When the Gloves Come Off Casualty

I know I always say that.

-I've got nothing to wear!

-Ready, steady, go!

-I'll be back in work tomorrow.

-Cassie? Cassie, heel. Good girl.

Cassie, drop it. That's it.

Oh, hang on. It's him again.

-Hi.

-Hi. Again.

(Talk to her.)

-(He is so hot.)

-It's just a girl. It's a girl.

-He has the cutest dog.

-Excuse me?

-(Oh, hang on...) Yes?

I...

I, um...

I was, um...

It's nothing.

Sorry.

Maybe next time.

Ready, go.

One, two, three...

Woo! Good boy.

SHE SCREAMS

ROCKS RUMBLE

DOG BARKS

SHE SCREAMS

Help! Help!

Help! Help!

-Grab my hand.

-Oh, God, help me!

-Grab my hand!

-I can't!

Grab my hand.

SHE SCREAMS

-Oh, God. Don't leave me.

-I won't.

-I'm slipping.

SHE SCREAMS

SHE GROANS

Argh...

No, there's nothing broken. I'm still alive. I'm still alive.

No, the muscles are spasming on us.

Do you, um... Want me to have a go?

Yeah, why not?

I take it you've advised Mr Torquemada of the GMC

of how much you trust my judgement?

-How about we focus on the job in hand?

-That sounded very evasive.

-Ready?

-Yeah.

-SHOULDER CRUNCHES

-OK, deep breath, deep breath.

Wayne? Sling.

-Course I trust you, Sam.

-So what exactly did you tell the GMC?

I'm not allowed to say.

I always knew I could count on you for your support.

-Do you need me any more?

-No.

Torquemada? Who is he?

Tomas de Torquemada - The Grand Inquisitor

of the Spanish Inquisition. You really don't know?

Those who don't know history are condemned to repeat it.

Those who know too much history are condemned to never having friends.

-BREATHLESSLY:

-Hi, I'm...

I'm David.

That's one hell of a way to meet.

Amanda.

SHE BREATHES SHARPLY

Hi, Amanda.

-I... I think I've broken my leg.

-Try not to move, OK?

Promise you won't leave.

DEBRIS PATTERS

-I promise.

-Good.

SHE PANTS

-SHE WHIMPERS

-Don't worry. I'm going to call an ambulance, OK?

SHE COUGHS HARSHLY

Can't believe I've got a signal.

'Emergency, which service?'

Linda, when's your family court hearing?

-Hey, I forgot about that.

-It's first thing tomorrow.

-Has Tess booked time off for you?

-Yeah.

-Well, there's a bottle of champagne in my fridge with your name on it waiting to celebrate.

-I haven't got custody yet.

-I have every faith in your ability to fake being a responsible mum.

-So, how're you going to get us down?

-We're not. Not yet, anyway.

-But they need help now.

I need to carry out a Dynamic Risk Assessment.

-I can't be sure the chimney's safe.

-Course it isn't safe -

that's kind of why we're here, isn't it?

Two people fallen down a hole, male and female, both conscious,

fell about 25 feet. So, who's going down, you or me?

No-one.

Pardon?

Look, if you two want to make yourselves useful, see if you can round up these dogs.

All right, so it's a prolonged rescue.

We're going to need a doctor.

Yeah. Yeah, for him.

PHONE RINGS

Holby City ED.

Right, OK.

How many casualties? Right, I'll be there.

Something exciting?

-Shouldn't you be at the foster home?

-Yeah.

You know, after the hearing tomorrow,

you and Joe can choose wherever you'd like to go and eat.

-We'll celebrate.

-You do what you want. We're not moving in.

You're not up to looking after us. Me and Joe,

-we're all right on our own.

-What's brought this on?

-You'll get bored. You'll let us down again.

-No, I won't.

I don't believe you.

Linda?

Look, I'll be as quick as I can.

-Something else more important?

-Why don't you go and get a drink?

Please? I'm working.

It's my little brother.

What's his name?

George. I was out at the shops with him and...

He went all floppy and he wouldn't answer me.

How long was he like that?

I don't know... Not long.

-Where's your mum?

-She's at home.

-Can you give me her number?

-Give the mum a call.

Also, can you call Stephanie from social services

-and tell her that Britney's here?

-Sure.

Thank you. I'll take him through to paeds.

If you want to follow us through in a bit?

I know what I'm doing. I've read all the manuals...

Tommy, I've put out a call for a Cave Rescue.

-You're not trained to extricate so I'm not authorising it.

-Yeah, the thing is, mate,

our HART team are on another shout and by the time they get here,

-there may be bodies you're pulling out, not live casualties.

-You ever pulled out a casualty?

No. So what do I do? Go home? Have a cup of tea? Put my feet up, make a sandwich?

Wait for Cave Rescue to call?

Cos we're not actually achieving anything standing here, are we?

-I was trained in line rescue in the army.

-Have you ever rescued anyone?

Yes. I'll assess and stabilise them and we'll wait for Cave Rescue to get here.

When they do, we'll give you a rescue

that'll have your health and safety forms crackling.

-All right, you can go down.

-Yeah, I'll go with her.

-Me, too.

-She goes down alone. End of.

-Yes.

Say yes, Jeffrey.

No febrile convulsions, no fever...

-Blood test?

-Yeah.

Your mum let you go out on your own?

-Sorry, the little fella's mum, Janine.

-Oh, hello, Janine.

-George is stable for now.

-I want a word with Kevin.

OK.

-What did you tell them?

-Nothing.

-If you tell them anything,

they'll take you and George off me. Right?

It was my fault.

I were...

We were going to go shopping, but I was tired and I must've dropped off.

I think Kevin thought he was helping me.

Rope below!

DEBRIS CLATTERS

-FROM ABOVE:

-Mate, Cave Rescue are on the way.

We're going to get you out of there as quick as we can, all right?

Just hang tight.

OK, Sam you get any problems down there, you give us a shout, OK?

Sam?

-CALLING DOWN:

-There's a doctor on their way down now.

'Please be advised, Cave Rescue on its way, ETA two hours.

'Repeat, two hours. Over.'

'Can you see if there is any chance they can speed it up? Over.'

-Urgh!

-Sam, you OK?

Yeah, fine.

Fine.

-What?

-Nothing.

Is there a shop here? I'm hungry.

They'll get you something to eat.

You fancy something?

RUBBLE CLATTERS

I'm sorry I dragged you down.

It's... It's OK.

I'm sorry I dropped you.

Thanks.

What for?

Being here.

Well, you should be thankful.

If it wasn't for you, I'd have climbed out of here.

They don't call me Spider-Man for nothing, y'know.

-Bet they don't call you Spider-Man at all.

-Busted.

-SHE LAUGHS THEN CHOKES

-I'm sorry, I'll stop.

No. Don't.

You were going to ask me something...

up there.

-What was it?

-It's not important.

Hi, I'm Sam. I'll be your doctor for today.

How're we all doing down here?

-We're still alive.

-Well, that's a start. Tell me your names.

I'm David and this is Amanda.

RUBBLE CLATTERS

George's blood results. They're all normal.

Has he been OK at home?

Yeah. Best of health.

-Look at that.

-Bruising?

Or perifollicular petechiae.

We have concerns about your children.

Kevin was out on his own with the baby and they're not in the best of health.

You understand we have a duty of care and if we're not happy with what you've told us,

-we will inform social services.

-You want to take my kids?

We're just concerned.

No... No.

You can't.

You mustn't. You...

OK. It's all right, just try and calm down. OK?

Amanda, I'm going to give you something

for the pain in your leg, OK? Just give it a few seconds and...

-How... How bad is it?

-Too soon to tell.

-I'll get you something for that in a minute, OK?

-OK.

AMANDA GROANS

There you go. Is there anyone you'd like us to contact?

Husband? Wife?

-No.

-No.

Thanks.

-How long've you been in a foster home?

-Since Mum went away.

I can't imagine. Losing your mum, your home like that.

What's it like?

Horrible.

Horrible, but at least they don't lie to you and let you down.

But...they're not your family.

Joe's me family.

Haven't you got anybody else?

I miss my mum, but me and Joe... We're all right.

Don't know what I'd do if anything happened to my mum.

Talk to her.

-Have... Have you lived here long?

-A year.

-A year, wow.

-Yeah.

-Keep talking to her.

-What about?

-Anything.

As long as I can hear both of your voices, it's good thing, OK?

Um...

I've seen you walking your dog quite a lot.

-I saw you at the cinema, too.

-Are you my stalker?

No! No. I usually go there to watch foreign films.

-Like... Like French films?

-Yeah.

-Yeah.

I loved Amelie.

Cyrano de Bergerac.

But...you don't like?

No, no, they're just, um... Just a little slushy for me.

Swords? Battles? Broken...

Broken hearts?

What's slushy about that?

-SHE COUGHS HARSHLY

-Here...

Hey...

Come here.

Look, it's all going to be OK.

My ex hated French films.

-He hated dogs, too.

-You guys divorced?

Yeah.

My mum always said...

Always said I had hopeless taste in men.

ROCKS RUMBLE

AMANDA SCREAMS

-Urgh!

-David!

Amanda, are you OK?

-'Sam, are you receiving? Over.'

-Jeff?

-'Sam, are you OK?'

-Jeff, it's Sam. Over.

-What's happened to him?

-'What's going on down there?'

I'm fine, but we're going to need another doctor down here immediately.

A rock has landed on top of the male casualty.

The fire brigade won't allow anyone down

-without experience in line rescue.

-They'll have to!

-Want me to try other hospitals?

No, look, it's too far.

I know another doctor in Holby who can abseil.

Why do I need to abseil?

Because she's down a cave with two casualties.

She seems to think you've abseiled before.

Yeah, what's so outrageous about that?

Sam is stuck down a cave - a big dark place?

-Usually, yes.

-She's terrified of the dark.

She can't even sleep with the light off.

Played merry havoc with my body clock,

never mind the electricity bill.

Well, you better get a move on, then, hadn't you, Merry Havoc?

Kevin, can I speak to you, please?

Is everything OK at home?

-I want to see my mum.

-I'll take you to her in a sec.

Can I check inside your mouth first, please? Just open for us, that's it.

OK.

That's it.

Come with me.

-Dr Nicholls also requested an airbag.

-Right.

-That's why we're sending you down.

-You all set?

-Yep, I'm OK.

-On you go.

-Look, they've just sent these charts over.

Local caves. That's us and there's the exit.

There's a possibility we can get them out.

OK, I'm not convinced this hole's safe enough for us to risk

taking them out this way. Check out that exit.

You guys, take a stretcher, whatever else you need.

If it looks promising, we'll get them out that way.

Dix?

'Sam, are you receiving? Over.'

'Dylan's on his way down with the airbag you wanted.

'We found a possible alternative exit. Checking it out now.

'Sit tight, OK?'

-Sam?

-Yes?

OK? OK, Sam?

Careful!

Can you hear me?

I've got two casualties, one female, stuck under a rock shelf.

The male's above, blocking access to her.

DEBRIS CLATTERS

David, I'm going to give you some morphine.

-It's going to be OK.

-You OK?

-Yeah, the rock just missed me.

-I meant before the rock.

-Yeah, why wouldn't I be?

You were always a little scared of the dark.

OK, this is Amanda. Access is tight.

You know, I was never scared of being in the dark.

I was only scared of being in the dark with YOU.

You might have told them I'd only abseiled twice, for charity.

Oh, so getting me into bed was a charity?

Are you two... Are you a couple?

-Uh, no.

-No.

-Amanda's, resps?

-90/20.

It's a little higher than that, I'd say 30 now.

Well, it's David I'm more concerned about now.

Yeah, this rock's really planted across his abdomen.

Hello, David. I'm Dylan.

So, you had a pop at my French films. Yours?

-Nou... Nouvelle vague.

-Only seen a couple of them.

-Like Godard. He could be slushy, too.

-No way.

Yes, yes way. Breathless, guy dies for his girl.

Bande A Part, world record running round...

This is not good, Sam.

..the Louvre...in ten minutes.

Your girlfriend - does she like subtitles?

No. I don't have a girlfriend.

THUNDER RUMBLES

Ah. There it is.

This is it, yeah?

-OK, you got nothing steeper, no?

-I think we should take a closer look.

-Right, I'm game.

-Got your skis?

All right, after you. OK.

Argh!

Whoa!

Great.

Argh!

Morphine should be kicking in now. Are you OK, David?

Of course I didn't learn to abseil just to get you into bed.

Really? What was the charity again?

How long till Cave Rescue get here?

'It'll be another hour.'

It'll be dark by then, Sam.

We have two seriously ill casualties down here.

I don't think we have an hour.

We're going to move the rock ourselves and do what we can. Over.

What about the dad? I mean, she's wearing a wedding ring.

She hasn't mentioned him or asked us to contact him,

-which is a bit odd.

-Yeah.

Hello, George.

I just need to take a little look inside your mouth

with my magic little torch.

Do you want to open wide? That's it. Good boy.

And now a lickle tickle with my finger.

Good boy.

Yeah, Gingivitis.

Well, no wonder.

Microwave meals, packets of noodles, Tins of spaghetti...

Good spot. I'm going to get the little fella's

-ascorbic acid levels tested, OK?

-Yeah.

-RAIN HISSES

-'Yeah, guv. The rain's making the extraction point more unstable.

'If it carries on like this, we're never going to get them out. Over.'

Amanda? Not long now, bear with us.

-Is she OK?

-Dylan, hurry up with that.

Was going to ask her out, y'know. On a date.

Chick... Chickened out. I was afraid she'd say no.

What a coward, eh?

I knew, uh...

I knew this bloke once,

His marriage was dying in its boots and...

AIRBAG HISSES

..he just hid in a bottle.

That's cowardice. Not asking a girl out on a date?

Not even on the scale.

Are you sure this is right?

I agree. I knew a woman who cheated on her husband

and tried to convince him,

in all sincerity, it was an attempt to save their marriage.

But she couldn't even tell him it was over.

She had to force it on him - I think THAT'S cowardice.

Is that what you think?

That you're innocent and I'm the one who crushed you?

I'm kind of...

Kind of pleased I'm single now.

OK, David, we're worried about Amanda's breathing.

So we're going to have move you to try and get access to her, OK?

David, this airbag will lift the rock.

-AIRBAG HISSES Slowly.

-OK.

DAVID GROANS

HE BREATHES FASTER

Stop, Stop! He's tachycardic.

His respiratory rate is up and his pulse is racing.

-He's bleeding out.

-OK, I'll lower it, I'll lower it.

OK, it's settling back down again.

What's... What's happening?

Sssh, OK.

DAVID MOANS

I think by the way that rock

is settling on his upper abdomen and lower chest,

my best guess is it's some traumatic hepatic disruption.

I think that rock's been stopping a catastrophic internal bleed.

-You disagree?

-I wouldn't dare.

Look, the worst case scenario is we get the rock off

and he bleeds to death in front of us. Best case?

Please! Please, tell me...

what's happening to me.

David, you're going to be fine, OK?

-I promise. Just breathe.

-No, no. No, you're lying!

Please, please tell me.

-George Taylor's bloods.

-Linda? Problem.

-What?

I... I had £50. It's gone.

-Are you sure you had it?

-He did. I saw it!

I've lost it somewhere. We've looked in here twice!

-Why did you have £50?

-For the shopping.

Your mum gave you the money?

She can't find out.

If it's not in here... I must've dropped it.

I've been to the cafe, to see Mum...

-Maybe it's been stolen?

-I'll have a look in the cafe.

You've definitely searched in here?

-Right, we'll go and look in the CDU.

-Ask me, it's been stolen.

There's loads of people round here, anyone could've took it.

Yeah, all right Tommy, mate.

Nearly there. We'll have you in hospital in no time, all right?

-What happened?

-Tommy took a tumble, but he's going to be all right.

Hang in there, Tommy.

So what's it look like?

No-go, really.

It's steep.

Come with me.

Tell me you didn't take it.

I knew you'd blame me. Go on, say it.

Hey! What are you doing? Get out me pockets!

It's 50.

-You going to grass me up?

-Is that what you want?

Britney, I'll defend you all the way because you're my niece,

but you can't go around stealing.

Don't use my patients to get at me.

Joe was so excited this morning.

He was full of his new flat and his new room

and how great it was going to be living with you.

When you turn your back on him again, it'll break his heart!

I'm not letting you do this to him again.

-Please, give me a second chance. I promise...

-I can take it.

Joe can't.

-You OK?

-Yeah.

Have a look at that.

Hello, again. We've got George's results back.

We ran through all the usual suspects

and they all came back negative. What we thought was bruising

turned out to be burst blood vessels,

so we realised it must be diet-related.

So, what is it?

George's ascorbic acid levels are very, very low.

-What's that?

-Vitamin C.

I think that George is suffering from scurvy.

That's impossible. No-one gets scurvy now.

It is extremely rare, I know.

In fact, this is the first case I've seen,

but there you go. Every day's a school day.

-How'd he get it?

-It's your diet.

A complete lack of fresh fruit and vegetables.

-It's all my fault?

-No.

This is just an excuse. They want to take you and George away from me.

No. If it's left untreated, scurvy can be fatal

but the treatment we provide is very, very effective.

And it explains why you all look so unhealthy

and why you nearly fainted.

This must have been going on for months. What have you been feeding your kids?

I'm a good mother.

I love me children and you won't take them off me.

I'm going to get George some ascorbic acid

and when I come back, if your answers don't add up,

then we're going to have to pass this on to social services.

Please, Mum. Stop them.

Say something.

-I love it when you get stroppy with 'em.

-You call that stroppy?

SHE SOBS

KNOCK AT DOOR Linda asked me to...

-Stephanie.

-Oh, love, come on.

Come on.

Come here.

Aw...

You're going to be all right.

I'll do anything if you keep me alive, please.

You're going to be OK, I promise.

-It's OK.

-I... I can't die.

-Sam...

-DAVID MOANS

-You're not going to die, OK?

-I can't die. Not yet. Not now.

David, listen.

We... We get out of here,

we go to Paris.

We break the record in the Louvre.

It's a date.

Amanda, I'm passing down a stethoscope to you.

-Can you pop it on your chest for me?

-Can you reach?

SHE WHIMPERS

Do you have my mobile phone? I want my phone, please.

I'm getting reduced breath sounds in one of her lungs.

We have to put a chest drain in now.

My phone...

You've got to tell them.

We don't need them. It'll all be OK soon.

We just have to...

Right, are you going to be straight with us?

We have a social worker in the department.

-Shall we bring her through so you can explain?

-Mum!

Can we call your husband?

-Where is your husband?

-Mum.

Mum!

He's gone.

He walked out months ago.

But he's coming back!

He's not!

Mum's sick. Ever since he left, I've been feeding us.

What have you been feeding the baby?

Same as we have.

Chips, beans...

I made George sick.

What've I done to you?

Janine, I think you're suffering from some form of depression.

I'd like to ask one of our psychiatrists to sit down

-and chat with you, if that's OK?

-Will I keep me kids?

We'll need to admit you and there will be a health visitor involved.

Kevin and George'll go into care, but just till you're better.

This is the best thing for your family. You're getting help now.

What?

She's put everything on the line for you

-and you're too selfish to even notice.

-Nobody asked her.

-Which is kind of the point.

-She had her chance and she blew it.

So it'd be easy for her walk away from all the grief, wouldn't it?

Except she can't.

She knows she screwed up, Britney,

and you are so, so lucky to have someone like her.

Someone who can hold their hands up, say they were wrong

and still fight for you.

See that boy Kevin?

His family's falling to pieces.

Do you know what he'd do to have the chance you've got?

Think about that.

-Any updates, Noel?

-No, nothing.

We got a member of the rescue team coming in, query fracture.

What happened?

(Oh, please.)

-PHONE BEEPS

-Six...three...

25...

15.

PHONE BEEPS

OK, it's ringing, but the signal's not great.

Sam, we can't delay this chest drain any longer.

Just give him a minute.

Hi, Mum?

Mum? Mum, it's me.

Yeah, yeah, I'm fine.

Are... Are you guys OK?

Mum, you know there's things that...

That you never get around to saying?

I just want to tell you and Dad...

I just want to tell you and Dad I love you.

And, um...

And, Mum?

Mum, Mum are you...?

Yeah, Mum.

I'm still here.

Mum, I don't know why I haven't before.

It's stupid.

No, no, I haven't been drinking.

I was just walking the dog.

Mum, is my dad there?

OK.

Mum, I, um...

I've got to go.

I love you both. Will you tell Dad when he gets in?

I... I know you do.

Bye, Mum.

DAVID SOBS

Well done. David, as soon as Cave Rescue and blood gets here, we're going to get this rock off you,

-and we are going to get you out of here, OK?

-Morphine, please. Morphine.

Sam, her breathing's not right at all. Severe dyspnoea.

-We need to act now.

-Please...

-HE WHIMPERS

Tommy, it's just a fractured fibula so there's no reason

why you can't go back to work once it's healed.

-He'll need a backslab.

-I'll take care of it.

-What happened down there?

-We were looking for a tunnel.

Any joy?

No. It was inaccessible.

-OK, can you do your best to keep resus clear?

-OK.

And, guys, we don't know what condition people are going to be in.

-We ought to prepare ourselves for treating friends. Understood?

-Yeah.

Morphine...please!

First, we need you to reach around

and put the stethoscope on Amanda's chest. Can you do that for me?

-DAVID GROANS

-Yeah.

-Thank you. Good man.

Good man, you're doing really well, a little higher.

OK, keep going. Nearly there, that's it. Very good.

That's it, good man.

Most likely a tension pneumothorax. OK, thank you.

Dylan, can you reach it?

No room for a chest drain. If we can get a needle in, it's a start.

He needs pain relief, Sam.

And we need his help.

OK, pass me the cannula.

David? I want you to push it into Amanda's chest for us

as hard as you can, OK? Right in the spot where you had the stethoscope

and then I want you to pull out this middle piece, OK?

Can you do that for me? You got it?

OK. You can do it.

Do this, David, and then I'll give you the morphine.

I'll get rid of the pain, but I need you with me, OK?

Focus, understood? You're not going to hurt her, OK?

I need you to push it in, nice and firmly, OK?

Right where you had the stethoscope, just push it as hard as you can, OK?

No, no, no. His hand's shaking. I need to give him some more morphine.

OK.

You can do it.

Up a little bit... Yep, there.

Don't hold back. Don't hold back.

DAVID WHIMPERS

Good man.

Now pull out the centre piece and throw it away.

That's it. That's it.

OK, that's bought us about 20 minutes.

Any idea how we get a chest drain in?

I don't want to go.

I need you to be strong.

We have to go.

Here's your money.

-Where was it?

-Someone handed it in.

Kevin, it's going to be OK.

This is Stephanie, your social worker.

I want to go home.

I'll take you there. We'll get you some things.

Yeah, it's only temporary. I'm sure once your mum's well,

-you'll all be back home.

-You still OK for family court?

-Yeah, I've booked the time off.

-Could you just give us a minute?

You'll be going up with Kevin to the paediatric ward.

They'll meet social services there.

We thought you'd like a moment with him, first.

Hey, