- 5 minutes ago
Casualty 1986 Season 48 Episode 4
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Short filmTranscript
00:00It's taken Matty a long time to find his calling.
00:03I will take care of him.
00:04I'll keep him on the right path.
00:07Yeah, we've got a lot of prem babies on the ward at the moment too.
00:10More than we've ever had at one time, in fact.
00:13Is he dying?
00:14Are we all just watching him die?
00:17Wyvern Hill.
00:18This has got something to do with the Wyvern Hill estate.
00:24I'm just gonna give you something for the pain.
00:26She was overdosed with morphine.
00:28So you missed the dosage during the handover?
00:30You overdosed the child.
00:31Yeah, it was a mistake.
00:33Yeah, potentially a deadly one.
00:34It's sex, that's enough.
00:36Please don't spoil it.
00:38Some bruising around the kidney here, but judging by discoloration, that happened a while ago.
00:43What is the bruising on that water's back?
00:45I don't know what you're talking about.
00:47Get some rest.
00:48Go and see your dad.
00:57I've done a pre-alert female twenties.
01:00RTC up to 45 minutes ago.
01:02Ejected over the handlebars.
01:04Intubated at the scene.
01:05Pelvic band.
01:06Trauma patient here.
01:07Resource, please.
01:08B2.
01:09B2's been trending down last week.
01:1198 over 60.
01:12We need another doctor.
01:13Where's Dr Nash?
01:14I don't know.
01:15Can someone find her then, please?
01:22Have you seen Stevie?
01:23Yeah, she's on the way back from the theatre.
01:25Okay, thanks.
01:35Hey, what's up?
01:37I need you in recess, please.
01:39Sure.
01:43Yeah, attention to pneumothorax.
01:45Okay, kit's set up.
01:46We'll give her a cost to me.
01:47Can we have the antiseptic solution as quickly as possible, please?
01:50We need to, we need to decompress her.
01:52Okay, Matthew, when you're going down, can you make the incision, please?
01:55Uh, Stevie, you make the incision, please?
01:57No, no, it's fine.
01:57You need to practice.
01:58Sats are dropping, guys.
02:00Yeah, come on, Stevie.
02:00Grab the scalpel.
02:01Make the incision, please.
02:02Let's go.
02:03Come on, she's hypoxic.
02:04Heart rate is climbing all the time.
02:05Let's go.
02:12Okay, I'm into the thorough.
02:19Yeah, in.
02:23Okay, well done.
02:24Well done, well done, everyone.
02:25So, uh, let's get, uh, cross match one unit of the cross match up as soon as it's here,
02:29please, and let's book her for a full trauma CT.
02:32Sats are coming off.
02:3495.
02:35Okay.
02:38Look, um, can you get her sutured?
02:40And she needs an x-ray to confirm placement.
02:45Hey, Dylan.
02:46Yeah?
02:47If we, if we don't pressure him, you won't work with you.
02:52The patient was too unstable.
02:55You, you don't trust him?
03:00I discovered him nearly overdosing a paediatric patient with morphine.
03:07What?
03:07When?
03:08A few weeks ago.
03:12Okay.
03:13Um, if you, if you haven't reported it, you know you have to.
03:17Judy of candor.
03:18Yeah, you know how it works.
03:20The best job reputation is so important if they find out about this.
03:23And, you know, the other patient that you paralyzed, never work again.
03:27Yeah, but in this job, patients come first.
03:31Because they have to.
03:34So if you don't tell someone, I will.
04:04Yeah, I've been worried about.
04:06I've been on my own now that your rotation's come and turned in.
04:09But, well, it'd be nice to have some company again.
04:13Right?
04:14Um, I'm not sure about that.
04:16The mum doesn't want to see him.
04:19What?
04:20Yeah, I'm, I'm hoping to change her mind, show her some pictures.
04:23But it, it happens sometimes.
04:24It's this place, I guess.
04:27It scares people.
04:29Uh, hey, another hundred grams.
04:32Really?
04:33Yeah.
04:33That, that's a, another good weight gain, right?
04:37So should we be able to come home soon?
04:39When, when do you think?
04:40When?
04:41Faith, I, I can't give you a date yet.
04:44Sorry, Pearl's still very small.
04:46She needs time to grow, learn how to feed.
04:50Yeah, I know.
04:51I just, I just, I just want to hold her.
04:54You know?
04:54Like I did with my other kids.
04:56I, I want to put her to bed in a cot and not an incubator.
05:00I just, I mean, how does she even know who I am?
05:04You handle her more than I do.
05:07Hey, you, you sit and you talk to her all day.
05:10Pearl knows your voice.
05:12She does.
05:12She knows you're there.
05:15She knows you're her mum.
05:18Mum.
05:22Residents will be able to return home to the Wyvern Hill Estate within the week.
