- 1 day ago
Casualty Season 48 Episode 1
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Short filmTranscript
00:00The bit I didn't know was that she wouldn't get to be around to hear me say that.
00:14Guys, as you well know, the last three days have been relentless.
00:21The overwhelming rise in patients presenting with respiratory illnesses has pushed this department to near collapse.
00:30And as such, the trust's request for military assistance has been accepted.
00:34An army aide will arrive tomorrow.
00:54Do we know what we're dealing with yet?
00:59No. The virus remains unidentified.
01:03Two viral swabs have returned and inclusive. We are waiting on the results of a third.
01:07OK. Well, we know it's not flu.
01:09And the last time we were facing something like this, it was Covid, so...
01:13Which is why I think we need to prepare for the strong possibility that we are in the early days
01:17of a new pandemic.
01:20Half our team's off sick, so...
01:22Have we got enough PPE to protect the ones we've got here?
01:27Tomorrow, I'll be implementing Orbeez infection, prevention and control strategy.
01:32Additional PPE supplies are being delivered and visitor access will be restricted.
01:39Guys, I want you to take care of each other, OK?
01:41All right.
01:43We may be about to re-enter to help.
01:47We may be about to re-enter to help.
02:09You look awful.
02:11It's out of here.
02:14Um, any word on the third swab?
02:16No.
02:17Nothing yet.
02:18God, that's our best chance of knowing what's going on.
02:20I know.
02:20And we've only got one overflow area remaining as well.
02:23Hey, listen.
02:24I spoke to Nicole and she said that we'd push back on her request for support of her OSCs.
02:28Look, I haven't had time to eat today and you want me to diarise holding Nicole's hand?
02:31When this is over, maybe mentoring Nicole might be good for you.
02:35Well, I'll have you here. Can you sign this for me?
02:41Kim's death wasn't your fault, Steve.
02:44No, I know well-being offered online counseling sessions.
02:47It's been nearly a week since the funeral and you haven't used anything.
02:51The very fact you know that means I could report you to HR.
02:54Come on.
02:55I'm worried about it.
02:57Don't be.
02:57I'm fine.
03:02What?
03:04Who's G.I. Joe?
03:05That was my, um, CO when I first joined the army.
03:10Thank you for this.
03:18Thank you, Brian.
03:19Can I buy?
03:20You look tired, Steve.
03:24Well, I had to sleep on my office floor last night.
03:29Shall we?
03:30Sure.
03:32So, uh, medical engineering have raised the red flag over port-a-blocks in the socks.
03:36Yeah, I'm sourcing an alternative delivery via different transports.
03:39Well, I can ask my loads to help.
03:41It's okay, we can manage.
03:42You know, I've only been here an hour.
03:45I already know it's the nurses that run this place.
03:47Okay.
03:48Let me, let me take that.
03:49Thank you very much.
03:50Uh, research, please.
03:51Good to see you, Barry.
03:53Here.
03:55He's helpful.
04:12Hiya.
04:13Sorry we're late.
04:15Parking was mad.
04:16Hiya, Dale.
04:18Hiya, Dale.
04:23Hiya, Dale.
04:24I haven't ordered any coffee because I...
04:27I mean...
04:29It's how we did it.
04:31It was milk, no sugar.
04:33Two sugars.
04:38How you been?
04:41It's what Matty's saying, Joe.
04:44We've got this pandemic if that's what this is.
04:47Are we all just sitting ducks waiting to catch her?
04:51It's too early to tell.
04:54Well, is it safe?
04:57Is it safe for Matty to worry?
04:58Mum, come on.
04:59I'm worried for you.
05:01You remember how sick your dad got in Covid?
05:03His dad spent a week in intensive care.
05:06He didn't think he was coming home.
05:07I'm sorry to hear that.
05:08Mmm.
05:13Anyway.
05:15Mum.
05:15You said you wanted to ask questions if we were going to spend more time together, you know?
05:19So...
05:20Just...
05:21Ask.
05:21You know, maybe I'll get that deep enough after all.
05:25OK.
05:29If you don't see to the orange turn over there, OK? Thank you.
05:33Hi, sir. Will you just go and speak to this gentleman here for me?
05:36OK, can you wait here as well, please?
05:37Anyone with a respiratory issue...
05:39I need help!
05:40My wife!
05:40Please!
05:41She's pregnant!
05:43How many weeks is she?
05:44Twenty-five.
05:45Twenty-six.
05:46She's twenty-six weeks.
05:48No, it's too early!
05:49It's too early!
