- 12 hours ago
Casualty S46E01
Category
🎥
Short filmTranscript
00:02My name is Stevie and I was Kim's mentor during her rotation in A&E.
00:11I know Kim would have made a brilliant doctor.
00:16The bit I didn't know was that she wouldn't get to be around to hear me say that.
00:31Guys, as you well know, the last three days have been relentless.
00:38The overwhelming rise in patients presenting with respiratory illnesses has pushed this department to near collapse.
00:46And as such, the Trust's request for military assistance has been accepted.
00:51An army aide will arrive from tomorrow.
01:13Do we know what we're dealing with yet?
01:17No. No. The virus remains unidentified.
01:22Two viral swaps have returned inconclusive. We are waiting on the results of a third.
01:26OK. Well, we know it's not flu. And the last time we were facing something like this, it was Covid.
01:32So...
01:32Which is why I think we need to prepare for the strong possibility that we are in the early days
01:37of a new pandemic.
01:39Half our team's off sick, so... Have we got enough PPE to protect the ones we've got here?
01:47Tomorrow, I'll be implementing Orbeez infection, prevention and control strategy.
01:53Additional PPE supplies are being delivered and visitor access will be restricted.
01:58That's it. Guys, I want you to take care of each other, OK?
02:04We may be about to re-enter hell.
02:31You look awful.
02:33Thank you. So do you.
02:35Thank you. Um, any word on the third swab?
02:39No. Nothing yet.
02:41That's our best chance of knowing what's going on.
02:43I know. And we've only got one overflow area remaining as well.
02:46Hey, listen. I spoke to Nicole and she said that we pushed back on her request for support of her
02:51OSCs.
02:51Look, I haven't had time to eat today and you want me to diarise holding Nicole's hand?
02:54OK, OK. When this is over, maybe mentoring Nicole might be good for you.
02:59Well, I'll have you here. Can you sign this for me?
03:01Yeah.
03:05Kim's death wasn't your fault, Stephen.
03:09Now, I know wellbeing offered online counselling sessions has been nearly a week since the funeral and you haven't used
03:15any of it.
03:16The very fact you know that means I could report you to HR.
03:19Come on. I'm worried about it.
03:21Don't be. I'm fine.
03:27What? Who's G.I. Joe?
03:31That was my, um, C.O. when I first joined the army.
03:35Thank you for this.
03:43Who's your Byron?
03:44Colonel Byron.
03:46You look tired, Stephen.
03:49Well, I had to sleep on my office floor last night, so...
03:55Shall we?
03:57Sure.
03:58So, uh, medical engineering will raise the red flag over quarter blocks in the socks.
04:03Yeah, I'm sourcing an alternative delivery via different transporters.
04:06Well, I can ask my lights to help.
04:08It's OK, we can manage.
04:09You know, I've only been here an hour. I already know it's the nurses that run this place.
04:15Let me, let me take that.
04:16Thank you very much. Uh, resource, please.
04:18Good to see you, Byron.
04:20Here.
04:22He's helpful.
04:40Hiya.
04:42Sorry we're late.
04:43Parking was... mad.
04:45Hiya, Dale.
04:52I, um, I haven't ordered any coffee because I...
04:56I mean, uh...
04:59Don't tell me, don't tell me.
05:00It was milk, no sugar.
05:03Two sugars.
05:04Huh.
05:08How you been?
05:11Is what Matty's saying true?
05:14We've got this pandemic, if that's what this is.
05:17Are we all just sitting ducks?
05:19Waiting to catch her?
05:21It's too early to tell.
05:25Well, is it safe?
05:28Is 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.
05:45Anyway...
05:47Mum, you said you wanted to ask questions
05:49if we were going to spend more time together, you know?
05:51So...
05:51just ask.
05:53You know, maybe I'll get that deep enough after all.
05:57OK.
06:01If you don't sue to the orange tunt over there, OK?
06:05Hi, sir.
06:06Will you just go and speak to this gentleman here for me?
06:09OK.
06:09Can you wait here as well, please?
06:10Anyone with a respiratory issue...
06:12I need help!
06:13My wife!
06:13Please!
06:14She's pregnant!
06:16How many weeks is she?
06:1825.
06:1926.
06:19She's 26.
06:21No!
06:21It's too early!
06:23I'm sorry!