05:27Gold Clave Housing is sure today, deeming the land safe, following a successful clean-up operation.
05:35Chemical barrels were discovered on the land earlier this month.
05:38Believed to have been illegally disposed of...
05:41Now we're waiting, Tame's looking.
05:43Well, if I say it out loud, there'll be a riot.
05:48Good luck, girls.
05:51Let's get ready to rumble.
05:54May the blessing of God, the Father, the Son and the Holy Spirit be among you.
05:58Er, what are you doing?
06:00Don't touch my son! I didn't do the lad any harm.
06:03Can you calm down, please?
06:04He looked like he could do with a few words from the look.
06:07Yeah, well, he don't.
06:08Er, ladies.
06:09So you can shove your prayers or I'll be sending you off to heaven meself, all right?
06:12Er, excuse me.
06:13If even one punch is thrown, you'll be out of here faster than you can say amen.
06:17How's that?
06:19Look, we've been waiting here hours already.
06:21Corrie, come on, show them.
06:26Fancy himself Tony Hawk this morning.
06:28Mum.
06:29Look, you'll be seen as soon as we can.
06:32Er, I'll sort out an ice pack for you in the meantime, okay?
06:35Look, we can't wait here much longer.
06:38Somewhere we need to be.
06:40We understand your frustrations, but trust me, we're moving as fast as we can.
06:45Look, Mrs Nelson, why don't you take a seat over here, okay?
06:49Way over here.
06:52Are you experiencing chest pain, sir?
06:54Yes, just come on.
06:56Okay, Siobhan, do you mind taking her through with you?
06:58Oh, right!
06:59Is that all we need to do to get our fast-jack past his egg?
07:02Look, we are treating some really sick people here today and they need to come first, all right?
07:06So can you please just sit down?
07:14Thanks, Pam.
07:30You can hold his hand if you'd like.
07:36If you put your finger in his palm, his fingers will grip yours.
07:47I'll be right back to explain the next steps.
07:54Hi, I'm Faith.
07:57This is Pearl.
08:01He's absolutely beautiful.
08:03What's his name?
08:05Can you just leave us alone?
08:08Please?
08:09Yeah?
08:10Of course, I'm sorry.
08:26Hi!
08:29Ian!
08:30Ian!
08:31Ian!
08:47Three zero zero six to control.
08:50Got a male, mid-twenties, fallen from high onto an exposed steel rebar penetrating his left shoulder.
08:58Request immediate P1 backup fire and police over.
09:01Don't move!
09:12Right, what's next?
09:14Triage spotted by the cardiac, so she's had a 12 lead.
09:17Right, okay.
09:19No systemic changes.
09:21Mm-hmm.
09:21Yeah, she's in stable, complete half-lock.
09:24It's okay.
09:25I can take one on my own.
09:26No, it's okay.
09:26I'm happy to do it.
09:27You sound like Dylan.
09:30Yeah, look, um, Massey, I...
09:33I know, by the way.
09:35Know what?
09:36I know you overdosed a patient with morphine, Dylan told me.
09:43Um, yeah, that was your patient.
09:48I was covering for you.
09:50Okay.
09:51Mm-hmm.
09:51Abigail Clarkson, the girl who was injured in the explosion.
09:53Yes, I remember.
09:55Mm-hmm.
09:55Yeah, well, uh, she was given morphine at the scene, as outlined in the handover, and you
10:00give her another dose on top of that.
10:02Dylan caught me giving an alaxone to try and reverse it.
10:06Where's, uh, where's this patient?
10:08Cubicle 5.
10:14Hi, this is Nelson, and I am Dr Nash, one of the consultants here.
10:18So, look, um, your heart is beating more slowly than we would like, so we need to run
10:23some tests, and cardiology will be down here, too.
10:26But the long and the short of it is, you're going to be here for a while.
10:28Is there anyone you want us to call?
10:29I've got everyone I need with me.
10:34Um, so any chest pain, dizziness, shortness of breath?
10:39My chest hurts.
10:41Right, okay.
10:42And any other heart problems, high blood pressure, high cholesterol?
10:47You should be making a note of this.
10:50You go to church?
10:51No, no, not anymore.
10:53There's a chance I would spontaneously can bust.
10:55Um, any family history of heart disease?
10:58Used to be like you.
11:00Thought God was a fairy tale.
11:02Spent my twenties off my face on meth.
11:05And he got me clean.
11:07If he ever wanted to return to the church.
11:10Right.
11:11Can we do a full set of bloods, please?
11:14A chest x-ray and cardiac echo.
11:16Uh, write down every action, and as soon as your results are back, call me.
11:19Thank you. Nice to meet you.
11:27Right, Teddy, I need to get this packed with some Sherlock's, please.
11:31What's your name, eh?
11:33Jayden.
11:35Can you get this thing out of me?
