than my grandson, Henry.
26:24Not as bad as my grandson, Isaac.
26:27He would rather I was dead.
26:30It just don't blow.
26:32I've blown his inheritance on cigarettes and vino.
26:39Is she going to be okay?
26:42Oh, we're doing everything we can.
26:44It's just a night.
26:44Nate!
26:45Oh!
26:48What's the doctor playing at?
26:50The doctor's going to be here very soon, okay?
26:51I'll chase him, but until that point, Mr Acker,
26:53I'm going to need you to sit down for us, okay?
26:55It's a busy hospital.
27:08Oh, Philan.
27:09Yeah?
27:09Laura Beecher's X-ray.
27:11Is that fluid on the walls?
27:12Er, that's pulmonary edema.
27:15Er, let's take her off her fluids,
27:16and I'll give her some thurosomide.
27:18So, yeah, basically means that her heart
27:22isn'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.
27:34They respond like this,
27:35with the rash around her mouth,
27:37like that, obviously.
27:38Chemical exposure would explain
27:39why the third bioswab is negative.
27:41Yeah, potentially exposed, though.
27:43I mean, there are no other patients presenting this one.
27:45Yeah, but, Dylan, this could be huge.
27:47You've got to tell Siobhan and Blit.
27:49Well, but she might be an anomaly.
27:52I don't...
27:52I don't think it's a pattern yet.
27:54Yet.
27:55This isn't a pattern yet, Dylan.
27:56Why are you waiting?
27:57Dylan, call Mrs U.
27:58You're right about everything.
28:00I'm not, Jodie, really.
28:01I'm not.
28:02I think we wait for more evidence.
28:05Jodie, 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.
28:15Max, he wasn't meant to be a dad,
28:17so he never will be.
28:38Right, Siobhan.
28:39No, it's not the time.
28:40Our patients, okay, maybe all of them.
28:42Dylan thinks he might be exposed
28:43to something like a chemical.
28:45Just, Jodie, with respect.
28:47One of our patients, Laura Beach, okay,
28:49she's getting worse.
28:50She's not getting better from treatment,
28:52she's getting worse,
28:53so we've got to find the source.
28:54We'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,
29:02he should share it with Dr Byron.
29:03And until then,
29:05try staying within your pay grade, hmm?
29:24That's one.
29:28Do Pony, Pony, uh...
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 floor.
29:36What?
29:38We need to talk.
29:40I know, I already know.
29:41I'm fine, I promise.
29:44Okay.
29:45Okay, Mr Gibson,
29:46the transfusion should be finished now,
29:47so,
29:49uh, Mr Gibson.
29:51Mr Gibson.
29:52Uh, Dr Byron,
29:53can I borrow you, please?
29:54Okay.
29:57Uh, take a look at his oxygen cell and blood for me.
30:01It is low, yeah, yeah.
30:03Okay, so transfusion associated,
30:05circuitry overload.
30:06Um, let's stop the transfusion.
30:08Jenna, can you give this gentleman,
30:10uh, yeah, sorry,
30:12uh, intravenous diuretic, please,
30:13hopefully that will calm me down.
30:14Don't give him any more blood.
30:15Get another oxygen cylinder.
30:17Yeah, uh, yeah, blood gas shows CO2 at 14
30:20and a pH level of 7.24.
30:22Yeah, uh, she's got a respiratory acid.
30:24Not now, Beryl.
30:26Tachycardic and hypocapnic with hypoxia
30:27is type 2 respiratory failure.
30:29Um, can you get him on in there?
30:30Two litres of oxygen, please.
30:32Go back to bed, please.
30:33Uh, can.
30:33Can, can.
30:34Can you make it two cylinders, please?
30:35Yeah, I'll just go to bed.
30:36Thank you, sorry.
30:50I 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
31:03from the barracks.
31:04Delivery's 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 till we've got.
31:14Where's the last one?
31:16Okay, guys.
31:17Uh, with me, please.
31:24We've got one oxygen canister and two patients that need it.
31:27We can't just magic up a cubicle, so...
31:30We need to decide which one.
