When the Gloves Come Off

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0:00:36 > 0:00:38I know I always say that.

0:00:38 > 0:00:41- I've got nothing to wear! - Ready, steady, go!

0:00:43 > 0:00:48- I'll be back in work tomorrow. - Cassie? Cassie, heel. Good girl.

0:00:48 > 0:00:50Cassie, drop it. That's it.

0:00:52 > 0:00:55Oh, hang on. It's him again.

0:01:00 > 0:01:02- Hi.- Hi. Again.

0:01:05 > 0:01:06(Talk to her.)

0:01:06 > 0:01:10- (He is so hot.)- It's just a girl. It's a girl.- He has the cutest dog.

0:01:10 > 0:01:13- Excuse me?- (Oh, hang on...) Yes?

0:01:13 > 0:01:15I...

0:01:15 > 0:01:17I, um...

0:01:17 > 0:01:19I was, um...

0:01:22 > 0:01:23It's nothing.

0:01:25 > 0:01:26Sorry.

0:01:29 > 0:01:30Maybe next time.

0:01:30 > 0:01:32Ready, go.

0:01:32 > 0:01:34One, two, three...

0:01:34 > 0:01:35Woo! Good boy.

0:01:35 > 0:01:37SHE SCREAMS

0:01:37 > 0:01:38ROCKS RUMBLE

0:01:38 > 0:01:40DOG BARKS

0:01:42 > 0:01:44SHE SCREAMS

0:01:50 > 0:01:51Help! Help!

0:01:54 > 0:01:57Help! Help!

0:01:59 > 0:02:02- Grab my hand.- Oh, God, help me! - Grab my hand!- I can't!

0:02:04 > 0:02:06Grab my hand.

0:02:07 > 0:02:10SHE SCREAMS

0:02:10 > 0:02:14- Oh, God. Don't leave me. - I won't.- I'm slipping.

0:02:19 > 0:02:22SHE SCREAMS

0:02:32 > 0:02:35SHE GROANS

0:02:36 > 0:02:37Argh...

0:02:39 > 0:02:43No, there's nothing broken. I'm still alive. I'm still alive.

0:02:50 > 0:02:53No, the muscles are spasming on us.

0:02:53 > 0:02:54Do you, um... Want me to have a go?

0:02:54 > 0:02:57Yeah, why not?

0:03:00 > 0:03:04I take it you've advised Mr Torquemada of the GMC

0:03:04 > 0:03:06of how much you trust my judgement?

0:03:06 > 0:03:09- How about we focus on the job in hand?- That sounded very evasive.

0:03:09 > 0:03:12- Ready?- Yeah.

0:03:12 > 0:03:16- SHOULDER CRUNCHES - OK, deep breath, deep breath.

0:03:16 > 0:03:18Wayne? Sling.

0:03:19 > 0:03:23- Course I trust you, Sam. - So what exactly did you tell the GMC?

0:03:23 > 0:03:24I'm not allowed to say.

0:03:24 > 0:03:27I always knew I could count on you for your support.

0:03:27 > 0:03:30- Do you need me any more?- No.

0:03:31 > 0:03:34Torquemada? Who is he?

0:03:34 > 0:03:36Tomas de Torquemada - The Grand Inquisitor

0:03:36 > 0:03:39of the Spanish Inquisition. You really don't know?

0:03:39 > 0:03:42Those who don't know history are condemned to repeat it.

0:03:42 > 0:03:45Those who know too much history are condemned to never having friends.

0:03:50 > 0:03:52- BREATHLESSLY:- Hi, I'm...

0:03:52 > 0:03:54I'm David.

0:03:54 > 0:03:56That's one hell of a way to meet.

0:03:59 > 0:04:01Amanda.

0:04:01 > 0:04:03SHE BREATHES SHARPLY

0:04:03 > 0:04:04Hi, Amanda.

0:04:07 > 0:04:11- I... I think I've broken my leg. - Try not to move, OK?

0:04:11 > 0:04:13Promise you won't leave.

0:04:13 > 0:04:15DEBRIS PATTERS

0:04:24 > 0:04:26- I promise.- Good.

0:04:29 > 0:04:32SHE PANTS

0:04:32 > 0:04:36- SHE WHIMPERS - Don't worry. I'm going to call an ambulance, OK?

0:04:36 > 0:04:38SHE COUGHS HARSHLY

0:04:38 > 0:04:40Can't believe I've got a signal.

0:04:41 > 0:04:44'Emergency, which service?'

0:04:46 > 0:04:49Linda, when's your family court hearing?

0:04:49 > 0:04:53- Hey, I forgot about that. - It's first thing tomorrow. - Has Tess booked time off for you?

0:04:53 > 0:04:57- Yeah.- Well, there's a bottle of champagne in my fridge with your name on it waiting to celebrate.

0:04:57 > 0:05:01- I haven't got custody yet. - I have every faith in your ability to fake being a responsible mum.

0:05:02 > 0:05:06- So, how're you going to get us down? - We're not. Not yet, anyway. - But they need help now.

0:05:06 > 0:05:08I need to carry out a Dynamic Risk Assessment.

0:05:08 > 0:05:11- I can't be sure the chimney's safe. - Course it isn't safe -

0:05:11 > 0:05:13that's kind of why we're here, isn't it?

0:05:13 > 0:05:15Two people fallen down a hole, male and female, both conscious,

0:05:15 > 0:05:18fell about 25 feet. So, who's going down, you or me?

0:05:18 > 0:05:19No-one.

0:05:19 > 0:05:21Pardon?

0:05:21 > 0:05:25Look, if you two want to make yourselves useful, see if you can round up these dogs.

0:05:28 > 0:05:30All right, so it's a prolonged rescue.

0:05:30 > 0:05:32We're going to need a doctor.

0:05:32 > 0:05:35Yeah. Yeah, for him.

0:05:36 > 0:05:38PHONE RINGS

0:05:42 > 0:05:43Holby City ED.

0:05:43 > 0:05:45Right, OK.

0:05:46 > 0:05:48How many casualties? Right, I'll be there.

0:05:52 > 0:05:53Something exciting?

0:06:00 > 0:06:03- Shouldn't you be at the foster home? - Yeah.

0:06:05 > 0:06:07You know, after the hearing tomorrow,

0:06:07 > 0:06:10you and Joe can choose wherever you'd like to go and eat.

0:06:10 > 0:06:14- We'll celebrate.- You do what you want. We're not moving in.

0:06:14 > 0:06:16You're not up to looking after us. Me and Joe,

0:06:16 > 0:06:19- we're all right on our own. - What's brought this on?

0:06:19 > 0:06:22- You'll get bored. You'll let us down again.- No, I won't.

0:06:22 > 0:06:23I don't believe you.

0:06:23 > 0:06:25Linda?

0:06:27 > 0:06:28Look, I'll be as quick as I can.

0:06:29 > 0:06:33- Something else more important? - Why don't you go and get a drink?

0:06:33 > 0:06:35Please? I'm working.

0:06:35 > 0:06:37It's my little brother.

0:06:37 > 0:06:39What's his name?

0:06:39 > 0:06:42George. I was out at the shops with him and...

0:06:42 > 0:06:45He went all floppy and he wouldn't answer me.

0:06:45 > 0:06:47How long was he like that?