06:24I'm gonna lean on me!
06:25There we go!
06:26There we go!
06:28Come on!
06:28It's the ambulance you never came.
06:30I'll do over it myself as fast as I could, boy.
06:32I'll just get there.
06:33Well, you're doing a brilliant job.
06:34Can I get you to stand up?
06:35I'm going straight in, guys!
06:37I don't have any consultants available.
06:39I've got Dylan coming in in about 20 minutes.
06:41OK.
06:41Call him.
06:42Call him now.
06:45Your GP didn't really suit me.
06:46I needed something with a bit more excitement.
06:49When did you last have a drink?
06:53Er, I've been sober for six years.
06:56Mm-hmm.
06:58Er, we should...
06:59We should probably go, you know.
07:01We're supposed to be on.
07:01You can give me ten more minutes.
07:03Actually, I...
07:04I have a question.
07:07How?
07:08How do you keep a secret like that for 25 years?
07:12It 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.
07:18Yeah, but I did.
07:19I tried to.
07:21The night I found out I was pregnant.
07:23I went to your flat.
07:25But you weren't in.
07:27So I waited.
07:28I waited.
07:31But then you...
07:34Came back.
07:35Blind drunk.
07:37With blood down your front.
07:38We didn't know if it was your own.
07:40Or someone else's.
07:44But I...
07:45I remember thinking...
07:48Couldn't be a doctor.
07:51Let alone a dad.
07:54I needed to protect my baby from you.
08:03Sorry, but...
08:05Yeah.
08:07Hello, Dr. Keogh.
08:12Uh...
08:13Um...
08:13Okay.
08:13Yeah.
08:15Yeah.
08:15All right.
08:16Okay.
08:17Um...
08:18I'm...
08:18I'm sorry.
08:18We have to go.
08:19It's an emergency.
08:20I barely know anything more than I did before.
08:22Do you have family?
08:24Friends?
08:25I mean...
08:26What did they think?
08:27I don't have anybody I can talk to about Matty, you know.
08:29What does it matter, Mum?
08:32It matters to me.
08:33I won't have anyone be ashamed of you.
08:35No, I'm not ashamed of Matty.
08:37I mean, trust me.
08:37This is all about...
08:39Mum.
08:39Mum.
08:40Please don't make this any harder.
08:41Come on.
08:50All hands on deck today, I'm afraid.
08:53Sorry it's your first shift back.
08:55Hey, no, look.
08:55I've had three weeks to do nothing.
08:56I'm actually happy to be here.
08:58Yes.
08:59Right, well.
09:00Raise yourself.
09:03I'm getting...
09:04I'm getting late.
09:05I'm late for my rounds.
09:07Sorry, Beryl, love.
09:08Are we holding you up?
09:09This one!
09:09We'll pop that back on for me.
09:12Could you repeat...
09:13And chase blood if they're not back in an hour?
09:16Yep.
09:18Beryl!
09:19I tell you what.
09:20Whoever's folded this has done a shoddy job for me.
09:23Could you do them for me properly?
09:28She used to work here years ago as a nurse.
09:31She thinks she still does, bless her.
09:34It's a dementia.
09:35Well, why is she in there?
09:36I know, I know.
09:38It's not the best place for her.
09:39But if you keep her busy, she'll be fine.
09:42Now, 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 going to be okay with all this?
09:55Yeah.
09:56Yeah, no, I want to be here.
09:57Okay.
09:58Good luck.
09:59Mask barrel, love.
10:07Hi, sir.
10:08My name's Cam.
10:09I'm going to be your nurse for the rest of today.
10:10How are you feeling?
10:12Fourth time on this corridor.
10:15It's safe to say that I had more fun at my last colonoscopy.
10:18How do you think I'm feeling?
10:20Fair enough.
10:21Well, listen, I need to take your bloods.
10:23Is that okay?
10:23Yeah, well, get on with it.
10:24All right, yeah, I will.
10:27I'm just going to pop that there.
10:38I've got cancerous cells that move faster than you.
10:48This man needs a mask.
10:51Okay, this patient is 26 feet pregnant.
10:53I've had a quick look and the baby's crumbling.
10:55Sorry, can you just put that on for me, please?
10:59Coughing, shortness of breath.
11:00Am I all right to give her entonox?