31:32Advocate for your patients.
31:33Uh, Mrs Parrish's prognosis might be terminal,
31:37but she needs that oxygen.
31:39Well, her respect form shows she doesn't want
31:41ITU care or intubation, which she would probably end up on.
31:44Mr Gibson's prognosis is better.
31:49Yeah, I agree.
31:51Mr 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.
32:00Canon's right.
32:01Okay, give the oxygen canister to Mr Gibson.
32:03Let's run Mrs Parrish's neb on air for now.
32:05She gets a cylinder the second the resupply arrives, okay?
32:08Yeah.
32:09Seriously?
32:10I mean, you only need to look at the woman
32:11to know if she needs the oxygen more than that.
32:14Okay, 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.
32:26Um, can we call next to Ken to discuss?
32:29In the meantime, let's keep her as comfortable as we can
32:30and call the palliative care team, so they're aware as well.
32:36I'll give you to Eileen.
32:37I don't want it.
32:38I'm sorry, Alan.
32:39Please!
32:40I 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.
32:50Deep breaths for me.
32:55Well, I'll speak to Dr Keogh about another dose of therotamide.
32:58The treatment seems to be working.
33:01Is, um...
33:02Is 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...
33:23I'm really sorry, but...
33:25I 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.
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?
33:45Or do you smoke?
33:47I want to see my baby.
33:49I don't have time for this stupid question.
33:53I should be with him and instead I'm on trial.
33:56No, you're not.
33:56We 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.
34:18I'm sorry.
34:22Clody.
34:25Come on, man.
34:27What?
34:29You know what happens when you get too involved with patients?
34:35You know, I get other people might have the wrong idea of me.
34:38But I didn't think you'd be one of them.
34:43Zad's, er...
34:44Von.
34:44Come on.
34:46Zadzvon Duleni.
34:47Call Lina.
34:50Zadzvon Duleni.
34:52Povieds-je.
34:53Call Lena. Tell her.
34:57Povieds-je. Povieds-je.
34:59Povieds-je.
35:01Je-jo-cocham.
35:04Tell her I love her.
35:10Come on, Prater, mate. Stay with us.
35:45He's taken, um, to pay my charge back.
35:51I can't do my rounds without them.
35:54Give my charge back. I need them back.
35:57Shut it, shut it. Shut up about your rounds.
36:00Give my charge back. I need them back.
36:03Shut up!
36:05Hey! Hey!
36:09Get off! Get off! Get off!
36:12Stop resisting!
36:15Get off! Get off!
36:19I hope we've got you.
36:21It's all right. It's all okay.
36:23What are you doing?
36:24We need your help.
36:25Yeah, it's all okay.
36:27It's all right.
36:28It's all okay.
36:30What are we set?
36:37Right.
36:38Nicole, can you draw 80 of yours in my head, please?
36:41And let's do a 10-illigram bolus of isosorbite dianitrate.
36:44Yeah.
36:45Why didn't you call me?
36:46I asked you to keep me updated.
36:48And you've had your phone on me all afternoon.
36:50Yeah, I did call. You didn't answer.
36:51Yeah, 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 Duolingo.
36:57Nicole, how are we doing?
36:59Yeah.
36:59Okay, yeah, um, I think we're looking at a possible flash-palmary oedema.
37:03Crepes 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.
37:12And 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 BEP.
37:21Is that some of them?
37:22Yeah, yeah.
37:24They are.
37:26Stay with them.
37:26Keep a close eye.
37:27Keep me updated.
37:54It's okay, Beryl. Don't be afraid. We're here to help you, okay?
37:56Hey, it's Cam. Cam, your nurse. Cam. Cam.
38:03That's right, I'm Cam. Cam. Cam's going to help me.
38:10Yeah. Let's get you to bed now, okay? I'll take you back.
38:24The doctor is doing the medicine. So do the medicine.
38:44There's nothing more we can do. She's being moved to a side room. Jack, thank you. I don't know what
38:48we'd have done without your help today.
38:56I know, Tom. I know. Give us some of the strong stuff. We've given her all the more things we
39:01can.
39:02Okay. Can you pass me the finger? You've done all right today, sir.
39:09Thank you. Listen, I can call Isaac for you if you want. I mean, I'm not really supposed to, but...
39:16It's Henry. My grandson's Henry. Eileen's grandson is Isaac.
39:25I'm really sorry. It's all right. It's all right.
39:41Yeah, he's very unwell. Unwell. Sick? Yes, yes, sick. Look, he wanted to tell... No, Piotr wanted to tell you.
39:57Lina, he loves you. Okay? He loves you. That was tough earlier. Seriously tough. You did well. Keep your chin
40:21up.
40:26Okay, I'm okay. You need to toughen up your men, Baron. That lad wouldn't last a day in my unit.
40:34Weak links like him, let the side down.
40:38You know, I always knew you didn't have it, didn't you?
40:44To do what, Jack?
40:48Really, I just don't need a reminder.
41:04All right, Doctor Keogh, can I get a second opinion, please? Doctor Nash has left.
41:09Yeah, yeah, yeah. Okay.
41:12Yeah, he's in respiratory distress, isn't he? Have we all got anaphylaxis?
41:16Yeah.
41:18All of the things normal, sats are normal, blood's normal?
41:21Yeah, pulmonary oedema, but the echo shows no heart failure, so we don't know what's causing...
41:26How long has he had that rash?
41:28Er, that must have literally just developed.
41:31That's weird. I'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 are reacting adversely to treatment.
41:57It's causing pulmonary oedema, and it's the slow-developing rash around the mouth.
42:00That proves it's chemical, right?
42:02Yeah, yeah, I've seen it before.
42:04A chemical attack in Afghanistan. Of course it's chemical.
42:07So, we need to isolate each case, locate the source, because we need to avoid a weak bite this week
42:13again.
42:13Yeah, yeah, listen, I'm going to call St James, we've got a coordinated response on this.
42:17Oh!
42:19Yeah, what's up?
42:21Oh, erm, so, as my line manager, I have a duty to inform you that, er, that Matty...
42:28...Matthew Lindnaker... Matty... Matty, yeah, yeah, yeah.
42:30He's my son.
42:34Okay, Dylan, I... 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.
42:43Dylan.
42:46Um, thank you for telling me.
42:49No worries.
42:56Hi, erm, sorry, it's, erm, Dr. Byron from Colby ED. Can you transfer me to your clinical lead, please? Urgently.
43:05Thank 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?
43:18What wisdom could you possibly have to offer me, Matty?
43:21You are a barely competent junior who couldn't be left alone with a patient for five minutes.
43:25Yeah, well, maybe you shouldn't have left him with me then.
43:27Oh, grow up!
43:29Really?
43:31Look, I know you're hurting, okay? I'm hurting too, except I'm not taking it out on everybody else.
43:35Or is that what you're trying to do? You're trying to push everybody away because you don't want to know
43:38the truth?
43:39All of a sudden, I do want to know the truth, okay? So don't you dare, don't you dare stand
43:43there 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.
43:50Yeah, well, it is, okay?
43:51Yeah, I know that, Matty, okay? I know I'm guilty.
43:58Yeah, you are guilty.
44:00So am I.
44:10No, I know.
44:11Um, yeah, no, I just, I want to let you know that, um, it turns out we're not dealing with
44:16the virus.
44:17Yeah.
44:19And, and, and, and Sarah, I've, I've thought about it and I, um, I want to, I want to be
44:23honest with everybody about, uh, about me and Matty.
44:27I've, I've thought about it and I want this.
44:30It's taken Matty a long time to find his colon.
44:33And I would hate to see him screw it up.
44:35Yeah.
44:36I will take care of him.
44:41I'll keep him on the right path.
44:44You have my word.
44:51Details of organisations offering help and support with eating disorders are available on the BBC Action Line website.
45:18I will take care of him allowing for theczenie.
45:21And, and how things and fishing condados are available on the minist PowerPoint,
45:22or have them as a «poï seminary training?»,
45:23If you are Parka as if you are MoOT online, it wouldn't be there as a fire stump.
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