Duty of Care Casualty

-Ow. Be careful.

-Sorry. I can't see a thing.

-Ooh, whose hand is that?

-Sorry, that could be mine.

-Actually, that was mine.

-Ow.

OK, let me see if I can find some lights.

-Am I getting an office?

-Why would you get an office?

THEY LAUGH

Any luck?

Hang on, nearly there.

-Brand-new ED, we can't even find the light.

-That's it.

THEY GASP

Wow.

-Oh.

-Hey.

-Ah.

-Ah.

Ah, cool.

All right, yeah.

FEEDBACK WHINES

Ready for anything.

THEY LAUGH

Please, don't do it. I love you!

RADIO: 'For those heading to the sales, the usual hot spots are causing trouble.

'Long delays on the ring road, that's due to an earlier accident.

'Traffic's heavy on both approaches to the Holby tunnel,

'and avoid Castle Street if you can. That's your travel update.'

Arghhh!

HE LAUGHS Got you! I'm a pirate!

-Where's Archie?

-Archie?

Shiver me timbers, boy! Come here, lad.

DOG BARKS

Don't do that, you'll hurt her!

-Stop it.

-Izzy.

-Don't do that!

-Izzy!

-What are you playing at?

-He pulled Bobby's tail.

Well, that doesn't mean you can hit him.

You are his big sister. Act like it.

All right, listen.

You've got to stop winding her up.

Come on, let's go and sit down, watch a bit of telly.

-Looking fit, Mr Beale.

-Bye, Mum.

Where are you going?

-Me and Zac are studying.

-You said you'd help me and your mum today.

No, no, she said it was all right.

Bye, Dad.

Before you say anything, I gave in.

Now, there's a surprise.

I don't know what she sees in him. Lad's a complete idiot.

Doubt she's interested in his brains.

-What's that supposed to mean?

-Use your imagination.

GLASS SMASHES

-What are we even doing here?

-Technically...breaking and entering.

Yeah, two streets away from my house.

-Look, your dad won't see us, Ruby.

-No, but the neighbours might.

And what? They going to tell him?

I doubt it. Nobody speaks to each other round here.

Anyway, place has been empty for months.

So, what do you think, then?

I think it's a state.

Bedrooms must be upstairs.

So?

So...let's go see them.

-I am not doing it in here.

-It's not that bad.

It stinks!

WOMAN GROANS

Run!

Come on, let's go.

You've got to come back from that telly, you'll get square eyes.

Izzy?

Izzy?

DOG BARKS IN DISTANCE

Somebody, please, can you stop her? Please! Somebody help me!

Help me, please! Please!

Bobby, come back!

Bobby! Bobby, come back!

Bobby!

Bobby!

HORN BEEPS

Come on, mate! Come on! Get out the way!

Bobby!

Bobby! Bobby!

Bobby!

Bobby!

HORN BLARES

Idiot!

HORN CONTINUES TO BLARE

Bobby?

Bobby!

HORNS BEEP

Bobby!

HORN BEEPS

TYRES SQUEAL

Bobby! Get off the road!

BRAKES SCREECH

SHE SCREAMS

SHE SCREAMS

Izzy!

CAR ALARM WAILS IN DISTANCE

HORNS BLARE

Looks good.

It looks different.

-Different's good.

-Not in my book.

-Ah, cheers.

-Thank you.

Hey, welcome to the new dawn!

Have you seen this place? Um, we got a CT scanner, right?

-A triage room, a brand-new resus... I don't know where to start!

-Coffee.

He doesn't like change.

Suit yourselves.

-Do you know, I just can't see those two together.

-Obviously, neither could they.

-Charlie, where are we with resus?

-Hey, elbows off the new desk.

-Anything else?

-I've had a word with pharmacy,

they should be up and running by ten o'clock.

Good. What about radiology? We'll need someone manning the CT.

Not going to happen till tomorrow.

-But we're open.

-Not officially,

and they won't give us a body if we're just taking walk-ins.

Could you get onto radiology for me, please?

As far as I'm concerned, thank you, we are running at full strength.

He seems a little eager, Charlie.

Well, it's a big day for him, isn't it?

But it's just a warm-up, isn't it? Today's meant to be about the prep.

-How's your prep going, Mac?

-Oh, right, you know,

I suppose I should be getting on with it...

Hey, Mac, get everyone together, I'm doing the thing.

-What thing?

-You know, the thing.

Oh, right, the thing? Right!

-Oh, smell the fresh paint!

-Yeah, and the shine on that floor.

And the state of your boots.

-Oh, do you want me to leave them at the door?

-Well...

Right, come on, where we doing this thing?

Ah, through here into the staff room.

-Is it still in the same place?

-It's the only thing that is.

Guys, guys, sorry, er, we're doing the, um, doing the thing.

Oh, right, OK. Big Mac, could you move this for us?

-Yes, where do you want it?

-Just over there.

-Just around there.

-Thanks.

So, Dylan hasn't called you?

Why would he?

I think he owes you an explanation.

Oh, I'm not really interested in hearing it.

Come on, all the time she's been working here

and not once does he mention he's married.

-But separated.

-Ahh, so you are interested?

-No!

Now, Scarlett, we know the managers are saying what you did was reckless.

But it takes a lot of guts to run into a burning building,

and we just wanted you to know how impressed we all were.

And, as a token of our appreciation, we've spared every expense

and got you this.

Oh, thank you!

-I really don't deserve it, but thanks.

-Ooh, heroic AND modest.

RADIO: 'RTC on Silverton Road. Repeat, RTC on Silverton Road.

-'Unconfirmed casualties.'

-Back to work.

-Sounds juicy.

CAR ALARMS WAIL AND HORNS BLARE

Izzy?!

Izzy!

Oh, my God! Oh, my God!

-SIREN WAILS

-Oh, my God!

Help me! Help me, please! Please!

-So, what happened?

-Might want to narrow the question down.

-Between you and Sam.

-Excuse me?

Or did you just grow apart, want different things?

Musical differences?

-The, er, staff are talking about us.

-Right.

Do you understand what I'm saying? They're gossiping about our marriage.

-Well, that's to be expected.

-How is it to be expected?