11:04Dylan, am I all right to give her entonox?
11:06No, no entonox with that coughing.
11:09What's happening?
11:10We think your baby's coming.
11:11What, no?
11:12No.
11:12It's going to be okay though, isn't it?
11:14I tell you what, somebody call the obstetrics.
11:16I just want to speak to Rash.
11:20Oh!
11:23Hi there, we've got another preterm delivery.
11:25Gestation 26 weeks.
11:28Yeah, we need the neonatal resus team.
11:30Another one?
11:31Resus one.
11:36Hey, can you arrange for the neonatal resus team to be sent to the ED?
11:39I need to speak to Faith and Ian.
11:42Oh, do you have a minute, Doctor?
11:45Uh...
11:45No rush.
11:46I'll be with you in a minute, Jessica.
11:50Hey.
11:51Um, guys, we're reviewing Niku's visitation.
11:55If the department decides to follow the ED's lead,
11:58there's a chance I may need to ask one of you to leave.
12:00But I'm really hoping it doesn't come to that.
12:03Neither of us are going anywhere.
12:05Um, is there any news from the consultant?
12:08It's...
12:10It's the same, I'm afraid.
12:12There's no change.
12:14With Pearl's prematurity, we need to take each day as it comes.
12:21Look, I'm...
12:22I'm here on a Caesar rotation for the next month,
12:25so if there's anything I can do, anything at all,
12:28just let me know.
12:30Thanks, mate.
12:54Baby's nearly here.
12:56That's it, Laura. Well done.
12:58Keep going, that's it.
13:00That's it, that's it.
13:01Good, good.
13:02Well done, well done, well done.
13:03Well done.
13:06What is it, Laura?
13:08It's beautiful.
13:10Okay, so the baby's a bit floppy, he's not breathing,
13:13so let's cut this cord and, er...
13:16Is he okay?
13:17Er, well, he's not breathing at the moment,
13:19but we're going to have him transferred to neonatal
13:23and they'll try and stabilise him there, okay?
13:25Can we deliver the placenta?
13:26But you did great, Laura.
13:28Hitting your baby is in the best hands, I promise.
13:36Dylan.
13:37What's going on with you?
13:39Come on, we need Dr Keogh back in his room now.
13:43Sorry, sorry, sorry.
13:46Um...
13:46It looks as though his heart's not beating at the moment.
13:48We can do everything we can to get him breathing, all right?
13:52HE CHUCKLES
13:52HE CHUCKLES
14:13HE CHUCKLES
14:14Sats on arrival at 80, rest to 36.
14:17She's had five milligrams of subutamol,
14:19500 micrograms of ipotropium
14:22and 100 milligrams of hypercortisone.
14:24Okay, er...
14:25All right, let's, er...
14:26continue with oxygen here, please.
14:27A titrator saturator of 88 to 92 percent.
14:30Thank you, lady.
14:30All right, Eileen, I'm gonna leave you with them now, okay?
14:33It's all right, it's all right.
14:34Don't fuss!
14:35I'm, I'm not tossing you, I'm not tossing you, I promise.
14:37I've not eaten cake over you, huh?
14:39I'm gonna put this over you.
14:40All 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.
14:57You two know each other?
14:58Yeah, we were both teachers.
15:00Holby High, English department.
15:03We went through the long, thankless hours.
15:08All the marking.
15:09Catherine would be turning in her grave
15:11if she found out you'd turned into such a grumpy old man.
15:17It's all an act.
15:19He was a great teacher.
15:29Any news on the oxygen cylinder we stopped?
15:3210.05.
15:32I mean, they should have left distribution by now.
15:34Your guess is as good as mine.
15:36If we don't receive it soon, we won't have enough oxygen to treat the corridor patients.
15:40Okay, well, how long will stocks last?
15:41Well, the rate we're going, uh, two or three hours.
15:47Okay, listen.
15:48We ration the cylinders until the delivery arrives.
15:50Anybody wants one may run across the senior doctor first, okay?
15:53Yeah.
15:54No exceptions. Excuse me.
15:55After you.
15:58Okay, barrel, love.
16:15So what's the ETA?
16:17Look, I've been arranged for a unit to pick up the delivery if distribution can't organise themselves.
16:23No, no, no, it's fine, thank you.
16:25I've gone around and gone.
16:30It's a dangerous offer.