0:06:47 > 0:06:49I don't know... Not long.

0:06:49 > 0:06:51- Where's your mum?- She's at home.

0:06:51 > 0:06:54- Can you give me her number? - Give the mum a call.

0:06:54 > 0:06:57Also, can you call Stephanie from social services

0:06:57 > 0:06:59- and tell her that Britney's here? - Sure.

0:06:59 > 0:07:01Thank you. I'll take him through to paeds.

0:07:01 > 0:07:03If you want to follow us through in a bit?

0:07:03 > 0:07:06I know what I'm doing. I've read all the manuals...

0:07:06 > 0:07:07Tommy, I've put out a call for a Cave Rescue.

0:07:07 > 0:07:11- You're not trained to extricate so I'm not authorising it. - Yeah, the thing is, mate,

0:07:11 > 0:07:14our HART team are on another shout and by the time they get here,

0:07:14 > 0:07:18- there may be bodies you're pulling out, not live casualties. - You ever pulled out a casualty?

0:07:18 > 0:07:22No. So what do I do? Go home? Have a cup of tea? Put my feet up, make a sandwich?

0:07:22 > 0:07:23Wait for Cave Rescue to call?

0:07:23 > 0:07:26Cos we're not actually achieving anything standing here, are we?

0:07:26 > 0:07:29- I was trained in line rescue in the army.- Have you ever rescued anyone?

0:07:29 > 0:07:33Yes. I'll assess and stabilise them and we'll wait for Cave Rescue to get here.

0:07:33 > 0:07:35When they do, we'll give you a rescue

0:07:35 > 0:07:38that'll have your health and safety forms crackling.

0:07:39 > 0:07:43- All right, you can go down. - Yeah, I'll go with her.- Me, too.

0:07:43 > 0:07:46- She goes down alone. End of.- Yes.

0:07:46 > 0:07:49Say yes, Jeffrey.

0:07:50 > 0:07:53No febrile convulsions, no fever...

0:07:53 > 0:07:54- Blood test?- Yeah.

0:07:56 > 0:07:58Your mum let you go out on your own?

0:07:58 > 0:08:01- Sorry, the little fella's mum, Janine.- Oh, hello, Janine.

0:08:01 > 0:08:04- George is stable for now. - I want a word with Kevin.

0:08:04 > 0:08:06OK.

0:08:08 > 0:08:11- What did you tell them?- Nothing. - If you tell them anything,

0:08:11 > 0:08:14they'll take you and George off me. Right?

0:08:16 > 0:08:18It was my fault.

0:08:18 > 0:08:19I were...

0:08:19 > 0:08:24We were going to go shopping, but I was tired and I must've dropped off.

0:08:24 > 0:08:26I think Kevin thought he was helping me.

0:08:29 > 0:08:32Rope below!

0:08:32 > 0:08:34DEBRIS CLATTERS

0:08:34 > 0:08:36- FROM ABOVE:- Mate, Cave Rescue are on the way.

0:08:36 > 0:08:39We're going to get you out of there as quick as we can, all right?

0:08:39 > 0:08:40Just hang tight.

0:08:42 > 0:08:45OK, Sam you get any problems down there, you give us a shout, OK?

0:08:45 > 0:08:46Sam?

0:08:52 > 0:08:55- CALLING DOWN:- There's a doctor on their way down now.

0:08:58 > 0:09:03'Please be advised, Cave Rescue on its way, ETA two hours.

0:09:03 > 0:09:05'Repeat, two hours. Over.'

0:09:05 > 0:09:09'Can you see if there is any chance they can speed it up? Over.'

0:09:09 > 0:09:12- Urgh!- Sam, you OK?

0:09:12 > 0:09:14Yeah, fine.

0:09:14 > 0:09:15Fine.

0:09:29 > 0:09:32- What?- Nothing.

0:09:39 > 0:09:42Is there a shop here? I'm hungry.

0:09:43 > 0:09:46They'll get you something to eat.

0:09:49 > 0:09:50You fancy something?

0:09:55 > 0:09:57RUBBLE CLATTERS

0:10:00 > 0:10:02I'm sorry I dragged you down.

0:10:02 > 0:10:05It's... It's OK.

0:10:05 > 0:10:07I'm sorry I dropped you.

0:10:12 > 0:10:14Thanks.

0:10:14 > 0:10:16What for?

0:10:16 > 0:10:18Being here.

0:10:19 > 0:10:21Well, you should be thankful.

0:10:21 > 0:10:23If it wasn't for you, I'd have climbed out of here.

0:10:23 > 0:10:26They don't call me Spider-Man for nothing, y'know.

0:10:26 > 0:10:28- Bet they don't call you Spider-Man at all.- Busted.

0:10:28 > 0:10:32- SHE LAUGHS THEN CHOKES - I'm sorry, I'll stop.

0:10:32 > 0:10:35No. Don't.

0:10:36 > 0:10:38You were going to ask me something...

0:10:38 > 0:10:40up there.

0:10:40 > 0:10:43- What was it?- It's not important.

0:10:43 > 0:10:47Hi, I'm Sam. I'll be your doctor for today.

0:10:47 > 0:10:49How're we all doing down here?

0:10:49 > 0:10:52- We're still alive.- Well, that's a start. Tell me your names.

0:10:52 > 0:10:55I'm David and this is Amanda.

0:10:55 > 0:10:59RUBBLE CLATTERS

0:11:04 > 0:11:07George's blood results. They're all normal.

0:11:09 > 0:11:13Has he been OK at home?

0:11:13 > 0:11:15Yeah. Best of health.

0:11:15 > 0:11:18- Look at that.- Bruising?

0:11:18 > 0:11:21Or perifollicular petechiae.

0:11:25 > 0:11:28We have concerns about your children.

0:11:28 > 0:11:31Kevin was out on his own with the baby and they're not in the best of health.

0:11:31 > 0:11:35You understand we have a duty of care and if we're not happy with what you've told us,

0:11:35 > 0:11:37- we will inform social services. - You want to take my kids?

0:11:37 > 0:11:39We're just concerned.

0:11:39 > 0:11:42No... No.

0:11:42 > 0:11:43You can't.

0:11:44 > 0:11:48You mustn't. You...

0:11:48 > 0:11:52OK. It's all right, just try and calm down. OK?

0:11:53 > 0:11:55Amanda, I'm going to give you something

0:11:55 > 0:11:59for the pain in your leg, OK? Just give it a few seconds and...

0:11:59 > 0:12:02- How... How bad is it? - Too soon to tell.

0:12:02 > 0:12:05- I'll get you something for that in a minute, OK?- OK.

0:12:06 > 0:12:09AMANDA GROANS

0:12:11 > 0:12:13There you go. Is there anyone you'd like us to contact?

0:12:13 > 0:12:16Husband? Wife?

0:12:16 > 0:12:18- No.- No.

0:12:29 > 0:12:31Thanks.

0:12:35 > 0:12:38- How long've you been in a foster home?- Since Mum went away.

0:12:38 > 0:12:43I can't imagine. Losing your mum, your home like that.

0:12:43 > 0:12:45What's it like?

0:12:45 > 0:12:46Horrible.

0:12:48 > 0:12:52Horrible, but at least they don't lie to you and let you down.