Two doctors, working together in the same ED,

and we forget to mention that we're husband and wife.

-We chose not to mention it.

-Yeah...

and that's not weird.

RADIO: 'Update on Silverton Road RTC, two crews attending,

'confirming four casualties.'

Going to be fun at St James's. Wish that thing would shut up.

-We'll take this one, Charlie.

-We'll what?

We're closest and we're ready to go.

-No, we're...

-Control?

SIRENS BLARE

RADIO: 'Holby City ED is open for emergencies. Over.'

OK, Control, we got that. Over. Holby City's open for majors.

-Yeah? Since when?

-Since now.

Plod are asking when they can re-open the road.

We've only just bloody got here!

What do they think it is? A car park prang?!

OK, can you two take the transit, please?

Jeff, you take the 4X4.

-Please can you help me?

-All right, darling.

Mate, stay exactly where you are, we'll be with you in a minute, love, OK?

OK, mate, I'm Jeff. I'm a paramedic. Can you hear me?

All right, just try and stay calm.

Listen, I need this windscreen taken out, please.

-I want to look at this bloke.

-Windscreen needs removing! Quick as you can.

-Won't take us long.

-OK, thanks.

All right, you heard the man. Not going to take long.

I've left my little boy at home on his own.

Right. See that copper?

If you let him know, they'll see that someone gets him, all right?

OK, Izzy. I'm just going to put this over your face, my darling.

Good girl. There we go.

Listen, we're going to need to cut him out.

We got a lot of blood loss, Dix.

I'm going to need a doctor and some blood.

OK, fine by me, mate.

-3006 to Control.

-'This is Control.'

I'm down at the RTC.

We're going to need blood and a doctor, please. Over.

She is going to be all right, isn't she?

We need to get her to hospital as quickly as we can, sweetheart.

Control, this is 3006.

We're going to need air ambulance support

at the RTC on Silverton Lane, over.

-Are you sure this is a good idea?

-We can handle an RTC, Charlie.

But we haven't done the dry run.

This equipment's all brand new. It's not even been plugged in.

So, now is your chance to test it.

Er, 'scuse me, gentlemen, where would you like this?

-Over there.

-Bay three.

-Right you are.

And we need some drip poles,

and the, er, O2 levels need checking.

Right. Some warm-up this is.

Thank you.

You need me in resus?

No, I'm putting Scarlett in resus. All right, Scarlett?

I want you to help Linda in cubicles.

-Take it we're live, then?

-Looks that way, yes.

The paramedics have requested a doc. They need blood.

-Mr Jordan thought you might be interested.

-Absolutely.

This is completely unacceptable!

-Did you do this?

-Don't know what you're on about.

-What is it?

Inexplicably, this was pinned to the staff room wall.

-Things people find on the internet, eh?

-OK, let's do this.

Sam and I were married and now we are separated, OK?

-It's a shame, because you look really happy on that.

-Well, the camera does lie.

For the most part, we were miserable, as I'm sure Dr...

Dr Nicholls would agree, wouldn't you, Dr Nicholls?

-RADIO:

-'This is Control. Be advised, air ambulance is en route.'

CHILDREN SHOUT

All right, all right. I give up, I give up, I give up! I give up!

OK. He's hyper now.

-This looks amazing!

-Forgot the sausage rolls.

Not many more of these left, you know.

-What do you mean?

-Proper parties.

Old school. Games, costumes and sausage rolls.

-He's only eight.

-Yeah, but it'll be cinema and bowling after this.

-Oi!

-He's already talking about go-karts for the next one.

You can't stop him from growing up just cos you like wearing a pirate costume.

No, but maybe there's another way.

I still reckon Archie would love a little brother.

Dad, come outside!

Arghh, shiver me timbers, me hearties!

I am calm, I am safe. Ooh.

I am calm, I am safe.

Ohh. I am calm, I am safe. I'm calm, I'm safe.

-Why even take this job?

-It's aversion therapy.

It's been six months.

Yeah. Turns out it doesn't work.

HE LAUGHS

-She needs help!

-She was out of it. She's probably just a tramp or something.

She's not a tramp. I think she lives there.

We need to tell someone.

-What are you doing?

-Calling an ambulance.

-What did you do that for?

-They make you give your name.

-So?

-Oh, you've broken it.

-You'll have to tell them we broke into the house.

-But we can't just leave her there!

-She'll be fine.

Ruby! Ruby, come back!

-"Ruby, come back!"

-Yeah, whatever, mate!

Graham...

I can't do this any more.

I'm in there, making cakes, pretending everything's all right.

Everything is all right.

No, it's not.

I'm lying to him.

I want this over, Graham.

Oh, hang on, Kelly. Please, wait.

-Just give me five minutes, then we can go and talk properly.

-No, I've got to get back.

-Please.

Just give me a minute.

-Hope you're hungry.

-I need to head out.

-Head out where?

-I have to get something from the lockup.

-But your food is ready.

Look, keep it warm. I'll be right back.

Looks a right mess!

Set her down on the carriageway.

Need to be as close to the girl as we can.

Paramedics are already on scene.

Then let's go say hello.

Right, you've got a young girl, she's been hit by crash debris.

-She's got a head injury and her GCS has dropped.

-Any other injuries?

Yeah, facial lacerations and a dislocated shoulder.

-What's her name?

-Izzy, Isabella.

Izzy? Izzy, can you hear me?

Izzy, can you open your eyes, please?

OK. We'll intubate here. Alfentanil.

Looks about 22 kilos.

Hello?

Hello?

WOMAN GROANS SOFTLY

I'm going to get help, OK?

Don't let him find me.

Can I get some help here, please?

-Cricoid on, please.

-Please tell me what's happening.

Sux are in. OK, can I have the tube?

What's she like? Izzy?

-She a bit of a handful?

-Yeah. She's a bit of a handful.

Well, there's a surprise.

-She stubborn?

-Yeah. She's stubborn.

Cricoid off. OK, good, cos that means that she's a fighter.

And right now, that's what we need.

OK, everyone on me. One, two, three.

-Give him a hand, boys. What's happening with the doctor?

-They're on their way.

Fuel leak!

Clear out of the way, now! Move everyone back.

-How's he doing, Jeff?