16:31What's going on?
16:33The guy's needing to do this, okay?
16:40Okay, er, 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 pill, is that all right?
16:47That is a trip hazard.
16:49Leave the poor boy alone.
16:52Er, excuse me.
16:53Sorry.
16:54You can't put him there.
16:56Got to get me out of here, mate.
16:58Er, yeah, okay, I understand.
17:00I'll be with you shortly, okay?
17:01Nathan will be with you shortly.
17:03It's my missus's birthday.
17:04I understand.
17:05Where's your mask?
17:05Arse over tit.
17:07Someone is going to go.
17:08I need to clock off soon for my Brian.
17:11Okay, shall we get you some, er, sheets?
17:13You were really good at folding the sheets earlier.
17:14We need to...
17:16Are you okay?
17:18I'm so, so sorry.
17:20Did I hurt you?
17:22No.
17:22I'm so sorry.
17:23What idiot has left that in the middle of the corridor?
17:26So sorry, sir.
17:27Sorry, everyone.
17:29Er, really, that's my fault.
17:31I know.
17:31I know, look.
17:32I was excited to be back, but just, babe, D-I-F, they're just...
17:36It's doing my head in.
17:37I don't know what I'm doing.
17:38Why are you calling them by their letters?
17:40Just because they're elderly doesn't mean you shouldn't learn their names.
17:43I didn't mean it like that.
17:44I...
17:44Just treat them like human beings, if you might remember a bit better.
17:48My foot is really hurting.
17:50Sorry.
17:51What?
17:59You too.
18:01You too.
18:24We should be ready for it.
18:29Phoebe, this is the doctor at 20.
18:31Research to you guys.
18:32Presenting me severe, spirit of distress.
18:34Shrubles of breath and angiordema to his gateway.
18:37We've treated as anaphylaxis.
18:38Wait, wait, wait.
18:40Any no analogies for anaphylaxis?
18:42And when did you last have IAM adrenaline?
18:43No to the first question and six minutes ago.
18:46Do you guys know any more about the virus?
18:48About how it's infecting patients?
18:50No, only what you do.
18:52On lift.
18:53Ready, ready, lift.
18:57Say that again, then.
18:58I'm sorry.
18:59Matthew, can you move?
19:00Get more.
19:00I'm sorry.
19:00You don't go home.
19:01Okay, I'm going to be a primary survey to check your airway, sir, okay?
19:07Yes, significant swelling at the airway.
19:09Let's do an adrenaline nebuliser and we'll do another 500 micrograms of adrenaline.
19:14Struggling.
19:15We're pushing air properly at all.
19:17Yeah, okay.
19:18Yeah, it's Strider.
19:19He's got cordoedema.
19:20Matthew, when you can, give him a point to you.
19:21If you're going to need airway support, just get some oxygen on and help you breathe.
19:26Right, okay, this isn't working.
19:27You might need a surgical airway.
19:29Um, can I get the RSI kit, please, and the difficult airway trolley.
19:49Excuse 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.
20:06Okay, I'm going to give you a shout when I know.
20:07Yep.
20:09Hey, stop messing about.
20:10I'll take that to base seven.
20:23He's still deteriorating.
20:24I'm struggling to get any air in.
20:25Right, let's get the air gel out.
20:28What's happening with the lice?
20:36Yeah, okay, he's got severe glottic oedema.
20:38Right, we're not going to be able to intubate.
20:40Uh, let's, um, yeah, let's do a cricocereidotomy.
20:45Scalpel.
20:59Is that bougie?
21:04Which other way?
21:05Is anybody hurt?
21:06Is anybody hurt?
21:07Is everyone okay?
21:18Oh, boy, now the lights decide to go.
21:20Let's just...
21:21That's perfect.
21:22That's really, really helpful.
21:43No, no, more light.
21:44More light, Matty, okay?
21:45More light as I can't sing.
21:46Not let's prep for a reflexology session.
21:48Yes?
21:49Closer, please.
21:52Okay, let's attack the BBM, please.
22:00Um, there's still some resistance here, like?
22:03Yeah, we've got intubal, but the tube must have gone down the right in the bronchus,
22:06so it's only the right-hand side that's moving.
22:11It's 85%.
22:12Intubal's still a bit low.
22:18Why, it was the short circuit of when the cylinder hit it?