11:37Can't yet, Jayden.
11:38We need to wait for the fire crew till we arrive.
11:40I'm sorry.
11:41Why got your phone?
11:45You're alright, mate.
11:46Just keep calm.
11:47Don't worry about that for now.
11:49Please!
11:50Get this thing out of me!
11:53Right, radio control.
11:54Request hems for blood.
11:55Find out where fire and police are.
11:57We need him here now.
12:003006 to control.
12:01Urgent request for hems and blood, and can we have an ETA on fire and police?
12:04Copy that. We'll get an ETA as possible.
12:13Leo's blood sugars are stable, but his other markers suggest an infection.
12:19I was told I had group B strep at my antenatal test, but I didn't know what it meant.
12:26It's a common bacteria. It can spread from mum to baby in labour very easily.
12:31So it's okay then?
12:33We need to collect a sample of cerebrospinal fluid that surrounds Leo's brain and spinal cord to confirm whether he
12:39has an infection.
12:40If you consent.
12:43How do you do that?
12:46It's called a lumbar puncture. It's done with a needle.
12:50It's a very delicate procedure, and we'll of course make sure Leo is as comfortable as possible.
12:56I...
12:57I don't know.
12:59I'm not sure it sounds like a lot.
13:02Isn't there another way? You can test?
13:05This is the only way to test.
13:07And it's really important that we do, because if he does have an infection, it could lead to sepsis.
13:13Especially now that we know you're a carrier of GBS.
13:18Look, it's a very safe procedure. We perform them every day.
13:23But if you need some more time, that's okay.
13:27No.
13:28I'm okay.
13:31Okay, yeah. Fine, yeah.
13:34Do it.
13:36Okay, great. I'll go and let the team know.
13:40Um...
13:42Right. Time for pill speed.
13:45Ah, yeah. I'm ready when you are.
13:51Control to 3-0-0-6. ETA of 21 minutes for fire crew.
13:55Waiting on an update from police. 3-0-0-7 is closed. Over.
13:59Jaden. Jaden, stay with us, mate.
14:01Right, more pressure.
14:04How's he doing?
14:06Hey, we need to extract him from this rebar.
14:09What, are you joking?
14:11Come on, man. Number one rule.
14:12We always leave it in situ.
14:13Fire crew, 21 minutes away.
14:15If we wait for them, he'll bleed out.
14:16Yeah, but he'll bleed out either way.
14:18If we move in, at least he has a chance of surviving.
14:21I'll take full responsibility.
14:22He's bleeding through this.
14:25Come on, Jacob.
14:28Okay, where do you need me?
14:29Right, on the legs. Me and Teddy on each shoulder.
14:32Indy.
14:33Slide that stretcher in when we left, yeah?
14:34Right, if everybody's ready, I'm free.
14:37One.
14:38Two.
14:39Three.
14:41He's losing a lot of blood.
14:43Need to get him in quickly.
14:45Right.
14:48Right, Indy, get some more cell locks.
14:503-0-0-6 control. Patient's free for bringing him in.
14:52He's losing a lot of blood.
14:54Let's go.
15:16Steve, are you okay?
15:17Bad news?
15:18No, um, look, um...
15:19Actually, what I have you here, I, uh...
15:22I have this patient, uh...
15:23She was prescribed oxycodone, but she played fast and loose with her dose.
15:27So she's experiencing, like, drowsiness, uh, confusion and vertigo.
15:32Do those symptoms tally with you?
15:34Absolutely.
15:34I mean, that's why I'm reluctant to prescribe it in the first place.
15:37Oxy's strong stuff.
15:38Patients start playing around with the dosage.
15:40Gonna mess themselves up pretty quickly.
15:42You want me to take a look?
15:43Mm-mm, no.
15:43It's, um...
15:43Dr Nash, pre-order's just in.
15:45Yeah, sure.
15:46Er, on my way.
15:52Excuse me.
15:55How long until we get the x-ray back?
15:57Leave her alone, Mum.
15:58We can't wait here any longer.
16:00I've explained to you.
16:01When it's your turn, I'll call you.
16:02You don't understand, all right?
16:04We need to get home.
16:05Yeah.
16:05I'd rather be in front of the telly at home and all.
16:07Please.
16:15If we're not home before he gets back from work, I'm gonna be in trouble.
16:20Okay.
16:21Okay.
16:22Erm...
16:23I'll chase radiology.
16:25You stay here and I'll be as quick as I can, all right?
16:29Okay.
16:41He's had a Grammeth TXA, 1.2 grams of Chromoxiclub.
16:45Foreman grams of Van Gondström.
16:46And a gram of RV per seat tomorrow.
16:48It's over ten o'clock.
16:51Yeah, so, um, airway is patent, slight tachypnea, but there's equal air entry and normal chest sounds.
16:58Yeah, what about cap refill, Rita?
17:01Prolonged.
17:02Okay.
17:02Stuart, let's do full bloods, please, including a venous gas.
17:06Heart rate is slightly elevated, so let's activate the major hemorrhage protocol.
17:09And can we get a TXA infusion up and running, please?
17:12The crew will have done first dose.
17:14Yeah, we did.
17:16Do you want me to keep holding?
17:18No, no, sorry.
17:19Rita, are you okay to step in?
17:21Take over for me?
17:22Okay, Stuart, can you choose thoracics and vascular?
17:25And, Kaz, when you're ready, can we get a portable chest X-ray?
17:51Vincent!
17:53David!
17:58I'm sorry for that in your ear, mate, but one day you could give me a heart attack.
18:01Well, your ears will do that.
18:03Is it alright?
18:04Yeah.
18:05Fine.
18:06What happened to you?
18:07The scoop at the white mill building site.
18:09Yeah.
18:11It's pretty full on.
18:14How long have you had that cough?
18:15Um, a few days.
18:17Have you had anything across the chest?
18:19Any wheezing?
18:20Anything with your eyes?
18:22Eyes, yeah.
18:23I feel a little bit scratchy.
18:24Okay, well, it sounds maybe less severe, but a lot like our chemical exposure cases.
18:29And you said that the cleanup was all sorted.
18:31It might not have been as diligent as we'd like.
18:33Um, where's your patient now?
18:35He says two.
18:36Okay, get yourselves cleaned up, Teddy.
18:38Get through to cubicles.
18:39I'm alright, honest.
18:40No, no, no, no.
18:41I want to keep you monitored.
18:54Okay, good.
18:55Breath sounds are equal.
18:57Let's, uh, let's cough up, please, Kaz.
19:00Yeah.
19:00Sats are improving.
19:02Cap no choice is good.
19:04End tidal CO2's at 39.
19:06Okay, good.
19:07Uh, let's, uh, get that chip secured and get him to theatre.
19:11What happened?
19:12Why did he, why did he need an RSI?
19:16Why are you questioning my decision?
19:18No, I just need you to explain.
19:20Okay.
19:20Um, he went into rapid respiratory failure.
19:24Uh, his chest x-ray came back normal, but his sats were falling.
19:27He was fatigued.
19:28I thought he was going to do BiPAP, but there was no time.
19:31This is another case of chemical exposure?
19:34No.
19:35No, there's no oedema on his CT, so.
19:37I think the symptoms are going to be weaker than they were a few weeks ago, but, you know,
19:41that, that place has still got toxins in the earth, and this place needs a deep clean.
19:45Stevie.
19:47I've never questioned your judgment.
19:50No, I know.
19:51Um, any decision yet on Matty?
19:55Uh, yeah, I need more time.
20:06Mia?
20:09Isn't, isn't Leo Joe's lumbar puncture any minute?
20:12I, I need a coffee.
20:16Okay, well, yeah, I mean, coffee's terrible, but you're welcome to join me.
20:22How long has your baby been here?
20:25Um, eight weeks, nearly.
20:29How do you keep coming back when you don't know if your baby will live long enough for
20:32you to take them home?
20:35I don't know.
20:37I don't know.
20:37I...
20:38You just do.
20:40You just do.
20:42You just do.
20:44These decisions, it's just too much.
20:48Oh, darling, I know.
20:50I know.
20:50I know it's really hard, but you can find the strength to make these decisions.
20:55You can.
20:56Okay?
20:58Is the coffee really that bad?
21:01Um, yeah.
21:03But there's caffeine in it, so...
21:05Come on.
21:08What's going on in race, us two?
21:10Deep clean.
21:11I know the patient was just brought in from Ryan Hill.
21:13Dylan suspects the land's still contaminated.
21:19Right.
21:20This should help a little bit with your pain, so I'm just going to pop it up your nose like
21:24I told you, okay?
21:25Might feel a bit weird, so I'll head back.
21:32Good lad.
21:34Right.
21:36So, yeah, x-ray does show you've got a mid-shaft ulnar fracture, sometimes called a nightstick
21:41injury.
21:42Um, we're going to put a cast on you, and then we're going to send you back to x-ray
21:45just
21:45to check that it's snug, if that's alright with you.
21:49It shouldn't be too much longer.
21:52Can you tell me how you did this, Corey?
21:59Skating.
22:01And did you fall off your board, or bang into something?
22:05I'm always telling him to go slower on that thing.
22:08And where did it happen?
22:09Was it at the skate park?
22:10I can't remember.
22:14Okay.
22:14I'm going to talk to your man for a moment.
22:16Um, are you alright getting a cast on?
22:18Yeah.
22:18Yeah, yeah.
22:22This might feel a bit weird at first, okay?
22:33Do you know how he got his injury?
22:37Because that angle of break is normally when someone puts their arm up like this.
22:46It's the first time it's touched him, I swear.
22:50Um, it's got worse since we've been living in this box room.
22:56Um, our estate got shut down.
22:59Oh, Ivan Hill, do you know it?
23:01Yeah.
23:03We're living on top of each other like there's nothing I can do.
23:07Look, I have to refer you to the safeguarding, but they can support you both.
23:11I won't have you take him away from me.
23:12It's a lifeline.
23:13It's not a threat.
23:16I'm going to admit Corey to paediatrics overnight.
23:19What, you think he got a broken arm?
23:21Yeah, for observations.
23:24Because he's safe there.
23:26And he can stay there too, and we'll tell his dad that only one parent's allowed to be with him,
23:30right?
23:30If I stay, he'll only come here.
23:32Well, then we'll alert security.
23:36He can stay, but I can't. I can't do this.
23:42Well, here is a number for a refuge, okay?
23:46Because you do not have to do this on your own.
23:48I don't understand.
23:50I do.
23:51Rachel.
23:55Look, I'll just leave it here with all of Corey's stuff, all right?
24:01It's his information.
24:02It's got what time he was treated and what for, and then there is that.
24:16You don't have to watch.
24:19I...
24:19I want to be with him.
24:23Okay.
24:24We're looking for the fluid to be clear.
24:28This will give us a good sample.
24:37Yeah.
24:38That's good.
24:38That's good.
24:40That's good.
24:41That's good.
24:41That's good, right?
24:42Yeah.
24:43Yeah.
24:43Yeah.
24:43That's good.
24:44We can treat his infection with a simple round of antibiotics.
24:48Hey.
24:48Go down.
24:50What's the matter?
24:51You had enough?
24:53Are you trying to see?
24:54Come on.
24:55Come on.
24:56Come on.
24:57Come on.
24:58Come on.
24:59Come on.
24:59Come on.
24:59Come on.
24:59Come on.
24:59Come on.
24:59Come on.
25:01Come on.
25:02Can somebody help me?
25:04Come on.
25:04Can...
25:05Can someone help me?
25:06Can somebody help?
25:07She's choking.
25:08Please.
25:08Please help.
25:09Can someone please help me?
25:10She's choking.
25:11I can't get out.
25:12She's choking.
25:15Please.
25:15Please.
25:16Please help me.
25:17Please.
25:18She's got, she's got underwater.
25:19See, please miss me.
25:20You're not breathing, where?
25:22She's not breathing.
25:23She's not breathing.
25:24Come on.
25:24Free.
25:28She's not breathing, she's not breathing.
25:32Why is she not breathing?
25:34She's probably calling it.
25:36No, no, no, no, no.
25:37Please, no, no, no, no, no.
25:40It's this way.
25:42Bye.
26:09Someone call in.
26:25Someone call in.
26:56One, two, three.
26:57One, two, three.
27:04Put that door, please.
27:06Continue ventilation breaths.
27:29What happened?
27:30What happened?
27:31Is she all right?
27:31She's stable.
27:32She's breathing.
27:34Is she okay?
27:35Is she okay?
27:36She arrested, but she's stable.
27:37I'm sorry.
27:39I'm here.
27:40I'm here.
27:41I'm here.
27:41I'm here.
27:41I'm here.
27:42Sorry.
27:44She's through here.
27:48Where's your mom, Corey?
27:50She's gone.
27:52Right.
27:52Can you check admin?
27:53I'll go and speak to reception.
27:54She left ages ago.
27:57What's going on?
27:58She said I had to stay here.
28:04Um, you're going to be taken up to the board soon.
28:06Um, Jordan would like a word with you first, if that's okay.
28:11Shall I do a lap?
28:12See if I can see her.
28:14She's taken the number for the refuge.
28:15That's got to be something, hasn't it?
28:17Yeah.
28:18Yeah, that's something.
28:21Nicole, listen, you couldn't have done any more there.
28:24I know.
28:25I know.
28:29I grew up in a house like Corey's.
28:33My mom's fella, my dad, he used to, not me, but her.
28:43That house that I've put the deposit down on, it's not just a house.
28:49If they stop building, I'll lose everything.
28:53I'll lose my future.
28:55I'll lose security I've never had.
29:00Um, right, I'll, um, I'll speak to Peds.
29:06Can you wait with Corey once safeguarding her gone?
29:09Yeah, yeah.
29:11Thanks, mate.
29:17Okay.
29:21Okay.
29:42Um, Mrs. Nelson, cardiology, haven't made it down yet.
29:46Mrs. Nelson?
29:48No, Mrs. Nelson.
29:49Mm-hmm.
29:50You okay?
29:51Uh, Nicole, can you give me a hand, please?
29:53Get her to recess two.