05:50I'm sorry!
05:50Can I lean on, please?
05:52There we go.
05:55It's the ambulance who never came.
05:56I'd go over it myself as fast as I could.
05:58I'll just get in.
05:59Well, you're doing a brilliant job.
06:00I'm not getting to stand-
06:01Oh!
06:01I'm going straight in, guys!
06:03I don't have any consultants available.
06:05I've got Dylan coming in in about 20 minutes.
06:07OK, call him.
06:08Call him now.
06:10Maybe your GP didn't really suit me.
06:12I needed something with a bit more excitement.
06:15When did you last have a drink?
06:18I've been, say, for six years.
06:23We should probably go.
06:25You know, we're supposed to be on.
06:26You can give me ten more minutes.
06:28Actually, I have a question.
06:32How?
06:32How do you keep a secret like that for 25 years?
06:36It wasn't like it was hard.
06:38Who wants an LP in the baby's life?
06:41But you didn't give me a chance.
06:42Yeah, but I did.
06:43I tried to.
06:45The night I found out I was pregnant.
06:47I went to your flat.
06:49But you weren't in.
06:50So I waited.
06:52I waited.
06:55But then you...
06:57came back.
06:59Blind, drunk.
07:00With blood down your front.
07:01We didn't know if it was your own.
07:03Or someone else's.
07:07But I...
07:08I remember thinking...
07:11I couldn't be a doctor.
07:13Let alone a dad.
07:17I needed to protect my baby from you.
07:25Sorry, I'm good.
07:26Yeah.
07:28Hello, Dr. Keir.
07:34Uh...
07:34Um, okay.
07:35Yeah.
07:36Yeah, alright.
07:39Um, I'm sorry we have to go.
07:40It's an emergency.
07:41I barely know anything more than I did before.
07:43Do you have family?
07:44Friends?
07:46I mean, what did they think?
07:47I don't have anybody I can talk to you about matter, you know.
07:50What does it matter?
07:52It matters to me.
07:54I won't have anyone be ashamed of you.
07:56No, I'm not ashamed of matter.
07:57I mean, trust me, this is all about me.
07:59Mom, Mom, please don't make this any harder.
08:10All hands on deck today, I'm afraid.
08:12Sorry it's your first shift back.
08:14Hey, no, look, I've had for three weeks to do nothing.
08:16I'm actually happy to be here.
08:18Right, well.
08:20Raise yourself.
08:22I'm getting...
08:23I'm getting late.
08:24I'm late for my rounds.
08:25Sorry, Beryl, love.
08:26Are we holding you up?
08:27This one will pop that back on for me.
08:30Um, could you...
08:32...and chase those if they're not back in an hour?
08:35Yep.
08:36Beryl, I tell you what, whoever's folded this has done a shoddy job for me.
08:41Could you do them for me properly?
08:43Oh!
08:46She used to work here years ago as a nurse.
08:49Do you think she still does, bless her?
08:51It's a dementia.
08:53Well, why is she in there?
08:54I know, I know.
08:55I know.
08:55It's not the best place for her.
08:57But if you keep her busy, she'll be fine.
08:59Now, could you take over Bay D for me?
09:01I need to be somewhere.
09:02Mr Gibson, he has lung cancer.
09:04I think the virus is exacerbating his symptoms, so...
09:09Cam, are you going to be okay with all this?
09:11Yeah.
09:12Uh, yeah, no.
09:13I want to be here.
09:14Okay, good luck.
09:15Mask parallel!
09:23Hi, sir.
09:24My name's Cam.
09:24I'm going to be your nurse arrestor today.
09:26How are you feeling?
09:28Fourth time on this corridor.
09:30It's safe to say that I had more fun at my last colonoscopy.
09:33How do you think I'm feeling?
09:35Fair enough.
09:36Well, listen, I need to take your bloods.
09:38Is that okay?
09:38Yeah, well, get on with it.
09:39All right, yeah, I will.
09:42I'm just going to pop that there.
09:53I've got cancerous cells that move faster than you.
10:02Er, does this man need some moss?
10:04Okay.
10:05This patient is 26 feet pregnant.
10:07I've had a quick look and the baby's crown on.
10:09Sorry, can you just put that on for me, please?
10:11Er, coughing, shortness of breath.
10:14Am I all right to give her entonox?
10:17Dylan, am I all right to give her entonox?
10:19No, no entonox with that cough, man.
10:22What's happening?
10:23Er, we think your baby's coming.
10:24What now?
10:25No.
10:25It's going to be okay though, isn't it?