22:21Yeah.
22:22Well, at least it's just the lights.
22:25Pompter monitors seem to be working.
22:27Help me test this board.
22:29He moved this out of the way.
22:34Okay, so that's still hovering at 90%.
22:38Why can't we see him, please?
22:41But he's okay.
22:42He's safe.
22:44Um, well, as you know, he's with Nika at the moment, and they've managed to get his heart
22:48started, which is great, but, um, I'm afraid the two of you are just too ill to go up there
22:52at the moment.
22:52No, no, you 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?
23:01Um, do you have any history of heart problems?
23:05Okay, um, I want to repeat the buzz, please.
23:07Can we get a chest x-ray and an ECG as well?
23:11Please, just let me see him.
23:13Please.
23:14And let's, let's cut back on her fluids.
23:16Um, as soon as that x-ray comes, I want to see it, please.
23:19You've got an idea what it is, don't you?
23:22Let me talk to radiology, okay?
23:23I want her top of the list.
23:28I want her to use it a lot of lights.
23:49Okay.
23:51Yeah, never better, Byron.
23:53Can you give it another go?
23:54Yeah, let's do it.
24:14Santa's still at 85.
24:15Yeah, I know.
24:16Okay, give me a bit more light, please.
24:18A bit more than that.
24:21You okay?
24:22Yeah, fine.
24:25Come on.
24:27Hmm.
24:30Okay.
24:37Good, okay.
24:38Yeah, numbers are normalising, and, uh,
24:41we're adequately auctioning, so that's good.
24:44Let's complete the RSI checklist, please.
24:52You know, there's, uh, always a place for your war wyverns and a new in court, if you ever get
24:57bored.
24:59Thank you for this.
25:01Seriously, I appreciate it.
25:02No worries.
25:05Jack.
25:08And you're still arriving in your transportation?
25:11Yeah, of course.
25:12You're with me.
25:20What am I doing here?
25:23You're in hospital.
25:24Okay?
25:25I'm your nurse.
25:26I'm Cam.
25:28Cam?
25:28Yeah.
25:30Beryl?
25:31I'm Beryl.
25:32I'm a nurse, too.
25:33I know you are, Beryl.
25:35I know.
25:35Listen, you were really helping me earlier with the sheets.
25:38Do you remember the bed sheets?
25:39You were folding them for me.
25:40Look, they're on the floor now.
25:42If you can help me fold those, that would be great, Beryl, yeah?
25:46Thank you so much.
25:47I'll be with you soon.
25:48Okay?
25:50Sorry.
25:50Sorry.
25:53Okay.
25:55That should be it now with the lights, Mr Gibson.
25:57Huh.
25:58Reminds me of the power artiches.
26:01Back in the day.
26:02When, uh, when Klingy was Prime Minister.
26:05Was that Churchill?
26:06The Blitz?
26:07Ha, ha, ha, ha.
26:09Keith, the 70s.
26:11How old do you think I am?
26:14I ran marathons not so long ago.
26:21You're worse than my grandson, Henry.
26:25Not as bad as my grandson, Isaac.
26:28He would know I was dead.
26:30He just dumped them low.
26:32I've blown his inheritance on cigarettes and vino.
26:36Ha, ha, ha, ha.
26:38Ha, ha, ha, ha.
26:40Is she going to be okay?
26:42Well, we're doing everything we can.
26:44It's just and I...
26:45Nate!
26:49What's the doctor playing at?
26:50The doctor's going to be here very soon, okay?
26:51I'll chase him.
26:52But until that point, Master Upper,
26:53I'm going to need you to sit down for us.
26:55Okay?
26:55It's a busy hospital.
27:08Oh, Dylan.
27:09Yeah?
27:10Laura Beecher's x-ray.
27:11Is that fluid on the mules?
27:13Uh, that's pulmonary edema.
27:15Let's take her off her fluids and I'll give her some furosomide.
27:18So, uh, basically it means that her heart isn't pumping efficiently,
27:24so that could be due to heart failure,
27:27although it's quite rare in somebody of her age.
27:30Sometimes it's an abnormal response to treatment,
27:33exposure to chemicals.
27:34Um, they respond like this,
27:36and the rash around her mouth makes that up.
27:38Chemical exposure would explain why the third bowel swab is negative.