29:54Better for energy.
29:55Oh, I can't.
29:56Deep clean.
29:57Right, okay.
29:58Recess three.
29:58No recess, but it's available.
30:01Okay, wonderful.
30:01Uh, let's get her in here.
30:02Sue, do you mind just grabbing that door, please?
30:05No.
30:09TCP isn't achieving capture.
30:12Pulse is 30 with long pauses.
30:14BP, 64 by 38.
30:16GCS is 10.
30:16Okay, let's, uh, let's try isopralin, please.
30:19I've tried it already.
30:20There's none in the whole hospital, apparently.
30:22Right, okay.
30:23Do you have 500 micrograms atropine?
30:28Go on in.
30:33Flushing.
30:42She's not responding.
30:45Pulse is 28.
30:46Do you want us to go again?
30:47Mm-mm.
30:47No, if she's a complete block and atropine's useless,
30:50then she needs a temporary transvenous pacing wire.
30:53Cardiology are occupied.
30:54They're in the cath lab, Stenton, am I?
30:56Yeah, okay, we're doing it here.
30:59You done one of these before?
31:01Once.
31:02We're not even in recess.
31:04I know, but Nicole, if we don't do it here
31:05and we don't do it now,
31:06this is likely to be the room she dies in.
31:07Okay, uh, Rita, we're going to, yeah,
31:10let's prep for temporary pacing.
31:12Can we get a pacing tray, please?
31:13And a central kit.
31:21Patient decided to give home piercing a shot.
31:25It's cellulitis of the pinna with a, uh, cartilage infection.
31:28Yeah, I think so.
31:29Let's start her on, uh...
31:31On a seven-day course of oral clindamycin,
31:35ENT follow-up and safety netting advice.
31:37Yeah.
31:38Yeah, hold on.
31:40Don't scare.
31:41Don't scare.
31:42Do you have a second?
31:42Yeah, I heard about a pulp by the way.
31:44Uh, yeah, yeah, we're not out of the woods yet,
31:46but she's doing a lot better.
31:48Uh, I need to sign Zach Beach's death certificate,
31:51Laura Beach's son.
31:52Mm-hmm.
31:53I believe his death is linked to the chemicals
31:55that triggered Laura's premature labour,
31:57but the medical examiner advised that without evidence,
32:00we can't sign post-chemical toxins.
32:02Mm-hmm.
32:03The tox report came back clean,
32:04but that's to be expected.
32:05It was Laura who ingested them.
32:07Mm-hmm.
32:08Now, I have to list contributory factors for his death,
32:11and Laura did admit to drinking.
32:13Then you have to list alcohol as one of the causes.
32:17We have to register what we know.
32:19Push our personal feelings to one side.
32:22Yeah.
32:23It's harder than it sounds.
32:25Yeah, I know.
32:25Okay.
32:27Okay.
32:33Get screen on, please.
32:38Yeah, can you just bring it across
32:39so I can see the right ventricle?
32:42Ectomics.
32:43She's in VT.
32:44I'll charge the D-fib.
32:45Right, okay, screen off.
32:49If we don't get this pacing wire to sit inside her heart,
32:51she could arrest at any minute.
32:52We need to get her heart rate under control.
32:53VT's stopped.
32:56You're doing great, Stevie.
33:02Right, let's go again.
33:04Let's get her screen on.
33:08Okay, still in the atrium.
33:13Right.
33:14No VT this time.
33:15Okay.
33:17Good, we're in.
33:19Okay, screen off.
33:21Let's get this connected
33:23just so we can check the threshold.
33:31Right, okay.
33:33Nicole, let's start at 60 at 4 volts, please.
33:4060 at 4 volts.
33:41Switching on.
33:46Okay, piercing.
33:47Let's go to 3 volts, please.
33:48Down to 3.
33:49Still piercing.
33:50Let's bring it down to 2 volts.
33:53Down to 2.
33:56Still piercing.
33:56Down to 1 volt.
33:59Down to 1.
34:04Right, okay.
34:04Still piercing.
34:05Let's go down 0.1 of a volt each time
34:08and don't stop until I see Nicole, okay?
34:10Okay.
34:12Down to 0.9.
34:14Down to 0.8.
34:16Right, okay.
34:17Stop there.
34:18She's lost capture.
34:18Let's bring it back to 0.4.
34:20Threshold does 0.9
34:21and let's stay at 60, please.
34:23Back up to 4 volts at 60.
34:25Right, and can we get the screen back on?
34:26I just want to check the atrial loop, please.
34:33Okay, good.
34:33Yeah, plenty of loop.
34:34Right, let's move the intensifier, please.
34:36Let's put out a fast loop to CCU.
34:39Need to get on there ASAP
34:40and we'll get a nylon suture
34:42to keep this lead in place.
34:42Laura, you'll get to sort that.