-Ah, he's bleeding out. I've done my best

-but we need some more blood, and sharpish.

-Guys! Foam! Here! Now!

-Move back behind the white van. Now!

-We're not leaving him!

Petrol, Dixie, fuel.

-Come on, come on!

-OK, OK.

-All right, all right.

Listen, fella, back as soon as we can, OK?

Hello? I need your help!

Hi, it's your neighbour. Jean? She's hurt. I can see you, you know!

This is an emergency.

What is wrong with you people?!

I'll be about 20 minutes.

Hey.

Wait!

-I need to borrow your phone.

-I'm sorry. I'm in a rush.

I just need some help, that's all.

She's in here.

-What's her name?

-Jean, I think. I found these.

JEAN GROANS SOFTLY

Jean?

-Jean? Can you hear me?

-Don't let him find me.

He won't stop.

Jean, how many pills have you taken?

How long has she been like this?

Is she going to die?

Er...ambulance, please.

SIREN BLARES

-Is he still talking?

-GCS was 13. Sats of 97.

He's had ten of morphine.

-Jeff managed to get a line in.

-GCS WAS 13?

Yeah, we were told to stand clear of the vehicle.

-Well, when can we get back in there?

-No offence but who the hell are you?

Sam Nicholls. Holby City ED.

-He's bleeding out. He needs a blood transfusion or he's in real trouble.

-I'd say he's already in trouble.

Look, I know what I'm doing and I can work with your team.

-You want to work with us? Stand there and do as you're told.

-Boss!

Boss, we're losing him!

Hey! Hey! Do not go near that vehicle!

-Stay with us, mate. Let's get another line in.

-I said, clear the vehicle.

-OK, I'm going to push through some more of this O-positive.

-I've got a pulse.

-Here we go. Jeff...

-Yeah, OK.

-Can you get on with cutting him out, please?

RADIO: 'The Silverton bypass is gridlocked due to an earlier accident

'and traffic is being diverted via the Silverton Estate.'

GCS was 13, sats of 90.

-Can't we just take her to the hospital?

-Too risky in her state.

So, do you know her, then?

No. I thought the house was empty.

So, you have no idea who your neighbours are?

I work a lot, different hours,

so, um...

You have to stop him, please.

What do you reckon that's about?

-Is she all right?

-I need to dress this.

Er...I've got a medical kit in my car. Stay with her.

What? And do what?

Stop him.

-Was I supposed to let him bleed to death?

-Better than getting killed yourself.

-Don't have to worry about me.

-I'm not.

But it's my crew has to get you out, and that puts them at risk.

Which puts me in a living room tonight comforting a grieving wife.

I'm going to stay here, check on the Transit driver.

-They've not been able to move him yet.

-OK, good luck.

Look, I'm here to keep people alive. That's it.

So, why don't you go and direct traffic, shout at trees, whatever,

and let me do my job.

-Oh! Oh, we're finished are we?

-Yep!

Come on, don't do that. You're really freaking me out, OK?

I tried to keep her talking but she's not looking...

-CAR HORNS BLARE

-Patient is elderly. Query large tricyclic antidepressant overdose,

as quick as you can.

-I told you to stay with her.

-He turned up.

-Who turned up?

-Him. The guy she doesn't want to see.

-What?

He's in there now. I think he's going to hurt her.

Look what she did to herself.

Hotel Charlie five nine. Should be overhead in two minutes.

-Change of plan. We're landing at Holby City.

-It's open?

As of an hour ago.

-That a problem?

-We'll soon find out.

We didn't have to open, you know?

-This is a serious RTC, Zoe.

-Which St James's could've coped with.

There were other things I needed to take into consideration.

-Like what?

-Like wanting to see the helicopter.

Easy. Easy.

-What have we got?

-Izzy Forrester. Seven years old.

Severe head trauma, intubated on the scene, needs an urgent head CT.

-OK, look sharp.

-Where we going?

-Left and left again.

Straight through, please.

-Radiology, please. Nick Jordan, ED.

-On me. One, two, three.

-No, now.

-Let's get her on the ventilator. Sorry, what's your name?

-Linda.

-Could you hook her up? I need some obs.

-This is our resus.

-Surely the taxpayers'.

-If you step aside so that I can perform the primary survey.

-Completed at the scene.

-We're not at the scene. We need to do airway, breathing...

-Breathing is not so good.

She's ventilated. Resps at 22.

Circulation. BP's systolic at 100. Disability.

-GCS is now a worrying three. Pupils equal, round and reactive.

-Is there a problem?

Nick, you need to decide who's leading here.

-Dr Kent will lead today.

-Why? Because he's got a helicopter?

No, Dr Kent's speciality is paediatric trauma. This is what he does.

-Oh, you seem to know a lot about him.

-He should do. He offered me a job.

-It's not ideal.

-Not ideal? We see each other once a week.

Stephen goes to work, you pop around for a quickie

then you're rushing home cos Sandra's doing her special korma.

You make it sound cheap.

-That's cos it is cheap.

-All right, fine.

I'll leave her.

OK, let's get her into CT.

-Sorry if I stepped out of line earlier. I was just worried she wouldn't make it.

-It's all right.

-I've got a thick skin.

-Good.

Cos I'm going to want to talk to the radiologist when the scans come in.

I'll see what I can do.

-How is she?

-Er...it's a waiting game now.

-Yeah.

-Er, look, about the job. I WAS tempted, but...

-But not that tempted, eh?

-I've got a chance to do something else.

-Do you mind me asking you what?

-No. Holby Uni.

Planning to do some research, funding permitting.

-Won't research be a little dull for you?

-It's interesting work.

What, after three EDs, the MSF, the Red Cross, and now the helicopter.

-The air ambulance wasn't exactly my first choice.

-And the lab was, was it?

It's not so much the research, just the chance to fly solo for a while.

-Oh, right.

-Mr Jordan?

-Yeah.

-That's Izzy's mum.

-Oh, I'll leave it with you.

-Where is she?

-It's all right, she's gone for a scan.

-Has she come around yet?

-Um...

D'you know what, let's get some tea. May I?

OK, that's done.

-Jean! Come on now, please.

-That's not helping.

-Stand up.

-Listen, I'm a nurse. We need to wait for the paramedics.