0:12:52 > 0:12:54But...they're not your family.

0:12:54 > 0:12:56Joe's me family.

0:12:56 > 0:12:57Haven't you got anybody else?

0:13:01 > 0:13:05I miss my mum, but me and Joe... We're all right.

0:13:05 > 0:13:07Don't know what I'd do if anything happened to my mum.

0:13:10 > 0:13:12Talk to her.

0:13:12 > 0:13:15- Have... Have you lived here long? - A year.

0:13:15 > 0:13:17- A year, wow.- Yeah.

0:13:20 > 0:13:23- Keep talking to her. - What about?- Anything.

0:13:23 > 0:13:26As long as I can hear both of your voices, it's good thing, OK?

0:13:28 > 0:13:30Um...

0:13:30 > 0:13:32I've seen you walking your dog quite a lot.

0:13:32 > 0:13:35- I saw you at the cinema, too. - Are you my stalker?

0:13:35 > 0:13:39No! No. I usually go there to watch foreign films.

0:13:39 > 0:13:42- Like... Like French films? - Yeah.- Yeah.

0:13:43 > 0:13:44I loved Amelie.

0:13:46 > 0:13:48Cyrano de Bergerac.

0:13:48 > 0:13:51But...you don't like?

0:13:51 > 0:13:55No, no, they're just, um... Just a little slushy for me.

0:13:55 > 0:13:56Swords? Battles? Broken...

0:13:56 > 0:13:59Broken hearts?

0:13:59 > 0:14:02What's slushy about that?

0:14:02 > 0:14:05- SHE COUGHS HARSHLY - Here...

0:14:06 > 0:14:09Hey...

0:14:09 > 0:14:11Come here.

0:14:13 > 0:14:18Look, it's all going to be OK.

0:14:18 > 0:14:21My ex hated French films.

0:14:21 > 0:14:23- He hated dogs, too. - You guys divorced?

0:14:24 > 0:14:26Yeah.

0:14:26 > 0:14:29My mum always said...

0:14:29 > 0:14:32Always said I had hopeless taste in men.

0:14:32 > 0:14:34ROCKS RUMBLE

0:14:34 > 0:14:37AMANDA SCREAMS

0:14:39 > 0:14:41- Urgh!- David!

0:14:42 > 0:14:44Amanda, are you OK?

0:14:44 > 0:14:46- 'Sam, are you receiving? Over.' - Jeff?

0:14:46 > 0:14:48- 'Sam, are you OK?' - Jeff, it's Sam. Over.

0:14:48 > 0:14:50- What's happened to him? - 'What's going on down there?'

0:14:50 > 0:14:55I'm fine, but we're going to need another doctor down here immediately.

0:14:55 > 0:14:56A rock has landed on top of the male casualty.

0:14:56 > 0:14:58The fire brigade won't allow anyone down

0:14:58 > 0:15:02- without experience in line rescue. - They'll have to! - Want me to try other hospitals?

0:15:02 > 0:15:03No, look, it's too far.

0:15:03 > 0:15:05I know another doctor in Holby who can abseil.

0:15:07 > 0:15:09Why do I need to abseil?

0:15:09 > 0:15:12Because she's down a cave with two casualties.

0:15:12 > 0:15:14She seems to think you've abseiled before.

0:15:14 > 0:15:16Yeah, what's so outrageous about that?

0:15:16 > 0:15:19Sam is stuck down a cave - a big dark place?

0:15:19 > 0:15:21- Usually, yes. - She's terrified of the dark.

0:15:21 > 0:15:23She can't even sleep with the light off.

0:15:23 > 0:15:25Played merry havoc with my body clock,

0:15:25 > 0:15:26never mind the electricity bill.

0:15:26 > 0:15:29Well, you better get a move on, then, hadn't you, Merry Havoc?

0:15:29 > 0:15:32Kevin, can I speak to you, please?

0:15:39 > 0:15:40Is everything OK at home?

0:15:40 > 0:15:43- I want to see my mum. - I'll take you to her in a sec.

0:15:43 > 0:15:47Can I check inside your mouth first, please? Just open for us, that's it.

0:15:48 > 0:15:49OK.

0:15:54 > 0:15:55That's it.

0:15:58 > 0:15:59Come with me.

0:15:59 > 0:16:02- Dr Nicholls also requested an airbag.- Right.

0:16:02 > 0:16:05- That's why we're sending you down. - You all set?- Yep, I'm OK.

0:16:05 > 0:16:08- On you go.- Look, they've just sent these charts over.

0:16:08 > 0:16:12Local caves. That's us and there's the exit.

0:16:12 > 0:16:14There's a possibility we can get them out.

0:16:14 > 0:16:17OK, I'm not convinced this hole's safe enough for us to risk

0:16:17 > 0:16:19taking them out this way. Check out that exit.

0:16:19 > 0:16:22You guys, take a stretcher, whatever else you need.

0:16:22 > 0:16:24If it looks promising, we'll get them out that way.

0:16:24 > 0:16:25Dix?

0:16:28 > 0:16:31'Sam, are you receiving? Over.'

0:16:31 > 0:16:34'Dylan's on his way down with the airbag you wanted.

0:16:34 > 0:16:37'We found a possible alternative exit. Checking it out now.

0:16:37 > 0:16:39'Sit tight, OK?'

0:16:42 > 0:16:44- Sam?- Yes?

0:16:44 > 0:16:46OK? OK, Sam?

0:16:46 > 0:16:48Careful!

0:16:48 > 0:16:50Can you hear me?

0:16:50 > 0:16:53I've got two casualties, one female, stuck under a rock shelf.

0:16:53 > 0:16:55The male's above, blocking access to her.

0:16:57 > 0:16:59DEBRIS CLATTERS

0:17:01 > 0:17:03David, I'm going to give you some morphine.

0:17:05 > 0:17:08- It's going to be OK.- You OK? - Yeah, the rock just missed me.

0:17:08 > 0:17:11- I meant before the rock. - Yeah, why wouldn't I be?

0:17:11 > 0:17:13You were always a little scared of the dark.

0:17:18 > 0:17:20OK, this is Amanda. Access is tight.

0:17:20 > 0:17:22You know, I was never scared of being in the dark.

0:17:22 > 0:17:25I was only scared of being in the dark with YOU.

0:17:25 > 0:17:28You might have told them I'd only abseiled twice, for charity.

0:17:28 > 0:17:31Oh, so getting me into bed was a charity?

0:17:31 > 0:17:33Are you two... Are you a couple?

0:17:33 > 0:17:36- Uh, no.- No.- Amanda's, resps?- 90/20.

0:17:36 > 0:17:38It's a little higher than that, I'd say 30 now.

0:17:38 > 0:17:41Well, it's David I'm more concerned about now.

0:17:41 > 0:17:44Yeah, this rock's really planted across his abdomen.

0:17:44 > 0:17:45Hello, David. I'm Dylan.

0:17:45 > 0:17:49So, you had a pop at my French films. Yours?

0:17:49 > 0:17:53- Nou... Nouvelle vague. - Only seen a couple of them.

0:17:53 > 0:17:57- Like Godard. He could be slushy, too.- No way.

0:17:57 > 0:18:01Yes, yes way. Breathless, guy dies for his girl.

0:18:01 > 0:18:03Bande A Part, world record running round...

0:18:03 > 0:18:06This is not good, Sam.

0:18:06 > 0:18:08..the Louvre...in ten minutes.

0:18:08 > 0:18:12Your girlfriend - does she like subtitles?

0:18:12 > 0:18:14No. I don't have a girlfriend.

0:18:19 > 0:18:22THUNDER RUMBLES

0:18:23 > 0:18:25Ah. There it is.

0:18:25 > 0:18:28This is it, yeah?

0:18:29 > 0:18:32- OK, you got nothing steeper, no? - I think we should take a closer look.

0:18:32 > 0:18:35- Right, I'm game.- Got your skis?

0:18:35 > 0:18:37All right, after you. OK.

0:18:40 > 0:18:42Argh!

0:18:42 > 0:18:44Whoa!

0:18:44 > 0:18:46Great.

0:18:47 > 0:18:49Argh!

0:18:49 > 0:18:53Morphine should be kicking in now. Are you OK, David?

0:18:55 > 0:18:58Of course I didn't learn to abseil just to get you into bed.

0:18:58 > 0:19:00Really? What was the charity again?

0:19:04 > 0:19:06How long till Cave Rescue get here?

0:19:06 > 0:19:07'It'll be another hour.'

0:19:07 > 0:19:09It'll be dark by then, Sam.

0:19:09 > 0:19:13We have two seriously ill casualties down here.

0:19:13 > 0:19:14I don't think we have an hour.

0:19:14 > 0:19:17We're going to move the rock ourselves and do what we can. Over.

0:19:18 > 0:19:21What about the dad? I mean, she's wearing a wedding ring.

0:19:21 > 0:19:23She hasn't mentioned him or asked us to contact him,

0:19:23 > 0:19:25- which is a bit odd.- Yeah.

0:19:27 > 0:19:28Hello, George.

0:19:28 > 0:19:32I just need to take a little look inside your mouth

0:19:32 > 0:19:34with my magic little torch.

0:19:34 > 0:19:39Do you want to open wide? That's it. Good boy.

0:19:39 > 0:19:42And now a lickle tickle with my finger.

0:19:42 > 0:19:44Good boy.

0:19:44 > 0:19:45Yeah, Gingivitis.

0:19:51 > 0:19:53Well, no wonder.

0:19:53 > 0:19:57Microwave meals, packets of noodles, Tins of spaghetti...

0:19:57 > 0:19:59Good spot. I'm going to get the little fella's

0:19:59 > 0:20:02- ascorbic acid levels tested, OK? - Yeah.

0:20:02 > 0:20:06- RAIN HISSES - 'Yeah, guv. The rain's making the extraction point more unstable.

0:20:06 > 0:20:10'If it carries on like this, we're never going to get them out. Over.'

0:20:12 > 0:20:15Amanda? Not long now, bear with us.

0:20:15 > 0:20:17- Is she OK? - Dylan, hurry up with that.

0:20:17 > 0:20:20Was going to ask her out, y'know. On a date.

0:20:20 > 0:20:23Chick... Chickened out. I was afraid she'd say no.

0:20:24 > 0:20:26What a coward, eh?

0:20:27 > 0:20:29I knew, uh...

0:20:29 > 0:20:31I knew this bloke once,

0:20:31 > 0:20:33His marriage was dying in its boots and...

0:20:33 > 0:20:36AIRBAG HISSES

0:20:36 > 0:20:38..he just hid in a bottle.

0:20:38 > 0:20:41That's cowardice. Not asking a girl out on a date?

0:20:41 > 0:20:42Not even on the scale.

0:20:44 > 0:20:46Are you sure this is right?

0:20:51 > 0:20:53I agree. I knew a woman who cheated on her husband

0:20:53 > 0:20:54and tried to convince him,

0:20:54 > 0:20:57in all sincerity, it was an attempt to save their marriage.

0:20:57 > 0:20:59But she couldn't even tell him it was over.

0:20:59 > 0:21:02She had to force it on him - I think THAT'S cowardice.

0:21:02 > 0:21:03Is that what you think?

0:21:03 > 0:21:05That you're innocent and I'm the one who crushed you?

0:21:05 > 0:21:07I'm kind of...

0:21:07 > 0:21:10Kind of pleased I'm single now.

0:21:10 > 0:21:13OK, David, we're worried about Amanda's breathing.

0:21:13 > 0:21:16So we're going to have move you to try and get access to her, OK?

0:21:16 > 0:21:18David, this airbag will lift the rock.

0:21:19 > 0:21:22- AIRBAG HISSES Slowly.- OK.

0:21:22 > 0:21:25DAVID GROANS

0:21:27 > 0:21:30HE BREATHES FASTER

0:21:37 > 0:21:39Stop, Stop! He's tachycardic.

0:21:39 > 0:21:41His respiratory rate is up and his pulse is racing.

0:21:41 > 0:21:44- He's bleeding out. - OK, I'll lower it, I'll lower it.

0:21:50 > 0:21:52OK, it's settling back down again.

0:21:54 > 0:21:57What's... What's happening?

0:21:59 > 0:22:00Sssh, OK.

0:22:00 > 0:22:02DAVID MOANS

0:22:05 > 0:22:08I think by the way that rock

0:22:08 > 0:22:10is settling on his upper abdomen and lower chest,

0:22:10 > 0:22:14my best guess is it's some traumatic hepatic disruption.

0:22:14 > 0:22:18I think that rock's been stopping a catastrophic internal bleed.

0:22:19 > 0:22:22- You disagree?- I wouldn't dare.

0:22:22 > 0:22:25Look, the worst case scenario is we get the rock off

0:22:25 > 0:22:28and he bleeds to death in front of us. Best case?

0:22:28 > 0:22:29Please! Please, tell me...

0:22:29 > 0:22:31what's happening to me.

0:22:31 > 0:22:34David, you're going to be fine, OK?

0:22:34 > 0:22:38- I promise. Just breathe. - No, no. No, you're lying!

0:22:38 > 0:22:40Please, please tell me.

0:22:47 > 0:22:50- George Taylor's bloods. - Linda? Problem.- What?

0:22:55 > 0:22:57I... I had £50. It's gone.

0:22:57 > 0:23:01- Are you sure you had it? - He did. I saw it!

0:23:01 > 0:23:03I've lost it somewhere. We've looked in here twice!

0:23:03 > 0:23:06- Why did you have £50? - For the shopping.

0:23:06 > 0:23:08Your mum gave you the money?

0:23:08 > 0:23:10She can't find out.

0:23:10 > 0:23:13If it's not in here... I must've dropped it.

0:23:13 > 0:23:16I've been to the cafe, to see Mum...

0:23:16 > 0:23:19- Maybe it's been stolen? - I'll have a look in the cafe.

0:23:19 > 0:23:22You've definitely searched in here?

0:23:22 > 0:23:25- Right, we'll go and look in the CDU. - Ask me, it's been stolen.

0:23:25 > 0:23:28There's loads of people round here, anyone could've took it.

0:23:32 > 0:23:34Yeah, all right Tommy, mate.

0:23:34 > 0:23:37Nearly there. We'll have you in hospital in no time, all right?

0:23:37 > 0:23:40- What happened?- Tommy took a tumble, but he's going to be all right.