10:26No.
10:27I tell you what, somebody call the obstetrics.
10:29I just want to speak to Rash.
10:35Hi there, we've got another preterm delivery.
10:37Er, gestation 26 weeks.
10:40Er, yeah, we need the neonatal resus team.
10:42Another one?
10:43Resus one.
10:48Hey, can you arrange for the neonatal resus team to be sent to the ED?
10:51I need to speak to Faith Lee.
10:53Oh, do you have a minute, Doctor?
10:56Er...
10:56You're right.
10:58I'll be with you in a minute, Jessica.
11:01Hey.
11:02Hey.
11:03Um, guys, we're reviewing Niku's visitation.
11:06If the department decides to follow the ED's lead, there's a chance I may need to ask one of you
11:10to leave.
11:11But I'm really hoping it doesn't come to that.
11:13I'm really hoping it doesn't come to that.
11:16Um, is there any news from the consultant?
11:20It's the same, I'm afraid. There's no change.
11:24With Pearl's prematurity, we need to take each day as it comes.
11:31Look, I'm, I'm here on a Caesar rotation for the next month.
11:35So if there's anything I can do, anything at all, just let me know.
11:39Bye.
12:02The baby's nearly here.
12:04That's it, Laura. Well done. Keep going. That's it.
12:08That's it. That's it. Good. Good. Well done. Well done. Well done. Well done.
12:11Come on.
12:13Oh, is it Laura?
12:15It's beautiful.
12:17Okay, so the baby's a bit floppy, he's not breathing, so let's cut this cord and, er...
12:23Is he okay?
12:24Er, well, he's not breathing at the moment, but we're going to have him transferred to, er, neonate,
12:29and they'll try and stabilise him there, okay? Can we deliver the placenta?
12:33But you did great, Laura. Okay? And your baby is in the best hands, I promise.
12:42Dylan.
12:44What's going on with you?
12:45Come on, we need Dr. Keogh back in his room now.
12:48Sorry, sorry, sorry. Um...
12:52Yeah, it looks as though his heart's not beating at the moment, but we're going to do everything we can
12:55to get him beating, alright?
13:09Keep taking deep breaths from that, Eileen, and we'll be with us in a minute.
13:12Hey, Amy, you okay?
13:13Hey, yeah, this is Eileen, 72, exacerbation of COPD, worsening cough and shortness of breath.
13:18Saps on arrival were 80, rest was 36.
13:21She's had 5mg of cibutamol, 500mg of ipotropium, and 100mg of hypercortisone.
13:27Okay, er, er, thank you.
13:29All right, let's, er, continue with oxygen here, please.
13:31A titrator saturates of 88, 92%.
13:34Alright, Eileen, I'm going to leave you with them now, okay?
13:37It's all right, it's all right, it's all right.
13:37Don't fuss!
13:38I'm not fussing. I'm not fussing. I'm not fussing.
13:40I'm not fussing. I'm not fussing.
13:40I'm not eating cake over here.
13:42Can I just put this over you?
13:43All right.
13:46Nothing I haven't seen before!
13:48Oh, Alan!
13:51Eileen!
13:53As glamorous as ever in that gown.
13:55The price you can see over here, with those cataracts.
13:59You two know each other?
14:00Yeah, we're both teachers.
14:02Hold behind in this department.
14:04Oh, God.
14:06We went through the long, thankless hours.
14:09All the marking.
14:11Catherine would be turning in her grave.
14:13If she found out you'd turned into such a grumpy old man.
14:18It's all an act.
14:20He was a great teacher.
14:30Any news on the oxygen cylinder we stopped?
14:32Then at five, I mean they should have left distribution by now. Your guess is as good as mine.
14:36If we don't receive it soon, we won't have enough oxygen to treat the Cordell patients.
14:39OK.
14:40Well, how long will stocks last?
14:41Well, the rate we're going, uh, two, three hours.
14:47OK, listen.
14:48We ration the cylinders until the delivery arrives.
14:50Anybody wants one, they're going to pass the senior doctor first, OK?
14:53No exceptions.
14:54Excuse me.
14:55After you.
14:57Hi, Beryl, love.
15:13So what's the ETA?
15:16Look, I can arrange for a unit to pick up the delivery of this abuse and call and organise things.
15:21No, no, no, it's fine.
15:27It's a generous offer.
15:29What's going on?
15:30The guy doesn't even think he is, OK?
15:38OK, sir, so we've got your bloods back and it looks like you've got quite severe anemia, so we're going
15:42to have to do a transfusion here, is that all right?
15:44That is a trip hazard.
15:46Leave the poor boy in there.
15:49Uh, excuse me.
15:50Sorry.
15:51You can't put him there.
15:52You've got to get me out of here, mate.
15:54Uh, yeah, OK, I understand. I'll be with you shortly, OK?
15:57Nathan will be with you shortly.
15:59It's my missus's birthday.
16:00I understand.
16:01Where's your mask?
16:01Arse over tit.
16:03Someone is going to go.
16:04I need to clock off soon for my briar.
16:07OK, shall we get you some, er, sheets? You were really good at folding the sheets earlier.
16:11Are you OK?
16:13Are you OK?
16:14I'm so, so sorry.
16:15Did I hurt you?
16:17No?
16:17I'm so sorry.
16:18What idiot has left that in the middle of the corridor?
16:21I'm so sorry, sir.
16:22Sorry, everyone.
16:24Er, really, that's my fault.
16:26I know.
16:26I know, look, I was excited to be back, but just, wait, D, I, F, they're just, it's doing my
16:31head in, I don't know what I'm doing.
16:32Why are you calling them by their letters?
16:34They're elderly, doesn't mean you shouldn't learn their names.
16:37I didn't mean it like that.
16:38Just treat them like human beings.
16:40You might remember a bit better.
16:42My foot is really hurting.
16:44Sorry.
17:16They should be ready for it.
17:21Stevie, this is The Yachtra, I'm about to speak.
17:23Resort tree, guys.
17:24Presenting him with severe respiratory distress, a shortness of breath and angioedema to his gateway.
17:28We've treated him on a phylosis.
17:29Hold on, man.
17:32Any new analogies about alexis, and when are the last have I am adrenaline?
17:35No to the first question and six minutes ago.
17:38Do you guys know any more about the virus?
17:39About how it's infecting people?
17:41Only what you do.
17:43On lift.
17:44Ready, ready.
17:45Lift.
17:45Ready, ready, lift.
17:46On lift.
17:47On lift.
17:48On lift.
17:48On lift.
17:56On lift.
17:57Significant spelling of the airway.
17:59Let's do an adrenaline nebuliser and we'll do another 500mg of adrenaline.
18:04Struggling.
18:05Get flush your head properly at all.
18:07Yeah, okay.
18:07Yeah, stridor.
18:08He's got cordoedema.
18:09Maddie, when you can get in the immunity if you need a tissue but you need airway support.
18:13Just get some oxygen on, I'll help you breathe.
18:16Sorry about it, this isn't working.
18:17You might need a surgical airway.
18:19Can I get an RSI kit please and the difficult airway polly?
18:37Excuse me, lads.
18:38Yep.
18:39Yeah, sure.
18:42There was also the third viral swabber back in there, negative.
18:46We're not dealing with a virus.
18:47How come we know even less than we did this morning?
18:50Well, for now, it's vital that we maintain safety proportions until we know anything more.
18:53I'll go over and give you a shout when I know.
18:55Yep.
18:56Hey, stop messing about. I'll take that to day seven.
19:09He's still with a tear right now. I'm struggling to get in here.
19:12Right, let's get the air gel out.
19:14What's happening, Felice?
19:22Yeah, OK, he's got severe.
19:23Glodic oedema.
19:24Right, we're not going to be able to interview it.
19:26Let's, um, yeah, let's do a cryocereidotomy.
19:31Scalpel.
19:44Bougie.
19:49Which other way, is anybody hurt?
19:51Is anybody hurt?
19:52Is everyone OK?
20:02Oh, right, neither likes to say to go.
20:04Let's just...
20:05That's perfect.
20:06That's...
20:06That's really, really helpful.
20:26More light, more light, matter, OK?
20:28More light as I can't sing.
20:29Not let's prep for a reflexology session.
20:31Yes?
20:31Closer, please.
20:33OK, let's charge the BBM, please.
20:42There's still some resistance, yeah?
20:45Yeah, we've got entitled, but the tube must have gone down the right knee on Broncos, so to me, the
20:48right-hand side gets moving.
20:51It's like 35%.
20:54Entitled's still a bit low.
21:02Well, at least it's just the lights.
21:06Promptor monitors seem to be working.
21:08Help me test this board.
21:10You move this out of the way.
21:15Clary, is that still hovering at 90% now?
21:18Why can't we see him, please?
21:21But he's OK.
21:22He's safe.
21:24Um, well, as you know, he's with Nika at the moment, and they've managed to get his heart started, which
21:28is great, but, um...
21:30I'm afraid the two of you are just too ill to go up there at the moment.
21:32You can't stop us from being with him.
21:34No-one can even tell us what this thing we all have is.
21:36OK, no, but whatever it is, we need to protect him from it.
21:40Um, do you have any history of heart problems?
21:44OK, um, I want to repeat the buzz, please.
21:46Can we get a chest X-ray and an ECG as well?
21:50Please, just let me see him.
21:52Please.
21:53Um, let's, let's cut back on her fluids.
21:55Um, as soon as that X-ray comes, I want to see it, please.
21:58You've got an idea what it is, don't you?
22:00Let me talk to radiology, OK?
22:01I want her top of the list.
22:22Those are the live lights.
22:26OK.
22:28Yeah, never better, Byron.
22:30You give it another go?
22:31Yeah, let's go.
22:34Come on.
22:49It's not just done at 85.
22:51Yeah, I know.
22:52OK, give me a bit more light, please.
22:53A bit more than that.
22:56You OK?
22:58Yeah, fine.
23:01Come on.
23:02Hey!
23:12Good, OK.
23:13Yeah, numbers are normalising and, uh, we're adequately auctioning, so that's good.
23:18Let's complete the RSI checklist, please.
23:26You know, there's, uh, always a place for your war wyverns interview in court, if you ever get bored.
23:32Thank you for this.
23:34Seriously, I appreciate it.
23:35No worries.
23:38Jack.
23:41Are you still already in this transportation?
23:44Yeah, of course.
23:45You're with me.
23:53What am I doing here?
23:55You're in hospital.
23:57OK?
23:57I'm your nurse.
23:58I'm Cam.
24:00Cam.
24:01Yeah.
24:02Beryl?
24:03I'm Beryl.
24:04I'm a nurse, too.
24:05I know you are, Beryl.
24:06I know.
24:07Listen, you were really helping me earlier with the sheets.
24:09Do you remember the bed sheets?
24:10You were folding them for me.
24:12Look, they're on the floor now.
24:14If you can help me fold those, that would be great, Beryl, yeah?
24:17Thank you so much.
24:18I'll be with you soon.
24:19OK?
24:21Sorry.
24:22Sorry.
24:24OK.
24:26That should be it now with the lights, Mr Gibson.
24:28Huh.
24:29Reminds me of the power artiches back in the day, when Klingy was Prime Minister.
24:35Was that Churchill?
24:36The Blitz?
24:39Keith, the 70s.
24:41How old do you think I am?
24:44I ran marathons not so long ago.
24:50You're worse than my grandson, Henry.
24:54Not as bad as my grandson, Isaac.
24:56Look, he would rather I was dead.
25:00He'd just done the blow.
25:01I've blown his inheritance on cigarettes and peenot.
25:09Is she going to be OK?
25:11We're doing everything we can.
25:13Listen, I...
25:13Hey!
25:17What's the doctor playing at?
25:18The doctor's going to be here very soon.
25:19OK, I'll chase him.
25:20But until that point, Mr Rucker, I'm going to need you to sit down for us.
25:23OK, it's a busy hospital.
25:35Oh, Phil.
25:36Yeah.
25:37Laura Beecher's X-ray.
25:38Is that fluid on the lungs?
25:40Uh, that's pulmonary edema.
25:42Let's take her off her fluids and I'll give her some furosemide.
25:46Say, yeah.
25:46Basically, it means that her heart isn't pumping efficiently, so that could be due to heart failure,
25:53although it's quite rare in somebody of her age.
25:56Sometimes it's an abnormal response to treatment, exposure to chemicals.
26:01They respond like this with the rash around her mouth, like that.
26:04Chemical exposure would explain why the third barotop is negative.
26:07Yeah, potentially exposed, though.
26:09I mean, there are no other patients presenting this one.
26:10Yeah, but, Dylan, this could be huge.
26:13You've got to tell Siobhan I'm playing.
26:15Well, but she might be an anomaly.
26:17I don't think it's a pattern yet.
26:19Yet?
26:20This isn't a pattern yet, Dylan.
26:21Why are you waiting?
26:22Dylan, come on, this is you.
26:23You're right about everything.
26:25I'm not, J.D., really.
26:26I'm not.
26:27I think we wait for more evidence.
26:29J.D., do you ever think about your dad?
26:33What?
26:35I try not to think about him.
26:38Some people don't change Dylan.
26:39Max, he wasn't meant to be a dad, so he never will be.
27:01Right, Siobhan.
27:02No, it's not a pattern.
27:03Our patients, okay, maybe all of them,
27:05Dylan thinks he might be exposed to something like a chemical.
27:08Just, Jodie, with respect.
27:10One of our patients, Laura Beach, okay, she's getting worse.
27:13She's not getting better from treatment, she's getting worse.
27:15So we've got to find the source.
27:17We've got to change the direction.
27:19Stop, stop.
27:19Just stop you right there, okay?
27:21If Dr. Keogh thinks his theory viable,
27:24he should share it with Dr. Byron.
27:25And until then, try staying within your pay grade.
27:28Hmm?
27:46That's one.
27:48Uh, do pony?
27:50Pony?
27:52Sorry, I was unable to detect the language.
27:54Yeah, put it on the anaphylaxis patient, okay?
27:55I'm going to do it off the shop floor.
27:57What?
27:59We need to talk.
28:00I know, I already know.
28:02I'm fine, I promised.
28:04Okay.
28:05Okay, Mr. Gibson, the transfusion should be finished now.
28:08So, uh, Mr. Gibson.
28:11Mr. Gibson.
28:12Dr. Byron, can I borrow you, please?
28:14Okay.
28:17Uh, take a look at his oxygen, sir.
28:19Is that for me?
28:21It is low, yeah.
28:23It's a transfusion associated, so it's the overload.
28:25Um, let's stop the transfusion.
28:27Jenna, can you give this gentleman, uh, yeah, sorry.
28:30Uh, intravenous directly, please, without calming down.
28:33Don't give him any more blood.
28:34Get another oxygen cylinder.
28:36Claire, uh, yeah, blood gas shows CO2 up 14
28:38and a pH level of 7.24.
28:40Yeah, uh, she's got a respiratory acidosis.
28:43What now, Beryl?
28:44Tachycardic and hypochidinical hypoxia
28:45is type 2 respiratory failure.
28:47Can you get him on and have 2 litres of oxygen, please?
28:49Go back to bed, please.
28:50Uh, can.
28:51Can you make it 2 cylinders, please?
28:53Thank you, sorry.
29:07I don't know where my charts have gone.
29:10I'll be right back, Beryl, OK?
29:11Someone's taken my charts.
29:12It's been hours now.
29:13OK, please bear with me, OK?
29:17Byron, there was a delay releasing the vehicle
29:19from the barracks.
29:20Delivery is another 20 minutes away.
29:22Look, if you'd accepted my help in the first place,
29:24it would have been here by now.
29:28Just one.
29:28Don't tell me that's all we've got.
29:30Where's the last one?
29:32OK, guys, uh, with me, please.
29:39We've got one oxygen canister
29:41and two patients that need it.
29:43We can't just magic up a cubicle,
29:44so we need to decide which one.
29:47Advocate for your patients.
29:48Uh, Mrs Parrish's prognosis might be terminal,
29:51but she needs that oxygen.
29:53Well, her respect form shows she doesn't want
29:55ITU care or intubation,
29:57which she would probably end up on.
29:59Mr Gibson's prognosis is better.
30:03Yeah, I agree.
30:05Mr Gibson would benefit more.
30:06Can we reach a consensus on this?
30:09Chef, we don't have a lot of time.
30:13OK, OK, Cam's right.
30:14OK, give the oxygen canister to Mr Gibson.
30:17It's run.
30:17Mrs Parrish is now on air for now.
30:19She gets a cylinder the second the resupply arrives, OK?
30:21Yeah.
30:22Seriously.
30:23We only need to look at the woman
30:25to know if she needs the oxygen more than that.
30:27OK, Jack, I appreciate your help today,
30:28but we are the medics,
30:29so why don't you let us do our job?
30:34Chef, um,
30:36I think we need to consider full palliation here.
30:39I'm going to call next to Ken to discuss.
30:41We need to let's keep her as comfortable as we can
30:43and call the palliative care team,
30:44so they're aware as well.
30:48I'll give it to Eileen.
30:49I don't want it.
30:50I'm sorry, Alan.
30:52Please!
30:52I don't want it!
30:54I'm sorry.
30:55I don't want it!
30:57Come on, please, put it back on for me.
30:58Mr Gibson, please.
31:01I said, deep breath's coming.
31:06Well, I'll speak to Dr Keo about another dose of thosamide.
31:09The treatment seems to be working.
31:12Is, um...
31:13Is he on his own?
31:16You might not think his mum and dad love him, will he?
31:19If he's on his own up there.
31:20The best team are looking after him, OK?