-No, there's no time.

-She's taken an overdose.

-I know what she did, OK.

That's why I'm here. I'm trying to help her.

If you want to help, we need to wait for the ambulance. Please.

Please, come on, let go of her.

Patient's arrested.

Right, we've got a 30-year-old male. Injured in RTC. PEA en route.

-No output.

-Let's get into resus.

Query femoral artery laceration.

-About four units of blood loss on scene.

-On three. One, two, three.

Let's keep going with the O-positive.

Let's cross-match eight units. Stand by with 1mg of adrenaline.

-How long's he been down, Jeff?

-I don't know. About five minutes.

-Traffic out there's a nightmare.

-Dual carriageway is like a car park.

-Can I smell petrol?

-Yeah. It's him.

-Right, outside, you two, please. You know the rules.

-Tash, book him in.

-Keep going for two minutes please, Zoe.

-That was a tough one.

Ah, you know how it is. Nothing we can't handle.

Dylan's missus did well, though. She got stuck in.

That's nasty.

How did it happen?

Do you have a name?

Peter. Peter Compton.

How do you know Jean?

We're lovers.

Least we used to be.

How did you know about the overdose?

I called this morning.

She sounded desperate. Said she was going to do it.

Did she say why?

I didn't need to ask why.

I mean, you can't just stop loving someone, can you?

Not without a good reason. You never gave me a reason, Jean.

What was I supposed to do, eh? I just wanted to talk to her.

-Three months I've been calling her.

-Well, no-one likes a stalker.

-OK, that is just weird.

-Which part?

The part where a 20-year-old lad is kissing and hugging a granny.

-Grannies can't be kissed?

-Yeah, on the cheek.

-Well, what we going to do?

-We wait.

Traffic's backed up. He'll get here.

COMMOTION FROM NEXT ROOM

CAR ALARM DEACTIVATED

No, Peter.

Peter, don't!

Peter, what are you doing?

Peter! No!

TYRES SQUEAL, CRASHING

-Oi!

-Oh, now you decide to come out.

-We can cut him off at Keats.

-What? How?

Back ways. I know a short cut. Trust me. We'll be quicker on foot.

You're only breaking ribs now, Nick.

No, leave the pressure on!

Start running it through, please. Quickly! Come on.

Nick.

All agreed?

Time of death, 1300 hours and 18 minutes.

Least you got that one out the way.

I beg your pardon.

Losing the first patient, I mean.

Get him laid out, please.

Nice, Lenny.

Nice.

-We lost him in the ambulance.

-Yeah, but he died in here, Charlie.

Shall I get on to Control and say we're back on minors?

No.

We're open now. What else can happen?

CAR HORNS BLARE

There he is!

Come on!

Dad?

-Are you trying to kill her?!

-I'm trying to get her to hospital!

She needs to go by ambulance,

with paramedics who can monitor and stabilise her.

This is what I'm talking about.

What are you doing?!

-Woah! Watch it!

-Stop the car now!

-Clear the area! Clear the area now!

-Move away from the pipe!

-Please move back!

-Ruby. Please, let me explain.

-Get off me.

Wait! Ruby, please, just stop and listen to me.

Sir! What are you... Please, don't! Sir!

EXPLOSION

That's not good.

Get on the radio.

Large explosion at the Silverton Estate.

-What the hell was that?

-Let you know when I get down there.

-What d'you think you're doing?

-Coming with you.

That's not happening.

-Get out of the car now...

-Well, I'm in now. Let's go!

We did well this morning, considering.

-They talk it up, you know?

-Who does?

-Paramedics. They tend to exaggerate.

-I'll try to remember that.

-Sam's a big girl.

-She won't take any unnecessary risks.

-That's exactly what she'll do.

-Er, scans have come back on Izzy.

-Oh! Anything?

-Yeah.

-Radiologist confirms a small contusion but nothing else.

-OK.

The mum is obviously upset.

-It would be good if you can find someone to be with her.

-Sure.

Shush! Quiet! Everyone! Quiet!

'Now for some breaking news. We're getting pictures through of a large explosion

-'just to the west of Holby...'

-Come on, woman, turn it up.

'It appears to have come from the Silverton Estate

'but as yet, there are few details about the blast.

'Eye witness have described hearing a large boom

'and others say there's a thick plume of black smoke above the area.

'The emergency services are on their way to the scene

'but as yet, they are not able to confirm details or if there are any casualties

'but early reports suggest there may be a significant number.

'We'll update you as soon as we have more.'

-It's got to be gas.

-That your professional opinion?

-I've seen explosions before.

-Fireworks display, was it?

-Afghanistan.

Medical Corps? Aren't you lot supposed to follow orders?

-HORN BLARES

-Get out of the way!

-Well, it depends who's giving them.

-It's a shared car.

-So, not yours?

-Never seen it before.

-Won't mind if I keep it, then.

You really are a cocky...

Bloody hell.

SCREAMING

SIREN BLARES

Stand back, everybody!

Gas leak and explosion. Multiple casualties in flash fire.

Make pumps four and water carrier one available.

Ruby?

Gas pipe, they think. They can't confirm how many casualties yet.

I assume they've designated it a major incident.

-Yes, and we're the receiving hospital.

-You all right, boss?

Everybody, this is now officially an MCI. Let's now worry about that.

This ED might be untested but we most certainly are not.

We can get through this.

Noel, let switchboard know and can you ask them to start calling in staff from home.

Linda, set up a triage desk by the door.

We'll run reception from there as well, Noel. Lloyd and Scarlett,

we need to clear out all non-critical patients.

Big Mac will help you. We need to inform all waiting patients

-that they have to make their way to St James's.

-They're going to love that.

Well, then, you will just have to use your Big Mac charm, won't you?

Oh! Oh, right. Right.

Any news about Tess?

No.

Come on! Come on!

Gas company are cutting the supply.

-What d'you want to do about residents?

-Start getting them out the houses.

There's a car park on the South Road. Set up an RV point there. Go.

-He OK?

-Need to get him out of here.

-We need to get everyone out of here.

-I need to find my daughter.

-Can you try and keep still for me, please?

-About that little speech you made on the road.