34:46It's getting worse, Davey.
34:48Well done.
34:54That was class, mate.
34:55Yeah, well, well done, you.
35:29Just a heads up.
35:30Erm, I'm going to admit that it was me.
35:35But I'm the one who overdosed Abigail Clarkson.
35:37Erm, why?
35:38Didn't I know nothing said of words?
35:40Why would you do this?
35:41We'll all get in the neck.
35:42Because it's the right thing to do, Matty, okay?
35:44I can't work.
35:46I can't live with this hanging over me.
35:48So that's why.
35:51If you submit that date, X,
35:53then everyone's going to find out about it.
35:56And I thought you didn't want that.
36:01I just...
36:05Why do this to yourself?
36:07Carry on.
36:13I'm, er...
36:13happy to disjudge you.
36:14Thanks for waiting.
36:15Great.
36:16Thanks, Dylan.
36:17What do you mean, champ?
36:18Hey.
36:19Ian asked me to drop these.
36:21Okay.
36:21Yeah, I've been meaning to ask you.
36:23How did it go if you're dead?
36:26Well, not good.
36:27No, no, it was good.
36:28It was...
36:29It was weird.
36:29Obviously, you know,
36:30I hadn't seen him for a long time,
36:31but it was actually really nice
36:32to catch up about everything.
36:34All right.
36:35I'm happy for you, man.
36:36Oh, thank you.
36:37Yeah, I knew it'd work out.
36:39Listen, I've seen a bit, yeah?
36:41Yeah, yeah, I've seen a bit.
36:41All right, bud.
36:49Hey, Stevie.
36:50Have a second.
36:52Before I, er, chat to you.
36:54Come in, take a seat.
36:55Yeah, look, I'm...
36:56I can explain.
36:57I...
36:57With the...
36:58No, I've...
36:59I've been asked to do the, um...
37:01The keynote address
37:02at the, um...
37:03The Alderwood Institute, so...
37:06I just wanted to talk to you
37:07about the road,
37:07and Dylan's gonna need
37:08a bit of time off.
37:10Okay.
37:10Well, that's great.
37:11Well done.
37:12Congratulations.
37:15So, what was it
37:16you needed to explain?
37:19Yeah, um...
37:20Yeah, I'm sorry.
37:21I should have, um...
37:22Spotted the, uh...
37:23Chemical exposure link
37:24with the patient
37:25before I brought them to recess.
37:26Stevie, come on.
37:27Don't worry about it.
37:27It's fine.
37:28We isolated it.
37:29It's not a problem.
37:31Do you know what?
37:31Before we...
37:32Do this, um, rota...
37:34Are you okay?
37:37Yeah, I'm okay.
37:40I mean, you know,
37:42over the past few weeks...
37:45Your pain's back, right?
37:49Yeah, I didn't know
37:50it was that obvious.
37:52It's not.
37:55Um...
37:55Okay, so...
37:56Management, you're...
37:58Taking oxy?
38:02Yeah.
38:04It's working for me,
38:05just in the right dose.
38:06Okay.
38:08Um...
38:08Okay, good.
38:09But if anything changes,
38:12you just come find me, okay?
38:17Sorry.
38:18Um, someone online one for you
38:20regarding the soldier.
38:21Connor Atwater.
38:22Okay, thank you.
38:23Uh, sorry.
38:23I've got to take this.
38:35Hi.
38:36Um, thank you
38:37for returning my call.
38:38I'm the clinical lead
38:39at Holby ED
38:40and I had a few questions
38:41about the medical history
38:42of Connor Atwater.
38:44It's now a good time.
38:48Oh, hello.
38:51Um, my name is Jodie White.
38:52I'm calling from Holby ED
38:54on behalf of Dr. Byron.
38:55I'm looking to speak
38:56to Amelia Gold
38:57regarding the Wyvern Hill estate.
39:00Sean, cutting through.
39:03Amelia's speaking.
39:04I don't have long.
39:05Hi, I'm Jodie White.
39:06I'm a nurse at Holby ED.
39:08I'm just calling
39:09to let you know
39:09that we've had
39:10two more confirmed cases
39:12of chemical exposure today.
39:13Both patients
39:14had been in contact
39:15with the Wyvern Hill site.
39:16We believe
39:17that the land
39:18is still contaminated
39:19and it is still unsafe.
39:21Are they okay?
39:22The patients?
39:24One patient
39:25had mild symptoms
39:26but the other one
39:26has been transferred
39:27to ITU.
39:28If you have more time
39:30we could arrange
39:30for you to speak
39:31to Dr. Byron or Dr. Kee
39:32in more detail.
39:34Of course, of course.
39:35Yeah, but
39:35that sounds great.
39:37Okay, um,
39:38and we are recommending
39:39to delay the opening
39:40of the site
39:40just to ensure
39:41a second of the mediation
39:42of the soil.