27:41Yeah, potentially exposed, though.
27:43I mean, there are no other patients presenting this, right?
27:45Yeah, but, Dylan, this could be huge.
27:48You've got to tell Siobhan I'm playing.
27:49Well, but she might be an anomaly.
27:52I don't, I don't think it's a pattern yet.
27:54Yet?
27:55This isn't a pattern yet, Dylan.
27:56Why are we waiting?
27:57Dylan, come on, this is you.
27:58You're right about everything.
28:00I'm not, Jodie, really.
28:01I'm not.
28:02I think we wait for more evidence.
28:04Uh, I...
28:05Jodie, do you ever...
28:06Do you ever think about your dad?
28:09What?
28:10I try not to think about him.
28:13Some people don't change, Dylan.
28:15Max, he wasn't meant to be a dad, so he never will be.
28:38All right, Siobhan.
28:39Now's not all the time.
28:40Our patients, okay?
28:41Maybe all of them.
28:42Dylan thinks he might be exposed to something like a chemical.
28:45Just...
28:46Jodie, with respect.
28:47One of our patients, Laura Beach, okay?
28:49She's getting worse.
28:51She's not getting better from treatment, she's getting worse.
28:53So, we've got to find the source.
28:55We've got to change the direction.
28:56We've got to work out why this...
28:57Stop, 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.
29:04And until then, try staying within your pay grade.
29:24That's one...
29:31Sorry, I was unable to detect the language.
29:33Keep me updated on the anesthetics patient, okay?
29:35I'm going to do it off the shop door.
29:39We need to talk.
29:40I know, I already know. I'm fine, I promise.
29:45Okay, Mr. Gibson, the transfusion should be finished now.
29:48So, Mr. Gibson, Mr. Gibson.
29:53Dr. Byron, can I borrow you, please?
29:54Okay.
29:58Take a look at his oxygen cylinder for me.
30:01It is low, yeah.
30:03It's a transfusion associated circuitry overload.
30:07Let's stop the transfusion.
30:08Gemma, can you give this gentleman...
30:10Yeah, sorry.
30:12Intravenous diarrhea, please. That will calm me down.
30:14Don't give him any more blood. Get another oxygen cylinder.
30:17Yeah, blood gas shows CO2 at 14 and a pH level of 7.24.
30:22Yeah, she's got a respiratory acidosis.
30:25What now, Beryl?
30:26Tachycardic and hypacademic with hypoxia.
30:27It's type 2 respiratory failure.
30:29Beryl?
30:29Can you get her on there?
30:30Two litres of oxygen, please.
30:32Go back to bed, please.
30:33Can. Can.
30:34Can you make it two cylinders, please?
30:35Yeah, I was busy.
30:36Thank you, sorry.
30:51I don't know where my charts have gone.
30:53I'll be right back, Beryl, okay?
30:54Someone's taken my charts!
30:56It's been hours and hours.
30:57Okay, please bear with me, okay?
31:01Byron, there was a delay releasing the vehicle from the Barris.
31:04Delivery's another 20 minutes away.
31:06Look, if you'd accepted my help in the first place, it would have been here by now.
31:12Just one.
31:13Don't tell me that's all we've got.
31:14Where's the last one?
31:16Okay, guys.
31:17With me, please.
31:24We've got one oxygen canister and two patients that need it.
31:28We can't just magic up a cubicle, so we need to decide which one.
31:32Advocate for your patients.
31:33Uh, Mrs Parrish's prognosis might be terminal, but she needs that oxygen.
31:39Well, her respect form shows she doesn't want ID to UK or intubation,
31:42which she would probably end up on.
31:45Mr 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.
32:00Can's right.
32:01Okay, give the oxygen canister to Mr Gibson.
32:03Let's run.
32:04Mrs Parrish's neb on air for now.
32:06She gets a cylinder the second the resupply arrives, okay?
32:08Yeah.
32:09Seriously.
32:10I mean, you only need to look at the woman to know she needs the oxygen more than that.
32:14Okay, Jack.
32:14I appreciate your help today, but we are the medics, so why don't you let us do our job?
32:22Shiv, um, I think we need to consider full palliation here.
32:26Um, can we call next to Ken to discuss?
32:29In the meantime, just keep her as comfortable as we can and call the palliative care team, so they're aware
32:33as well.