0:23:40 > 0:23:41Hang in there, Tommy.

0:23:43 > 0:23:44So what's it look like?

0:23:44 > 0:23:46No-go, really.

0:23:46 > 0:23:48It's steep.

0:23:56 > 0:23:58Come with me.

0:24:00 > 0:24:01Tell me you didn't take it.

0:24:01 > 0:24:05I knew you'd blame me. Go on, say it.

0:24:05 > 0:24:09Hey! What are you doing? Get out me pockets!

0:24:14 > 0:24:15It's 50.

0:24:16 > 0:24:19- You going to grass me up? - Is that what you want?

0:24:19 > 0:24:22Britney, I'll defend you all the way because you're my niece,

0:24:22 > 0:24:24but you can't go around stealing.

0:24:24 > 0:24:26Don't use my patients to get at me.

0:24:26 > 0:24:29Joe was so excited this morning.

0:24:29 > 0:24:32He was full of his new flat and his new room

0:24:32 > 0:24:34and how great it was going to be living with you.

0:24:34 > 0:24:37When you turn your back on him again, it'll break his heart!

0:24:37 > 0:24:40I'm not letting you do this to him again.

0:24:40 > 0:24:44- Please, give me a second chance. I promise...- I can take it.

0:24:44 > 0:24:46Joe can't.

0:24:50 > 0:24:52- You OK?- Yeah.

0:24:52 > 0:24:53Have a look at that.

0:24:54 > 0:24:57Hello, again. We've got George's results back.

0:24:57 > 0:24:58We ran through all the usual suspects

0:24:58 > 0:25:02and they all came back negative. What we thought was bruising

0:25:02 > 0:25:05turned out to be burst blood vessels,

0:25:05 > 0:25:08so we realised it must be diet-related.

0:25:08 > 0:25:09So, what is it?

0:25:09 > 0:25:12George's ascorbic acid levels are very, very low.

0:25:12 > 0:25:15- What's that?- Vitamin C.

0:25:15 > 0:25:17I think that George is suffering from scurvy.

0:25:17 > 0:25:19That's impossible. No-one gets scurvy now.

0:25:19 > 0:25:20It is extremely rare, I know.

0:25:20 > 0:25:22In fact, this is the first case I've seen,

0:25:22 > 0:25:25but there you go. Every day's a school day.

0:25:25 > 0:25:27- How'd he get it?- It's your diet.

0:25:27 > 0:25:30A complete lack of fresh fruit and vegetables.

0:25:30 > 0:25:33- It's all my fault?- No.

0:25:33 > 0:25:37This is just an excuse. They want to take you and George away from me.

0:25:37 > 0:25:40No. If it's left untreated, scurvy can be fatal

0:25:40 > 0:25:43but the treatment we provide is very, very effective.

0:25:43 > 0:25:45And it explains why you all look so unhealthy

0:25:45 > 0:25:46and why you nearly fainted.

0:25:46 > 0:25:49This must have been going on for months. What have you been feeding your kids?

0:25:49 > 0:25:51I'm a good mother.

0:25:51 > 0:25:54I love me children and you won't take them off me.

0:25:54 > 0:25:56I'm going to get George some ascorbic acid

0:25:56 > 0:25:58and when I come back, if your answers don't add up,

0:25:58 > 0:26:01then we're going to have to pass this on to social services.

0:26:06 > 0:26:08Please, Mum. Stop them.

0:26:08 > 0:26:10Say something.

0:26:10 > 0:26:13- I love it when you get stroppy with 'em.- You call that stroppy?

0:26:13 > 0:26:15SHE SOBS

0:26:15 > 0:26:18KNOCK AT DOOR Linda asked me to...

0:26:21 > 0:26:23- Stephanie.- Oh, love, come on.

0:26:25 > 0:26:26Come on.

0:26:26 > 0:26:28Come here.

0:26:28 > 0:26:30Aw...

0:26:30 > 0:26:33You're going to be all right.

0:26:33 > 0:26:35I'll do anything if you keep me alive, please.

0:26:35 > 0:26:37You're going to be OK, I promise.

0:26:37 > 0:26:40- It's OK.- I... I can't die.

0:26:40 > 0:26:42- Sam... - DAVID MOANS

0:26:42 > 0:26:46- You're not going to die, OK? - I can't die. Not yet. Not now.

0:26:48 > 0:26:50David, listen.

0:26:50 > 0:26:52We... We get out of here,

0:26:52 > 0:26:54we go to Paris.

0:26:54 > 0:26:57We break the record in the Louvre.

0:26:57 > 0:26:59It's a date.

0:26:59 > 0:27:03Amanda, I'm passing down a stethoscope to you.

0:27:03 > 0:27:05- Can you pop it on your chest for me? - Can you reach?

0:27:05 > 0:27:08SHE WHIMPERS

0:27:08 > 0:27:11Do you have my mobile phone? I want my phone, please.

0:27:11 > 0:27:14I'm getting reduced breath sounds in one of her lungs.

0:27:14 > 0:27:16We have to put a chest drain in now.

0:27:16 > 0:27:18My phone...

0:27:18 > 0:27:20You've got to tell them.

0:27:20 > 0:27:23We don't need them. It'll all be OK soon.

0:27:23 > 0:27:25We just have to...

0:27:25 > 0:27:27Right, are you going to be straight with us?

0:27:31 > 0:27:34We have a social worker in the department.

0:27:34 > 0:27:37- Shall we bring her through so you can explain?- Mum!

0:27:37 > 0:27:39Can we call your husband?

0:27:39 > 0:27:42- Where is your husband?- Mum.

0:27:42 > 0:27:43Mum!

0:27:48 > 0:27:49He's gone.

0:27:50 > 0:27:52He walked out months ago.

0:27:54 > 0:27:56But he's coming back!

0:27:56 > 0:27:57He's not!

0:28:02 > 0:28:06Mum's sick. Ever since he left, I've been feeding us.

0:28:07 > 0:28:09What have you been feeding the baby?

0:28:09 > 0:28:11Same as we have.

0:28:11 > 0:28:14Chips, beans...

0:28:14 > 0:28:16I made George sick.

0:28:18 > 0:28:20What've I done to you?

0:28:21 > 0:28:24Janine, I think you're suffering from some form of depression.

0:28:24 > 0:28:27I'd like to ask one of our psychiatrists to sit down

0:28:27 > 0:28:30- and chat with you, if that's OK? - Will I keep me kids?

0:28:30 > 0:28:34We'll need to admit you and there will be a health visitor involved.

0:28:34 > 0:28:37Kevin and George'll go into care, but just till you're better.

0:28:39 > 0:28:42This is the best thing for your family. You're getting help now.

0:29:04 > 0:29:06What?

0:29:06 > 0:29:08She's put everything on the line for you

0:29:08 > 0:29:12- and you're too selfish to even notice.- Nobody asked her.

0:29:12 > 0:29:15- Which is kind of the point. - She had her chance and she blew it.

0:29:15 > 0:29:19So it'd be easy for her walk away from all the grief, wouldn't it?

0:29:19 > 0:29:20Except she can't.

0:29:20 > 0:29:22She knows she screwed up, Britney,

0:29:22 > 0:29:26and you are so, so lucky to have someone like her.