-Yeah. Sorry about that. Got a bit carried away.

I'll have you know I have never, ever, shouted at a tree.

-Right, Sam, what have we got?

-This is Graham Beale.

Looks like blunt force trauma to the chest area.

-Right, Graham, how you doing, mate?

-Please. Ruby.

He's got burns to the hands and face. Taken in a lot of smoke.

-Pain relief?

-I've given him five milligrams but give him some more.

-Got him?

-Yeah.

-I have to help the others.

-OK. Go.

Ruby!

Where have you been? What happened to you?

Archie, just give me two seconds. You just walk out!

Where the hell are you, Kelly? There's stuff all over the news.

DOOR CLOSES

-Where have you been?

-I had to go out.

There's been a bloody explosion. I've got parents phoning, going mental. They want us to do something.

-Like what?

-Get the boys out of here.

-How? The roads are all blocked.

-Maybe we should walk them somewhere.

-Kelly?

-What?

What shall we do?

Can you bring it round to the other side? Elderly female,

-query tricyclics overdose, brought here by car against advice.

-Dosage?

Not sure. Sounds like she ingested them some time this morning.

-Jean? Is she going to be OK?

-Take it easy, mate.

-Is she going to be OK?

Let's just take a look at your hand first, shall we?

GCS 11, heart rate irregular. Breathing's very slow.

Let's get her to resus.

We need bloods, blood gases, and alert ITU, please.

Why was this man driving your car?

-It's a long story.

-What's your name?

-Peter.

-Right, Lloyd, this is Peter, injury to the left hand. Some blood loss.

-OK, come with me.

'..this seemed to be the start of the problems

-'as it meant traffic was diverted through the Silverton...'

-They think it's a gas pipe.

'..causing long tailbacks which may have contributed to the crash which caused the explosion.'

Blast injuries and flash burns. Breathing's compromised.

-He's taken in a lot of smoke.

-Looks like you've taken some yourself.

-Nothing I can't handle.

-Want to come with us?

-I'll stay.

-Sure? We can swap.

-Thanks for the offer.

-Don't thank him.

He just doesn't want to go back up there again.

Scared of flying.

Bolkow 105's a safe model.

She's pretty, she's a doctor AND she knows her helicopters.

Marry me.

-I reckon we've got it under control.

-What is that?

Get everyone clear! Now! Move it!

Get everybody out! Let's go, let's go! Come on.

Please move back all the way. Keep moving. Move away from the crater.

42-year-old male with blunt chest trauma and fractured ribs, over.

-Someone needs to find her.

-Just stay nice and still for me.

-I can't breathe. Can't breathe.

-OK.

OK. Use the mask for me, love, OK.

Nice deep breaths. Good man.

-Jeff?

-Yeah?

We might have a problem, mate.

I think that's about it.

How's she doing?

Brought up pill debris so I'm hoping we got her in time.

Do you know her?

No. But she is a neighbour.

Your neighbour has an interesting past.

Last place she was treated.

It's always the quiet ones.

-Leanne.

-Yeah?

-ITU are asking for Izzy's notes.

Yeah. So?

-So, the ones I found only go back 12 months.

-Right...

Well, we were away, living overseas

so records must have got lost.

OK, so where did you live before you moved abroad? Maybe I can track them down.

Oi! I told you before, now sling your hook. Out you go. Thank you.

It's just the local paper.

Any time something big happens here, they send someone down to take pictures.

You OK?

Yeah, no, I'm fine.

Are you sure?

Yeah, yeah. I just don't need questions about records or reporters.

If we can get Izzy upstairs. CONTINUOUS BEEP

Let's get her back inside. Can I have some help here?

What's going on?

-What's happened, Linda?

-Wait outside.

She deteriorated on the way to ITU.

Slow heart rate, high BP and irregular respirations.

-What did the CT scan say?

-Radiologist confirmed a small contusion.

Unknown male. Sustained injuries from the gas blast.

Splash burns to the head and neck. He's taken in some smoke.

GCS is 12. Sats 98. BP systolic at 100.

On my count. One, two, three.

All right? What happened to her?

Cushing's reflex. There could be a bleed somewhere.

-Let's get another CT scan, stand by with a mannitol.

-OK.

-Can I get a hand here?

-I should've seen it coming.

-With your crystal ball?

-She was my patient.

-No, she was OUR patient, Dr Kent.

Nobody flies solo in here.

What is that?

That looks chemical.

Sorry, Mr J, I really think you need to see this.

'..rising from the site of the explosion,

'suggesting that chemicals of some sort may have been released.

'Silverton is a residential area and any release of chemical gas

'could be dangerous...'

Are we declaring a chemical incident?

We've got one patient with exposure symptoms.

There could be a lot more on the way.

'It's not clear how or why chemicals have been released,

'and we must stress these reports are unconfirmed.

'We're are expecting a statement from Wyburn Fire and Rescue any minute now...'

We've got a patient showing signs of chemical exposure.

-Two other crews say the same.

-Any idea what it is?

No, we don't know. What do you want us to do?

Are we decontaminating here?

Mr Jordan?

Can someone make a decision, please?

Right. Declaring a chemical incident.

-Just make sure you decontaminate him before you bring him in.

-OK.

-Do you think we're ready?

-No, but what choice have we got?

Get back to the RV station. We need a chemical unit and HazMat.

As soon as it gets there, get two bodies into GTS's

and get them in there and find out what that stuff is.

What about evacuating?

Get onto the police. Keats Drive is the hot zone.

Everybody in the two surrounding streets comes out.

The rest stay indoors. Go! I need to move everybody to the car park on South Road.

-Get me some extra bodies down here, I need the help.

-I can give you two bodies.

-If that cloud gets any closer, you run. Understand?

-Fine, whatever.

Not whatever. You run.

I need these two people moved up here from down there.

Keep the pressure on.

Press harder.

-He said he was coming straight back.

-He'll be all right, Mrs Beale.

-The lockups are at the other side of the estate.

-He wasn't at the lockups.

-NEWS REPORT IN BACKGROUND

-Where was he?

-'Officers from neighbouring forces...'

-Park on the other side of Keats.

'These pictures were taken moments ago by our helicopter flying over the area.