32:36I'll give you to what I mean.
32:37I don't want it.
32:39I'm sorry, Alan.
32:40Please!
32:41I don't want it!
32:42I'm sorry.
32:44I don't want it!
32:45Come on, please, put it back on for me.
32:46Mr Gibson, please.
32:49That's it, deep breaths for me.
32:55Well, I'll speak to Dr Keough about another dose of throsamide.
32:58The treatment seems to be working.
33:02Is, um...
33:03Is he on his own?
33:05He might not think his mum and dad love him, will he?
33:08If he's on his own up there.
33:10The best team are looking after him, okay?
33:13But we do.
33:15We love him.
33:17I know.
33:18I know you do.
33:22Laura, I'm...
33:24I'm really sorry, but I have just got to run through some routine questions with you.
33:28Erm, the answer may help us reunite you with your baby.
33:31Zach.
33:32His name is Zach.
33:34It's a lovely name.
33:39Okay.
33:40Erm, 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 these stupid questions.
33:54I should be with him and instead I'm on trial.
33:56No, you're not.
33:57We just want to see you.
33:58And you're not letting us?
33:59Laura, I am trying to help you.
34:01Well, then do your job and take me to my son.
34:08Keep your mask on, please.
34:14I'm sorry.
34:16I'm sorry about Laura.
34:19Sorry.
34:22Jodie.
34:25Come on, ma'am.
34:27What?
34:29You know what happens when you get too involved with patients?
34:35You know, I get other people might have the wrong idea of me.
34:38But I didn't think you'd be one of them.
34:42I'm sorry.
34:47Call Lena.
34:49Call Lena.
34:51Tell her.
34:57Tell her.
34:59Tell her I love her.
35:10Come on, Piotr, mate. Stay with us.
35:45He's taken them. Give me my chart back. I can't do my rounds without them. Give my chart back. I
35:56need them back.
35:58Shut it, shut it. Shut up about your rounds. Give my chart back. I need them back.
36:04Shut up. Get off. Get off. I'm resisting. Get off. Get off. I hope we've got you. It's all right.
36:22It's all okay.
36:23What are you doing? We need your help. It's all right. It's all right.
36:37All right. Nicole, can you add your 80 of yours now, please? And let's do a 10-illigram bolus of
36:43isosorbite dinitrate.
36:45Yeah. Why did you call me? I asked you to keep me updated, and you've had your phone on me
36:49all afternoon.
36:50Yeah, I did call. You didn't answer.
36:52Yeah, well, this is a simple case of oxygen and fluids, okay? So from now on, might I suggest you
36:55use your medical degree to treat patients and not geolingo?
36:57Nicole, how are we doing? Yeah. Okay, yeah. I think we're looking at a possible flash pulmonary oedema.
37:04Corrupts the road. What do you think's causing it? I don't know.
37:08Okay, Lisa, can we do an urgent x-ray, please? Let's stop fluids, and we'll repeat the ECG.
37:13And Nicole, when you're ready, let's do an IV infusion. We'll do two mils an hour, titrating up against the
37:18BP.
37:21Sats are rising. Yeah. Yeah. They are.
37:26Stay with them. Keep the tools at it. Keep me updated.
37:52Why am I here?
37:54It's okay, Beryl. Don't be afraid. We're here to help you, okay? It's Cam. Cam, your nurse.
37:58Cam. Cam.
38:04That's all right. I'm Cam.
38:08Cam. Cam's going to help me.
38:10Yeah. Let's get you to bed now, okay? I'll take you back.
38:16Mom.
38:44There's nothing more we can do. She's being moved to a side room.
38:46Jack, thank you. I don't know what we'd have done without your help today.
38:56I know, Beryl. I know. Give us all the strong stuff.
39:00We've given her all the more things we can.
39:02Okay. Can you pass me a finger?
39:05You've done all right today, sir.
39:11Listen, I can call Isaac for you if you want. I mean, I'm not really supposed to, but...
39:16It's Henry.
39:18My grandson's Henry.
39:21Eileen's grandson is Isaac.
39:26I'm really sorry.
39:27It's all right.
39:31It's all right.
39:42Yeah, he's very unwell.
39:45Unwell.
39:47Sick?
39:49Yes. Yes. Sick.
39:52Look, he wanted to tell you...