0:29:26 > 0:29:28Someone who can hold their hands up, say they were wrong

0:29:28 > 0:29:30and still fight for you.

0:29:31 > 0:29:33See that boy Kevin?

0:29:33 > 0:29:35His family's falling to pieces.

0:29:35 > 0:29:38Do you know what he'd do to have the chance you've got?

0:29:38 > 0:29:40Think about that.

0:29:45 > 0:29:47- Any updates, Noel?- No, nothing.

0:29:47 > 0:29:50We got a member of the rescue team coming in, query fracture.

0:29:50 > 0:29:52What happened?

0:29:54 > 0:29:55(Oh, please.)

0:29:55 > 0:29:59- PHONE BEEPS - Six...three...

0:29:59 > 0:30:0125...

0:30:01 > 0:30:0215.

0:30:02 > 0:30:06PHONE BEEPS

0:30:03 > 0:30:06OK, it's ringing, but the signal's not great.

0:30:07 > 0:30:10Sam, we can't delay this chest drain any longer.

0:30:10 > 0:30:12Just give him a minute.

0:30:12 > 0:30:14Hi, Mum?

0:30:14 > 0:30:16Mum? Mum, it's me.

0:30:17 > 0:30:20Yeah, yeah, I'm fine.

0:30:21 > 0:30:23Are... Are you guys OK?

0:30:26 > 0:30:29Mum, you know there's things that...

0:30:29 > 0:30:31That you never get around to saying?

0:30:37 > 0:30:39I just want to tell you and Dad...

0:30:42 > 0:30:44I just want to tell you and Dad I love you.

0:30:46 > 0:30:47And, um...

0:30:49 > 0:30:50And, Mum?

0:30:50 > 0:30:53Mum, Mum are you...?

0:30:54 > 0:30:56Yeah, Mum.

0:30:56 > 0:30:58I'm still here.

0:30:58 > 0:31:01Mum, I don't know why I haven't before.

0:31:04 > 0:31:06It's stupid.

0:31:07 > 0:31:10No, no, I haven't been drinking.

0:31:10 > 0:31:12I was just walking the dog.

0:31:15 > 0:31:17Mum, is my dad there?

0:31:20 > 0:31:21OK.

0:31:23 > 0:31:24Mum, I, um...

0:31:25 > 0:31:27I've got to go.

0:31:28 > 0:31:30I love you both. Will you tell Dad when he gets in?

0:31:32 > 0:31:33I... I know you do.

0:31:35 > 0:31:36Bye, Mum.

0:31:36 > 0:31:38DAVID SOBS

0:31:40 > 0:31:45Well done. David, as soon as Cave Rescue and blood gets here, we're going to get this rock off you,

0:31:45 > 0:31:49- and we are going to get you out of here, OK?- Morphine, please. Morphine.

0:31:49 > 0:31:52Sam, her breathing's not right at all. Severe dyspnoea.

0:31:52 > 0:31:56- We need to act now.- Please... - HE WHIMPERS

0:31:56 > 0:31:58Tommy, it's just a fractured fibula so there's no reason

0:31:58 > 0:32:01why you can't go back to work once it's healed.

0:32:01 > 0:32:03- He'll need a backslab. - I'll take care of it.

0:32:03 > 0:32:05- What happened down there? - We were looking for a tunnel.

0:32:05 > 0:32:06Any joy?

0:32:06 > 0:32:09No. It was inaccessible.

0:32:11 > 0:32:13- OK, can you do your best to keep resus clear?- OK.

0:32:13 > 0:32:16And, guys, we don't know what condition people are going to be in.

0:32:16 > 0:32:20- We ought to prepare ourselves for treating friends. Understood?- Yeah.

0:32:24 > 0:32:27Morphine...please!

0:32:27 > 0:32:29First, we need you to reach around

0:32:29 > 0:32:32and put the stethoscope on Amanda's chest. Can you do that for me?

0:32:32 > 0:32:36- DAVID GROANS - Yeah.- Thank you. Good man.

0:32:36 > 0:32:38Good man, you're doing really well, a little higher.

0:32:38 > 0:32:41OK, keep going. Nearly there, that's it. Very good.

0:32:43 > 0:32:46That's it, good man.

0:32:46 > 0:32:50Most likely a tension pneumothorax. OK, thank you.

0:32:50 > 0:32:51Dylan, can you reach it?

0:32:56 > 0:33:00No room for a chest drain. If we can get a needle in, it's a start.

0:33:00 > 0:33:02He needs pain relief, Sam.

0:33:02 > 0:33:04And we need his help.

0:33:04 > 0:33:07OK, pass me the cannula.

0:33:07 > 0:33:10David? I want you to push it into Amanda's chest for us

0:33:10 > 0:33:13as hard as you can, OK? Right in the spot where you had the stethoscope

0:33:13 > 0:33:16and then I want you to pull out this middle piece, OK?

0:33:16 > 0:33:18Can you do that for me? You got it?

0:33:18 > 0:33:20OK. You can do it.

0:33:20 > 0:33:23Do this, David, and then I'll give you the morphine.

0:33:23 > 0:33:26I'll get rid of the pain, but I need you with me, OK?

0:33:26 > 0:33:29Focus, understood? You're not going to hurt her, OK?

0:33:29 > 0:33:32I need you to push it in, nice and firmly, OK?

0:33:32 > 0:33:35Right where you had the stethoscope, just push it as hard as you can, OK?

0:33:35 > 0:33:39No, no, no. His hand's shaking. I need to give him some more morphine.

0:33:41 > 0:33:43OK.

0:33:43 > 0:33:44You can do it.

0:33:44 > 0:33:47Up a little bit... Yep, there.

0:33:47 > 0:33:49Don't hold back. Don't hold back.

0:33:49 > 0:33:50DAVID WHIMPERS

0:33:53 > 0:33:55Good man.

0:33:55 > 0:33:59Now pull out the centre piece and throw it away.

0:33:59 > 0:34:00That's it. That's it.

0:34:02 > 0:34:04OK, that's bought us about 20 minutes.

0:34:04 > 0:34:06Any idea how we get a chest drain in?

0:34:08 > 0:34:10I don't want to go.

0:34:10 > 0:34:12I need you to be strong.

0:34:17 > 0:34:19We have to go.

0:34:19 > 0:34:20Here's your money.

0:34:20 > 0:34:22- Where was it?- Someone handed it in.

0:34:25 > 0:34:27Kevin, it's going to be OK.

0:34:27 > 0:34:30This is Stephanie, your social worker.

0:34:30 > 0:34:31I want to go home.

0:34:31 > 0:34:34I'll take you there. We'll get you some things.

0:34:34 > 0:34:36Yeah, it's only temporary. I'm sure once your mum's well,

0:34:36 > 0:34:38- you'll all be back home. - You still OK for family court?

0:34:38 > 0:34:42- Yeah, I've booked the time off. - Could you just give us a minute?

0:34:42 > 0:34:44You'll be going up with Kevin to the paediatric ward.

0:34:44 > 0:34:47They'll meet social services there.

0:34:47 > 0:34:50We thought you'd like a moment with him, first.

0:34:50 > 0:34:52Hey, Georgie.

0:35:05 > 0:35:08So was he worth it, Sam?

0:35:10 > 0:35:12Do you really think it was even about him?