31:24But we do.
31:25We love him.
31:26I know.
31:27I know you do.
31:31Laura,
31:33I'm...
31:33I'm really sorry, but
31:34I have just got to run through some routine questions with you.
31:37Um, the answer may help us reunite with your baby.
31:40Zach.
31:41His name is Zach.
31:43What's that for my name?
31:47OK.
31:49Um, do you suffer from any stress at work?
31:53Do you drink?
31:54Or do you smoke?
31:55I want to see my baby.
31:58I don't have time
31:59for this stupid question.
32:02I should be with him and instead I'm on trial.
32:04No, you're not.
32:05We just want to see you.
32:06And you're not letting us?
32:07Laura, I'm trying to help you.
32:09Well, then do your job
32:10and take me to my son.
32:15Can you put your mask on, please?
32:22I'm sorry.
32:23I'm sorry.
32:25About Laura.
32:26Sorry.
32:29Jodie.
32:31Come on, ma'am.
32:33What?
32:35You know what happens
32:37when you get too involved with patients?
32:42You know, I get other people
32:43might have the wrong idea on me.
32:44But I didn't think you'd be one of them.
32:53Call Lina.
33:07Call Lina.
33:08Call her.
33:09Tell her I love her.
33:14Come on, Piotr, mate.
33:16Stay with us.
33:16Come on, Piotr.
33:18Come on, Piotr.
33:20Come on, Piotr.
33:21Come on, Piotr.
33:22Come on, Piotr.
33:37Come on, Piotr.
33:42Come on, Piotr.
33:48He's taken them.
33:50Give my chance back.
33:53I can't do my rounds without them.
33:57Give my chance back.
33:59I need them back.
34:00Shut it, shut it. Shut up of all your rounds.
34:02Give my chance back.
34:04I need them back.
34:05Shut up!
34:11Get off!
34:12Get off!
34:14He's resisting.
34:16Get off!
34:17Get off!
34:20Get off!
34:21Get off!
34:21I think we've got you.
34:22It's all right.
34:23It's all right.
34:24What are you doing?
34:25I need your help.
34:27It's all right, this one.
34:31What was that?
34:38Right, Nicole.
34:39Can you add your 80 of yours now, please?
34:41And let's do a 10-milligram bolus of isosorbite dinitrate.
34:45Yeah.
34:45Why didn't you call me?
34:47I asked you to keep me updated.
34:48And you've had your phone on you all afternoon.
34:50Yeah, I did call.
34:50You didn't answer.
34:51Yeah.
34:51Well, this is a simple case of oxygen fluids.
34:53Okay.
34:53So from now on, I suggest you use your medical degree to treat patients and not Duolingo.
34:57Nicole, how are we doing?
34:58Yeah.
34:59Okay.
34:59Yeah.
34:59I think we're looking at a possible flash memory oedema.
35:03Perhaps throughout.
35:04What do you think it's called here?
35:05For now.
35:06Okay.
35:07Lisa, can we do an urgent x-ray, please?
35:09Let's stop fluids and we'll repeat the ECG.
35:11And Nicole, when you're ready, let's do an IV infusion.
35:14We're going to do two mills an hour to try treating up against the VEP.
35:19Is that a rising?
35:21Yeah.
35:22Yeah.
35:23They are.
35:24Stay with them.
35:25Keep it to a side.
35:25Keep me updated.
35:49Why am I here?
35:51It's okay, Belle.
35:51Don't be afraid.
35:52We're here to help you, okay?
35:53It's Cam.
35:54Cam.
35:54Can you nurse?
35:55Cam.
35:57Cam.
36:00That's right, Cam.
36:02Cam.
36:04Cam's going to help me.
36:06Yeah.
36:07Let's get you to bed now, okay?
36:09I'll take you back.
36:19The doctor is doing the medicine.
36:21So do the medicine.
36:38There's nothing more we can do.
36:39She's been very excited.
36:40Jack, thank you.
36:42I don't know what we'd have done without your help today.
36:50I know, John.
36:51I know, John.
36:51Give her some of the strong stuff.
36:53Give her all the more things we can.
36:56Okay.
36:56Can you cross my finger?
36:58Can you cross my finger?
36:58You've done all right today, sir.
37:04Listen, I can call Isaac if you want.
37:07I mean, I'm not really supposed to, but...
37:09It's Henry.
37:11It's Henry.
37:11My grandson's Henry.
37:13Eileen's grandson.
37:14He's Isaac.
37:18I'm really sorry.
37:19It's all right.