39:44I'm already on it.
39:45Miss White was it?
39:45Jodie White?
39:47Yeah, Jodie.
39:48Yeah, that's it.
39:49Thanks so much
39:49for calling Jodie.
39:51And, um,
39:52this, it means a lot
39:53to us.
39:54I know it can't be ideal
39:55for you guys, but...
39:58It's not, no,
39:58but we're not important,
40:00so I appreciate
40:01the heads up.
40:02All right.
40:04Thanks.
40:13I didn't, uh,
40:14I didn't, uh,
40:15I didn't report.
40:17You know,
40:18I just,
40:18I just feel dreadful
40:20having to ask
40:21this of you,
40:21but please
40:22don't tell anyone.
40:24Stevie,
40:25transferring Jaden Griffith
40:27to ITU.
40:28Okay, yeah, yeah,
40:28I'll be right there.
40:29Cool.
40:31If not for me,
40:32then please
40:33do it for him.
40:35Because, you know,
40:36it's ironic,
40:37just as I'm about
40:38to give this keynote speech,
40:39I did not think
40:41that trying to be
40:42a good father
40:42would jeopardize
40:43being a good doctor.
40:44Look, Dylan,
40:45you have done
40:46more than enough.
40:47You're willing to risk
40:48your career.
40:48So what am I doing wrong?
40:49He's barely spoken to me
40:50for two weeks.
40:51Nothing.
40:52You've done nothing wrong.
40:53Of course not.
40:54And I know it's different
40:55for you,
40:55but has he said anything?
40:58No.
41:02No.
41:05Look, I better...
41:07Yeah, yeah, yeah, yeah, yeah.
41:21Hiya.
41:24You want to chill tonight?
41:28What is it?
41:31It's, uh...
41:33It's from a patient's mom.
41:37It was addressed to me
41:38and, uh...
41:40and Kim.
41:52Will you...
41:53Will you read it to me?
41:56Please?
42:05Okay, um...
42:06You might not remember me,
42:08but you saved my son Oscar's life.
42:11I thought you'd like to know
42:12he's doing much better now.
42:15I'll never be able to repay you
42:16for what you did that day,
42:18especially Dr. Chang.
42:20He would have died
42:21without her bravery
42:24to go in and help.
42:26Yeah.
42:27Sorry, I can't.
42:35I, um...
42:37I just want to go home,
42:39so...
42:40Yeah.
42:41Yeah, okay, well...
42:42Well, you know,
42:43we don't have to do anything big.
42:45No, Mandy,
42:46I want to go home alone.
42:49Please, Stevie, come on.
42:53Stevie, if this is about Abigail,
42:55just forget about it.
42:56It was a mistake.
42:57Okay, you need a distraction.
42:58We need a distraction.
42:59Wait a second,
43:00I'm not a distraction.
43:01Just go home, Matty.
43:02Yeah.
43:16Oh, my God!
43:17Uh-huh.
43:20How many of you do you do now,
43:21I love you, Matty.
43:23I love you, Matty.
43:23I love you, Matty.
43:23I love you, Matty.
43:26I love you, Matty.
43:27Hey!
43:28Hi-tty.
43:32Bye.
43:53it's been a challenging few weeks for many and especially those that have had to leave their
43:57homes and stay in temporary accommodation we are truly sorry for the distress and the worry this
44:02has caused but today on behalf of gold clave housing i am so excited to announce the reopening
44:08of the wyvern hill estate after a successful remediation is this old it's nice to ensure
44:14i thought you said you spoke to her i did i did speak to her and residents will be able
44:19to return
44:19from 9am tomorrow with our investment into cleaning up this land we have made clear our commitment to
44:26wyvern hill's future
44:35i owe you a coffee go on are you sure it's on me you don't want coffee
44:53i need to pick look up
44:57yeah of course listen i want to stay right and i'll be around for her so she's sleeping bless her
45:03i don't even know she's been for what she has listen have you seen this
45:07our daughter's in there because of their chemicals right they're trying to cover it up
45:11make her like it's safe right but i promise you i promise you i will get to the bottom of
45:16this we
45:16will find out who they are how long this has been going on for i promise you will get me
45:21sorted
45:21not just for me and you but for pearl all right
45:28mattie mattie mattie mattie i need to talk
45:35okay why did you tell stevie i nearly killed a kid
45:40well i mean i had to satisfy myself you weren't going to make the same near fatal mistake twice
45:45i didn't report you i had to satisfy my conscience that you were capable
45:51uh so you're part of the cover-up right
45:56if you weren't my dad would you have reverted me
46:00yeah
46:03my dad uh the one who brought me up the one who paid for me to go to medical school
46:11he believes in me
46:15he believes i can be a doctor
46:27uh
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