0:35:12 > 0:35:15Look, I was miserable, but I didn't want you to end it.

0:35:15 > 0:35:17I wanted you to...fight for it.

0:35:17 > 0:35:19'Dylan, its Jeff. Cave Rescue are here,

0:35:19 > 0:35:22'but they're going to take a while to set up, OK?'

0:35:22 > 0:35:24- Copy that, Jeff.- We can't wait.

0:35:24 > 0:35:26I'm just going to make a small incision in your chest, OK?

0:35:30 > 0:35:32Oh, God. My arm's shaking.

0:35:32 > 0:35:35- Up a little. - Is that the right spot?

0:35:35 > 0:35:39- Yeah, there, there, there.- There? - Make the incision.

0:35:39 > 0:35:40I can barely reach.

0:35:42 > 0:35:44Sorry, Amanda.

0:35:44 > 0:35:45AMANDA GASPS

0:35:45 > 0:35:48I'm just opening up the wound with my fingers.

0:35:50 > 0:35:54I can't reach with my other hand.

0:35:54 > 0:35:56David, take this.

0:35:56 > 0:35:59I need you to insert that into the incision that Sam has just made, OK?

0:35:59 > 0:36:01It's a chest drain. It'll save her life.

0:36:01 > 0:36:03You can do it, David. OK.

0:36:05 > 0:36:07Nice and easy. I need you to insert it very firmly

0:36:07 > 0:36:10- between my fingers, OK? - I... I can't.

0:36:10 > 0:36:13Yes, you can. Nearly there.

0:36:13 > 0:36:16I'm sorry for the pain, but we're nearly done, OK?

0:36:16 > 0:36:18We are going to give you loads of morphine in a sec.

0:36:18 > 0:36:20Just one last push.

0:36:21 > 0:36:25Well done, well done! Now pull the blue bit out the end.

0:36:25 > 0:36:29OK. You're doing really well.

0:36:32 > 0:36:35That's it. Well done.

0:36:35 > 0:36:38One last thing. I need you to place this tube

0:36:38 > 0:36:41over the end of the drain that you've just inserted, OK?

0:36:41 > 0:36:42Can you do that for me?

0:36:42 > 0:36:45OK, David. OK, you can do it.

0:36:45 > 0:36:48That's it, that's it.

0:36:48 > 0:36:51Yeah. OK, we are in.

0:36:51 > 0:36:53AMANDA'S BREATHING QUICKENS

0:36:53 > 0:36:55- Yeah, good man.- You OK, Amanda?

0:36:55 > 0:36:58OK, you might have just saved her life.

0:37:01 > 0:37:04- I want morphine. - ROCKS RUMBLE

0:37:07 > 0:37:10- OK, how are you getting on? - Can I go?

0:37:10 > 0:37:12Let's see how these crutches feel.

0:37:14 > 0:37:15OK.

0:37:19 > 0:37:21- LEG CRACKS Argh!- That's not right.

0:37:21 > 0:37:23OK, let's get you back on the bed.

0:37:23 > 0:37:25OK. Lloyd, let's get back on to x-ray.

0:37:25 > 0:37:29Let's see if he's aggravated the fracture. OK, I've got it.

0:37:29 > 0:37:31Oh, my...

0:37:31 > 0:37:33Get that leg secure. Steady as you go, Rescue One.

0:37:33 > 0:37:34Rescue One descending.

0:37:34 > 0:37:36'Medical services on surface standing by. Over.'

0:37:36 > 0:37:39Shaft seems unstable. Steady as you go.

0:37:41 > 0:37:43Lower away. Steady.

0:37:46 > 0:37:49Nearly down. Get the casualty ready.

0:37:50 > 0:37:52Which of them goes up first?

0:37:55 > 0:37:57Steady, stop.

0:37:59 > 0:38:01Hold the stretcher there.

0:38:02 > 0:38:05I'm sorry...

0:38:05 > 0:38:07I'm sorry, David.

0:38:07 > 0:38:10- We are going to have to move Amanda first.- Stop stretcher.

0:38:10 > 0:38:12- (I'm sorry.)- Hold the line.

0:38:12 > 0:38:15I'll go up with her. Are you all right to stay with him?

0:38:15 > 0:38:17Yeah.

0:38:17 > 0:38:20Right, come on, we need to move this rock.

0:38:20 > 0:38:21Come on, let's do this.

0:38:23 > 0:38:25HE WHIMPERS

0:38:25 > 0:38:26On my count, then.

0:38:26 > 0:38:28One,

0:38:28 > 0:38:29two,

0:38:29 > 0:38:31three.

0:38:31 > 0:38:33DAVID SQUEALS

0:38:37 > 0:38:39Keep going.

0:38:46 > 0:38:48OK, we're getting the woman up first.

0:38:48 > 0:38:50I've got you.

0:38:50 > 0:38:54OK, we're going to get you out of here.

0:38:54 > 0:38:56Ready, set...

0:38:58 > 0:38:59It's OK. Ssh. Ssh.

0:39:04 > 0:39:07- OK, Amanda.- Lift.

0:39:07 > 0:39:11- Amanda first, is there an ambulance standing by?- Yes.

0:39:11 > 0:39:16Right, let's get her in a vacuum splint, then. Come on, let's go.

0:39:16 > 0:39:19OK, David? David, stay with us. Keep looking at me, David.

0:39:19 > 0:39:20What's that?

0:39:20 > 0:39:22This is a manometer.

0:39:22 > 0:39:26It measures the pressure inside your muscles.

0:39:26 > 0:39:28I think you've got compartment syndrome, Tommy,

0:39:28 > 0:39:32which is when the pressure in your leg kills the tissue.

0:39:33 > 0:39:35This might hurt a bit.

0:39:38 > 0:39:40Ah!

0:39:43 > 0:39:45Compartment syndrome, I told you.

0:39:47 > 0:39:49- 15 minutes. - 15 minutes and we'll lose the foot.

0:39:49 > 0:39:52- Uh?- OK, Tommy, we're going to take you to resus, OK,

0:39:52 > 0:39:54where we'll perform a procedure called a fasciotomy, OK?

0:39:54 > 0:39:57That will release the pressure in your leg, OK?

0:39:57 > 0:40:01'Holby Control. Do we have an ETA on the first casualty? Over.'

0:40:01 > 0:40:05Holby Control, this is Jeff Collier. ETA about 10 minutes.

0:40:05 > 0:40:07Repeat 10 minutes. Over.

0:40:07 > 0:40:09AMANDA GROANS

0:40:17 > 0:40:20Tell me it looks worse than it is.

0:40:28 > 0:40:31I hear Britney got involved with a patient. I appreciate it's hard,

0:40:31 > 0:40:35- juggling the kids with work, but it shouldn't happen again.- OK.

0:40:45 > 0:40:47SIREN WAILS

0:40:53 > 0:40:55I'm trying to thread a needle on a roller coaster.

0:40:55 > 0:40:58It's an observation, Dom, not a challenge!

0:41:01 > 0:41:02Be careful with him!

0:41:02 > 0:41:05All right, easy boys, easy does it, he's losing blood.

0:41:09 > 0:41:10Sam, are you OK?

0:41:11 > 0:41:15- I'm fine, I'm fine. - Is that everyone out, Doc?