37:32Yeah, he's very unwell.
37:36Unwell.
37:38Sick?
37:40Yes, yes.
37:41Sick.
37:43Look, he wanted to tell...
37:44No, Piotr wanted to tell you.
37:48Lena, he loves you.
37:51Okay?
37:53He loves you.
38:04That was tough earlier.
38:06Seriously tough.
38:08He did well.
38:10Keep your chin off.
38:16Can we go?
38:17You need to toughen up your men, Baron.
38:20That lad wouldn't last a day in my units.
38:23Weak links like him at the side down.
38:27No.
38:28I always knew you didn't have it in you.
38:33You didn't what, Jack?
38:37Really, I just don't need a reminder.
38:52I've got a cure.
38:53Can I get a second opinion, please?
38:54Doctor Nash has left.
38:57Yeah, yeah, yeah.
38:58Okay.
39:00Yeah, he's in respiratory distress, isn't he?
39:02Have we all got anaphylaxis?
39:03Yeah.
39:05All of the things normal.
39:06Sats are normal.
39:07Blood's normal?
39:08Yeah, pulmonary oedema.
39:10But the echo shows no heart failure,
39:11so we don't know what's causing...
39:12How long has he had that rash?
39:15That must have literally just developed.
39:18That's what we had.
39:18I've seen two patients with the same rash today.
39:32Yeah, yeah, come in.
39:35It's chemical.
39:37The rashes are the symptomatic connection.
39:40Patients are reacting adversely to treatment.
39:42It's causing pulmonary oedema,
39:43and it's the slow-developing rash around the mouth.
39:45That proves it's chemical, right?
39:47Yeah.
39:47Yeah.
39:48I've seen it before.
39:49A chemical attack in Afghanistan.
39:51Of course it's chemical.
39:52So, we need to isolate each case,
39:55locate the source,
39:56because we need to avoid a big fight this week again.
39:58Yeah, yeah.
39:59Listen, I'm going to call St James.
40:00We've got a coordinator response from this.
40:02Oh.
40:04Yeah, what's that?
40:05Oh, so, as my line manager,
40:07I have a duty to inform you that the Matty...
40:11Matty...
40:12Matty.
40:13Matty, yeah, yeah.
40:14He's my son.
40:18Okay, Dylan.
40:19I...
40:19I don't...
40:20Whatever, man.
40:21Okay, just let's focus on this.
40:22If you want me to escalate it with HR myself,
40:24I'm happy to do that.
40:25Hold on, hold on.
40:27Dylan.
40:30Um...
40:30Thank you for telling me.
40:32No worries.
40:40Hi, um...
40:41I'm sorry.
40:42It's, um...
40:42Dr. Byron from Colby AD.
40:44Can you transfer me to your clinical league, please?
40:46Pleasurely.
40:51I miss Kim too, you know.
40:53I do, I just wanted to tell you.
40:56Hey, look, I know it's weird, but if you ever want to talk...
40:59About what?
41:00What wisdom could you possibly have to offer me, Matty?
41:02You're a barely competent junior.
41:04You couldn't be left alone with a patient for five minutes.
41:06Yeah, well maybe you shouldn't have left him with me then.
41:08Oh, grow up.
41:10Really?
41:12Look, I know you're hurting, okay?
41:13I'm hurting too, except I'm not taking it out on everybody else.
41:16Or is that what you're trying to do?
41:17You're trying to push everybody away because you don't want to know the truth?
41:19Hold on a second.
41:21I do want to know the truth, okay?
41:22So don't you dare, don't you dare stand there and psychoanalyse me, okay?
41:25I want to know the truth.
41:26I'm so sick and tired of everyone walking around telling me,
41:29it's not my fault, it's not my fault, she's dead.
41:30Yeah, well it is, okay?
41:31Yeah, I know that, Matty, okay?
41:33I know I'm guilty.
41:37Yeah, you are guilty.
41:40So am I.
41:50Yeah, but no, I just, I wanted to let you know that, um,
41:53it turns out we're not dealing with the virus.
41:56Yeah.
41:57And Tara, I've thought about it and I, um,
42:00I want to, I want to be honest with everybody about,
42:03about me and Matty.
42:05No, I've thought about it and I want this.
42:08It's taken Matty a long time to find his calling.
42:11And I would hate to see him screw it up.
42:13Okay.
42:14I will take care of him.
42:18I'll keep him on the right path.
42:21You have my word.
42:28Details of organisations offering help and support with eating disorders
42:33are available on the BBC Action Line website.
42:36Yeah.
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