39:54No, Piotr wanted to tell you...
39:57Lina, he loves you.
40:00Okay?
40:03He loves you.
40:14That was tough, Lina.
40:16Seriously tough.
40:18You did well.
40:20Keep your chin up.
40:26Can we go?
40:28You need to toughen up your men, Baron.
40:31That lad wouldn't last a day in my unit.
40:34Weak links like him, let the side down.
40:38No.
40:39I always knew you didn't have it in you.
40:44To do what, Jack?
40:48Really, I just don't need a reminder.
41:05Doctor Keogh, can I get a second opinion, please?
41:07Doctor Nash has left.
41:10Yeah, yeah, yeah.
41:10Okay.
41:12Yeah, he's in respiratory distress, isn't he?
41:15Have we all got anaphylaxis?
41:16Yeah.
41:18All of the things normal, sats are normal, blood's normal.
41:21Yeah, pulmonary oedema.
41:23But the echo shows no heart failure,
41:25so we don't know what's causing...
41:26How long have you had that rash?
41:28Er, that must have literally just developed.
41:31That's weird.
41:32I've seen two patients with the same rash today.
41:47Yeah, yeah, come in.
41:50It's chemical.
41:51The rashes are the symptomatic connection.
41:54Patients are reacting adversely to treatment.
41:57It's causing pulmonary oedema,
41:58and it's the slow-developing rash around the mouth.
42:00That proves it's chemical, right?
42:02Yeah.
42:03Yeah, I've seen it before.
42:04A chemical attack in Afghanistan.
42:06Of course it's chemical.
42:08So, we need to isolate each case, locate the source,
42:12because we need to avoid a beat by this week again.
42:14Yeah, yeah, listen, I'm going to call St James.
42:16We've got a coordinator response on this.
42:17Oh.
42:20Yeah, what's up?
42:21Oh, um, so, um, as my line manager,
42:23I have a duty to inform you that, uh, that Matty,
42:28Matthew, Lynn Laker, Matty, Matty.
42:29Matty, yeah, yeah, yeah.
42:30He's my son.
42:34Okay, Dylan, I, I don't...
42:37Whatever, man.
42:38Okay, just, let's focus on this.
42:39If you want me to escalate it with HR myself,
42:41I'm happy to do that.
42:42Hold on, hold on.
42:44Dylan.
42:46Um, thank you for telling me.
42:50No worries.
42:57Hi, um, sorry, it, it's, um, Dr. Byron from OVED.
43:02Can you transfer me to your clinical lead, please?
43:04Urgently.
43:10I miss Kim, too, you know.
43:12I do, I just wanted to tell you.
43:15Hey, look, I know it's weird, but if you ever want to talk...
43:17About what?
43:19What wisdom could you possibly have to offer me, Matty?
43:21You are a barely competent junior.
43:23You couldn't be left alone with a patient for five minutes.
43:26Yeah, well, maybe you shouldn't have left him with me, then.
43:27Oh, grow up.
43:29Really?
43:31Look, I know you're hurting, okay?
43:33I'm hurting, too, except I'm not taking it out on everybody else.
43:36Or is that what you're trying to do?
43:37You're trying to push everybody away because you don't want to know the truth?
43:39Hold a second.
43:41I do want to know the truth, okay?
43:42So don't you dare, don't you dare stand there and psychoanalyze me, okay?
43:45I want to know the truth.
43:46I'm so sick and tired of everyone walking around telling me,
43:49it's not my fault, it's not my fault, she's dead.
43:51Yeah, well, it is, okay?
43:52Yeah, I know that, Matty, okay?
43:54I know I'm guilty.
43:58Yeah, you are guilty.
44:01So am I.
44:12Yeah, no, I just, I want to let you know that it turns out we're not dealing with the virus.
44:18Yeah.
44:18Yeah, and Sarah, I've thought about it and I want to be honest with everybody about me and Matty.
44:27Now, I've thought about it and I want this.
44:30It's taken Matty a long time to find his calling.
44:33And I would hate to see him screw it up.
44:35Yeah.
44:37I will take care of him.
44:41I'll keep him on the right path.
44:45You have my word.
45:17I'll keep him on the right path.
45:22I'll keep him on the right path.
45:23I'll keep him on the right path.
45:25I'll keep him to the right path.
Comments