'They seem to show a cloud of white vapour

'rising from the site of the explosion.'

Complaining of breathing difficulties.

-He's got chemical burns to his hands and to his neck.

-OK, here we go.

Izzy! Is she OK?

They're going to re-scan her, find out what's wrong.

-Let me know if you need anything.

-Where's Bobby?

-The dog.

Um...

Oh, don't worry, she'll be fine. She'll be fine.

-What do you know about the mother?

-Nothing. Why, what do you know?

Something's not right.

What's happening with Jean? Nobody's telling me anything.

She's stable for now.

Can I see her?

I'm not sure.

Are you allowed?

-Let's go.

-HPA, local authority and utilities have been informed.

-They in their suits yet?

-Just about to go.

-As soon as they get the UN number, they radio in.

Where do you want to set up the decontamination?

Two tents - one here, here. Entrances there, exit here.

Anyone near the blast or the vapour goes through.

-What about the rest of the estate?

-Stay indoors.

Find out who's in charge of media. Get them to put the message out.

Get plod on the loud-hailers. No-one leaves their home.

Stay indoors. Keep all windows closed.

Do not leave your homes.

Stay tuned to news reports.

Take him up. I want this bed straight back.

I don't think it's pneumothorax.

OK, let's get a blood gas, please, and send off for a X-ray.

74-year-old male, was at home when the blast hit.

Took a window to the face as well as flash burns.

GCS of 14. Sats at 97.

He's had 10 of morphine, 500 saline and O2.

-Right. Hello, sir, can you hear me?

-Yes.

-I'm going to listen to your chest, OK.

-Which bed?

Got some burns on your face.

Can you take a deep breath?

We are approaching the exposed chemical drums.

Chemical drums now visible.

We can confirm the UN number is 1810.

Repeat - 1810.

Phosphorochloride.

It's bad, sir.

The problem is, now it's mixed with water, it's hydrolysed.

Sir, the gas you're...

The gas you're seeing on the TV is hydrogen chloride.

Let's get him to CT, then, hook him up.

-Just open your mouth for me, sir.

-There's no power.

-It's a brand-new machine.

-It's not working.

-Have you tried it?

-There's no time.

-Of course there was.

-There you go.

-Nick.

-Yeah.

-Oh, Charlie. Back in a minute.

-All right.

They've ID'd the gas.

I didn't know what hit me. Before I knew it, I was flying through the air.

You were lucky to get away with the injuries you did. Even with the chemical burns.

Open wide, please. God knows what chemical drums were doing underneath that road.

Now I know why my house was so cheap.

She served her time, but they way they hounded her...

-You think this is why she took the pills?

-They made her feel ashamed. But I'm not.

I'm not a school kid any more. I'm not giving up on her.

KNOCK AT DOOR Can I have a word, please?

Excuse me.

-Seems a little intense.

-He's got reason to be.

-And here's to you, Mrs Robinson!

-How is she?

She's stable, but her son's turned up.

I was hoping you might deal with him, as you're her neighbour.

Tess?

'..any change of wind direction could change all that.

'The fire service are likely to deploy officers

'from a hazardous material team...'

-Tess?

-'..to ascertain the exact chemical.'

Come with me, sir.

'What is now Silverton was once a highly industrial area...'

MMT are ready to go out. They've asked for a team leader. Linda's on triage.

That leaves me.

'..claiming corners were cut...'

I'll go.

-Did you know about the antidepressants?

-No.

Will she be OK?

We're hopeful the stomach wash removed most of the pills.

-Has she said anything?

-No, she's only just off the ventilator.

What about...a note?

A...letter?

-I don't know. You'll have to ask the young man who brought her in.

-What young man?

-What were you thinking?

-Don't be angry.

Why wouldn't you let me help you? We could have...

You've got to let go of this.

-I don't want to.

-Get away from her.

-Security, down here, please!

-Get away from her!

-Keith, don't!

-Break it up.

-I don't want this freak near my mother!

-I'm not going anywhere, Jean. I'm not going anywhere.

-You are!

-Get him back to reception. Careful, he's got an injured hand.

All right. I said I'm all right.

All residents who've been decontaminated go straight through.

This stuff is not contagious. Those exposed to it will find that hydrogen chloride gas

reacts with the moisture on their skin and in their lungs.

That burns. These people will take some handling. They'll be scared and angry.

You'll get some backup from security. Mac!

He knows the drill.

Above all, you must look out for each other and I wish you luck.

Why do we need a peace garden anyway?

I think the architects wanted to give the patients somewhere to reflect.

They'll only smoke in it.

Probably.

Perhaps opening early was reckless.

No, a bit keen, that's all.

You thought it was a bad idea.

Well, I'm an old geezer. I'm cautious.

Not a bad thing.

This, er...whatever this is, are you done with it?

Cos we are open. We could use another body.

And you'll do.

Yeah. I'm done with it.

Good. Let's go to work.

-Get in touch with the Met Office. I want a weather report for the next few hours.

-The clean-up?

-Use dry materials. Crews changing every 20 minutes.

-OK.

-What about the residents?

-They're inside for now.

-Shouldn't they be evacuated?

-Once we've dealt with the chemicals.

-How long will that take?

-I'm going out on a limb here...

-Let me guess - Holby City ED?

-Tess Bateman.

I also happen to live on the estate.

-For the time being, they're safer inside.

-Boss?

You're not going to like this.

'We're getting mobile phone footage...'

-Come in(!)

-'..showing that chemical vapour is coming up from the drains.

'We can confirm the substance is the highly corrosive hydrochloric acid.'

There goes the neighbourhood.

'Contact with hydrochloric acid vapour

'or the colourless hydrogen chloride gas

'can cause coughing, choking, skin burns,

'eye damage and in severe cases, even death.

'At the moment we're being told weather conditions are favourable...'

Everyone stay inside!

Everyone stay inside!

DISTANT SHOUTING AND COUGHING

You'll have to come with me. Let's go. After three. One, two, three.

OK.

-Do you want to give me a hand here?

-Guy on the telly's saying stay put.

Yes, well, the guy on the telly's 40 miles away!

-Stephen!

-Dad.

-Right.

-Why would he say he was going to the lockups if he wasn't?

-Leave it, Mum.