0:41:15 > 0:41:17- Yeah, all clear.- OK, let's just get him down and clear.

0:41:17 > 0:41:19Right, that blood's out. Can you grab me that?

0:41:21 > 0:41:24- Right, she's gone into PEA. We need to ventilate now, OK?- OK.

0:41:24 > 0:41:28- David?- You OK on compressions, yeah? 30, yup?

0:41:28 > 0:41:29One, two, three...

0:41:29 > 0:41:31I got it, I got it. Four, five, six...

0:41:31 > 0:41:33- Nice and calm, Sam, please.- ..seven.

0:41:33 > 0:41:35..eight, nine, ten, eleven...

0:41:35 > 0:41:39..and 12, and 13, and 14, and 15, and 16, and 17...

0:41:39 > 0:41:42..18, 19, 20, one, two...

0:41:42 > 0:41:46..and 23, and 24, and 25, and 26, and 27...

0:41:46 > 0:41:48..28, 29, 30.

0:41:49 > 0:41:53- Lovely, and again. - One, and two, and three...

0:41:53 > 0:41:55Come on! Five, six, seven...

0:41:55 > 0:41:57..eight, nine, ten...

0:41:57 > 0:42:01..11, 12, 13, 14, 15, 16, 17...

0:42:01 > 0:42:06..18, 19, 20, 21, 22, 23, 24, 25...

0:42:06 > 0:42:08- Abdomen's rock hard. - ..26, 27, 28, 29, 30...

0:42:08 > 0:42:10Sam, Sam, Sam, he's dead.

0:42:10 > 0:42:12- He's dead. - SHE SCREAMS WITH FRUSTRATION

0:42:16 > 0:42:18He's dead.

0:42:20 > 0:42:21David?

0:42:23 > 0:42:25If you can still hear me,

0:42:25 > 0:42:27I'm going to talk to your family,

0:42:27 > 0:42:30I'm going to talk to Amanda and they...

0:42:30 > 0:42:33They are going to know that you died trying to save her.

0:42:39 > 0:42:41Thanks, fellas.

0:42:54 > 0:42:57She's in PEA.

0:42:58 > 0:43:0131 year-old female rescued from a cave collapse.

0:43:01 > 0:43:03She's developed a cardiac tamponade

0:43:03 > 0:43:07- as a result of injuries during the fall.- Watch your back.

0:43:07 > 0:43:09OK, let's get her straight into resus.

0:43:09 > 0:43:11Great, thanks, Ted.

0:43:13 > 0:43:16- Am I going to lose it? - No. You may need further surgery,

0:43:16 > 0:43:19but everything should be fine, for now.

0:43:19 > 0:43:21Lloyd keep that...

0:43:21 > 0:43:24- Tension pneumothorax.- Well, I haven't got time for a fast scan.

0:43:24 > 0:43:25How confident are you?

0:43:25 > 0:43:28- Always very confident. - That's good enough for me.

0:43:28 > 0:43:31She's not responding to fluids and two doses of adrenalin.

0:43:31 > 0:43:33I'll drain off her pericardium, I'll need her ventilated.

0:43:33 > 0:43:37Sam's coming with another patient. She's had quite a fall. Open tib, fib and chest injuries.

0:43:37 > 0:43:39She became acutely dyspnoeic,

0:43:39 > 0:43:42developed a tension pneumothorax, which we drained in situ.

0:43:42 > 0:43:44I noticed a raised JVP and pulsus paradoxus.

0:43:44 > 0:43:46She arrested into PEA en route.

0:43:50 > 0:43:53Can I have another adrenalin and two units of O neg?

0:43:53 > 0:43:56Hey-hey. I might've known you'd be skiving.

0:43:56 > 0:43:59Six units and someone call x-ray and ITU, please.

0:43:59 > 0:44:01So, how you doing, then?

0:44:20 > 0:44:23- MONITOR BEEPS - We've got an output.

0:44:27 > 0:44:29I think she's stable for now,

0:44:29 > 0:44:31so why don't you go and get cleaned up, yeah?

0:44:31 > 0:44:33OK.

0:44:37 > 0:44:39From the moment that we moved that rock,

0:44:39 > 0:44:42we both knew that this was almost certainly going to happen.

0:44:42 > 0:44:45I just... I wasn't comfortable with...

0:44:45 > 0:44:48Look, it didn't sit right with me, either.

0:44:48 > 0:44:50But as it saved her life,

0:44:50 > 0:44:53I think I'll live with the occasional sleepless night.

0:45:05 > 0:45:06SHE CLEARS HER THROAT

0:45:06 > 0:45:09Britney's made a final decision.

0:45:22 > 0:45:24Looks like we're ready for court.

0:45:35 > 0:45:37SHE SIGHS

0:46:07 > 0:46:11Are the police informing David's parents?

0:46:11 > 0:46:13Uh...yes.

0:46:17 > 0:46:21I'm... I just wanted to say, um...

0:46:21 > 0:46:25sorry about some of the things that I said earlier.

0:46:26 > 0:46:27And, um...

0:46:27 > 0:46:31I'm sorry for some of the things I have done in the past. Um...

0:46:34 > 0:46:36Amanda's in ITU now.

0:46:36 > 0:46:39And I didn't realise you saw our marriage like that.

0:46:41 > 0:46:44Anyway, you did a fantastic job today

0:46:44 > 0:46:45in very difficult circumstances

0:46:45 > 0:46:49and you acted completely in the interests of both casualties.

0:46:49 > 0:46:52If anybody asks, I will make sure they know that.

0:46:52 > 0:46:54Sounds like an early draft of a written report.

0:46:54 > 0:46:56Nobody's asked for a written report, have they?

0:46:56 > 0:46:58SHE LAUGHS Calm down.

0:46:59 > 0:47:00Thank you.

0:47:02 > 0:47:04We can't go on like this, Sam.

0:47:07 > 0:47:10I know. I know, it's just...

0:47:10 > 0:47:12You, me, the GMC...

0:47:12 > 0:47:14It's all just stuck.

0:47:15 > 0:47:18Sorry, um, Dylan? Dr Hanna's looking for you.

0:47:22 > 0:47:23Dylan?

0:47:26 > 0:47:28Thanks for...

0:47:28 > 0:47:30being a man about it.

0:47:30 > 0:47:34You always knew how to cut through things and get me thinking straight.

0:47:59 > 0:48:03Hi. Is this David's father? It's Dr Sam Nicholls here.

0:48:03 > 0:48:07I was with David in the cave.

0:48:07 > 0:48:09I just wanted you to know that he...

0:48:10 > 0:48:12..he died a hero,

0:48:12 > 0:48:14helping us to save another life.

0:48:14 > 0:48:17And it was a privilege to know him.

0:48:19 > 0:48:21Even briefly.

0:48:23 > 0:48:25It sounds like you have company.

0:48:25 > 0:48:27Yeah, I'll call you back later.

0:48:39 > 0:48:42Hello, my name is Sam Nicholls.

0:48:42 > 0:48:45I understand you deal with divorces.

0:48:45 > 0:48:50If you could please give me a call back tomorrow. My number is 077

0:48:50 > 0:48:520099...

0:49:03 > 0:49:06Subtitles by Red Bee Media Ltd