It's all over Twitter. Look, we got to get out of here.

-We're not going without Graham.

-Yes, we are.

-You two can leave if you want to, but I'm waiting for your dad!

-Don't be so stupid.

-I'm not leaving!

-Right. OK, fine.

You really want to know what he was doing at the park?

SCREAMING

Archie? Archie!

Hey! Careful.

You all right, son? Come on, up you get. I need you to keep up.

-Get them back over here.

-Get to the car park!

You need to be decontaminated.

Do not leave the estate. You have to be decontaminated.

Go to the car park.

You cannot leave the estate. You have to be decontaminated.

Go to the car park.

Get to the car park. You need to be decontaminated

-Just a second, guys.

-You think they'll be all right, Charlie?

OK, I'm going to need you in two lines, please.

Women over here and the men over here. Quick as you can.

OK, this is Jane Clark. Injured by glass debris.

She sustained a blunt trauma to the chest area.

-She's got lacerations to her face and neck.

-Doors!

Query closed fracture. of the right ulna.

That's as stable as we're going to get it.

-Upstairs, they're expecting you.

-Out of my way.

-Let's transfer.

-We're going to move you over.

-Three.

-OK.

Hello, Jane. I'm Mr Jordan, we're going to take care of you. Airway clear?

-Has anyone seen Dr Nicholls?

-Yeah. She's still at the scene.

-The carriageway?

-No. She's at Silverton now.

Poor breath sounds. Left side diminished. Any pain anywhere.

Dylan, she probably just got swept up in it all.

You know what it's like when you're on the scene.

This is exactly what our marriage was like.

I would say or do something wrong and rather than argue or sulk,

she'd act recklessly, put herself in danger, simply to see me sweat.

She knows you didn't mean it.

Something's happening, please.

-She's fitting.

-OK. Get me some Lorazepam.

-Outside, please.

-What's happening to her?

-I said outside, please!

-What's wrong with her?

-Don't you get it?

This is all you.

Because of you, she has nothing. No friends, no job, no life.

-She's got me.

-She doesn't want you.

-Why do you think she did this?

-You made her feel ashamed.

-She always was.

A silly old woman who got mixed up with the weird kid at school.

-She didn't know how to get rid of you.

-You're lying.

Now, if you love her, you'll walk away.

She's going to keep on doing this until you do.

You may have been exposed to toxic fumes without realising it.

-He's frightening them.

-You must be decontaminated.

Please, go through in an orderly and calm manner.

Look, there is nothing to be frightened about.

You may have been exposed to toxic fumes without realising it.

Excuse me, please. Thank you.

Please. Can I just have your attention?

Can you just listen to me?

My name is Tess and I live on Byron Drive.

We are going to have to go through the tent.

We need to get the injured through first.

So please, can you...someone, just gather them together

and get them to the paramedics at the front of the tents? Thank you.

And can you get the elderly residents together

and make sure they understand what's happening?

-I'll do it.

-Brilliant, thank you.

OK, come on, everyone. Let's do as she says.

The sooner we get you through, the sooner we can get you away. That's great.

Excuse me. Excuse me, can you help us?

Can you give us some help here, please?

OK. You're going to have to help me.

DISTANT SIREN

Tess?

Ruby. What happened?

-Oh, nothing. It's just a cut.

-I'm sorry.

-I shouldn't have left. I had Jean.

-Is she all right?

-She's doing OK.

-This is my mum.

-Nice to meet you, Tess Bateman.

Sandra.

What's going to happen if the vapour gets over here?

That's why we need to get you through here as quick as we can.

-I need to help.

-OK.

-Over here.

-Hang on, what you doing?

-She can't go through this way.

-She's fine. She's with us.

-I'm sorry.

-Ruby!

-I'll get you at the other side.

-Give us a hand. Too many for me.

-No problem.

-Thank you.

Name's Stephen. I live on Wordsworth.

-Zac. My house backs onto yours.

-Really?

-Be all right, love.

-Come on. Move on, please.

-Take your clothes off, OK, and your shoes.

-OK, boys, ponchos off.

THEY TALK OVER EACH OTHER

PANICKED CHATTER

Let me go first! I'll go first, yeah?

In we go.

Come on, Ali. Go!

-Come on, boys, in you go.

-Dad, where's Mum? I'm scared.

HE COUGHS

SHE STRAINS

Don't get too comfortable, OK?

OK, get up. Get up, come on.

SHE STRAINS

I can't. I'm sorry.

Just...get up!

Sorry.

Get some clingfilm on those burns, keep pushing the fluids.

Oh, yep, that's definitely 40%.

Burns unit admission, please, Dr Keogh.

Patient's got breathing difficulties, sats of 90%.

Sorry, there's no space.

Pop him over there, please, Dixie, and we'll move him when we can.

OK, he's got possible inhalation burns and superficial burns around his mouth.

OK, another line in, please, Jeff, and give him some more oxygen.

Listen up, as soon as your patient's stable, let's move them out.

Can we get these gases up to ITU's machine? I'm not happy with her airway.

All right, Mrs Herbitt. OK. Open your mouth for me, please.

I know it's sore. Good. A little bit more.

Looking at upper airway oedema, Charlie. Going to need to RSI.

Right, let's get her under.

No!

THEY COUGH

Come on! Can you help me?

Come on. Come and help me! What's wrong with you people?

DISTANT SIREN

Other side of the car park. Hey!

There's another one in there. I couldn't get him out.

All right, take it easy.

You need to get the suits down here.

Anyone who's got suits on is on the far side of the estate.

-Then call them. Call them now.

-Listen, go to the car park.

Tell them we need help up here.

Don't be stupid!

Marston!

Come back!

-I can't let you through unless you hand everything over.

-Get out of my way.

-Excuse me can you step back, please, sir?

-Get out of my way.

Pick it up.

I said, pick it up.

Phone, keys, wallet, everything. Get it in there.

I understand you're all worried

but let's see if we can do this in a civilised fashion.

Men and women line up separately.

Get in there. Good.

-You OK?

-Yeah, yeah.

-He took a tumble and hurt his arm.

-Let me see.

Just going to have a little feel of your pulse.

Take him through to cubicles and he'll need to see a doctor.

-Kelly.

-I'll just be one second. Excuse me.

Can you tell me if a Graham Beale has been brought in?

-Um, are you a relative?

-Not exactly.

-Sorry, I'm not allowed to give you that information.

-Right.

-How we doing?

-We're coping. Just.

-We need to take a look at that.

-It's fine. Really.

My husband. I don't know where he is. His name's Graham Beale.

Noel? Graham Beale.

Um, cubicle four.

-Is he OK?

-He's been asking to see a Ruby.

OK, if you wait here, I'll take you to see him.

OK, Linda. 30-year-old male.

Inhaled some of the vapour, breathing difficulties, burns inside the mouth.

-Nice break?

-What happened with Jean's son?

Yes, thanks for leaving me with that particular kettle of weird fish.

I'm going to check up on her now.

Soon as you're out of here, we'll get you out of that house.

-Come live with me.

-What about Peter?

He's gone. For good.

I never said goodbye.

-I told you not to come back.

-I want to see Jean.

-That's not going to happen. Time for you to go.

-Just leave it!

That man is not to see my mother.

You can't leave her. Who's going to take care of her?

I'll still help out best I can.

And your mum's got you... and her friends.

What friends?

All she's got is you and me, and I can't look after her all the time.

-Dad.

-This is what I want, Ruby.

-You're something else, you know that?

-Ruby, don't be so rude.

It's her, Mum.

She's the one Dad was with.

And he's leaving you for her.

God knows how long it's been going on.

About six months.

HEAVY BREATHING THROUGH GAS MASKS

One dead. We found Marston. Bringing him in now.

Mind his head, grab hold. Good. Well done, here we go.

Radio ahead and tell them he's coming in.

Jon?

Keep pushing the saline, irrigate the burns and up the morphine if he needs it.

I don't want him in any pain. I want to go with him.

-There's not enough fuel for an extra passenger.

-Go on, then, go on.

Thanks. OK, let's go, let's go!

Last thing I wanted to do was break up our marriage.

What marriage.

We had 18 years.

No.

The last six hasn't been a marriage.

Things changed.

Yes, I got diagnosed and you stopped being a husband and became a martyr.

I just wanted to look after you.

You made me feel like a burden, got me so grateful

that I put up with you and her.

So, go. Be with her.

But make sure you know what you walked out on. This, not me.

What did you think you were doing?

-My job.

-Yeah?

That puts me in a relative's room, comforting a grieving wife.

-Separated.

-Snap.

What's yours like?

Oh, sweet. Brilliant.

Infuriating.

-How about you?

-HE GASPS

What was she like?

Like you.

HE GROANS

Jon? Jon! Stay with me, Jon!

-Mr Parr's instructions were quite clear.

-I need to be with her.

You can say it if you want. It's nothing I haven't heard before.

-I'm not sure what you mean.

-The age difference.

You think it's what, unnatural?

-You think it's abuse?

-I have concerns.

But the fact of the matter is she doesn't want to be with you.

Let her tell me that.

Sam's on her way back. She's safe.

Good to know. There wasn't the opportunity

-to tell you about Sam. I mean...

-It's OK.

Actually, that's a lie.

There were plenty of opportunities. I just didn't.

Dylan, it's OK.

I was your teacher. What happened between us, it was wrong.

You don't believe that.

That's them talking - courts, papers.

No, it'll never be right.

You've got to let go of this.

Goodbye, Peter.

I'm sorry.

Hey, there's the birthday boy!

Archie! Come here.

Oh, no.

Looks like we're staying at your gran's tonight. Come on.

Here we go.

You all right?

This is Jon Marston. He got caught in the vapour and collapsed.

Lungs took the hit, a lot of skin burns.

Straight through, please. Over there.

-No, no, no, not you, Sam.

-What?

-We'll handle this.

We were together all the way through this. I know him.

-That's why you need to step back.

-But he's going to want me in there.

Sam, look at yourself. You're exhausted. You're running on empty.

-We will deal with it.

-Please...

-Go and get yourself checked out.

Wait! Wait, wait.

We good to go now?

Graham!

You made it back, then?

-What's his status?

-He's ventilated. 15% burns. GCS 13.

BP 108/56.

-Pretty bad, then.

-Yeah, pretty bad.

I wasn't ALWAYS miserable.

Your mum just wanted to say goodbye.

-Where is he?

-Mr Parr, wait!

I told you not to let him in!

-You deliberately defied me.

-Yes, I did.

-Why?

It was in the best interests of my patient. She needed closure.

Now, I don't know who you think you are,

but we've all had a very hard day.

So, I think you should go somewhere nice and quiet

and calm down. OK?

Yeah, OK.

-What am I supposed to do now?

-Nothing.

You let your mum and dad work it out. It's their lives.

Jean'll be out in few days.

We should drop in and see her next week.

Yeah, sure.

That's if the whole estate hasn't sunk into the ground by then.

I think our estate will be fine.

Don't know if you've seen the news recently.

Doesn't look fine.

See you next week?

See you next week.

-There you go.

-Thanks.

-Thank you for stepping in back there.

-No worries.

Do you...do you think about the fire much?

Yeah. Keep wishing I could go back.

Make myself do something.

Yeah, same. Except the other way round.

-What a mess.

-Yeah, not quite the first day I imagined.

Anybody fancy a drink?

I think it might be an idea if we all got some sleep.

-We start again tomorrow.

-Yeah, cos it's for real tomorrow.

Hang on, everyone.

Thank you for what you did.

Those people today were frightened and vulnerable,

and you showed them that this hospital cares.

Good night. See you tomorrow.

-Good night, Mr J.

-See you tomorrow.

-Night-night.

-Good night.

-Just as well you're not going to the pub.

-Oh, yeah?

It'll be an expensive round for Jordan.

Thanks, mate. Thanks, everyone.

I think I've got fleas.

-Lost your helicopter already?

-Belongs to Izzy.

-You saved the girl AND the dog?

-Couldn't help myself.

Your team did well today.

I think they would've preferred a bit more time to prepare, though.

But yet they still pulled through.

Mm-hm.

Um...

The job offer. Does it still stand?

What happened to flying solo?

Gets lonely.

When can you start?

When do you want me?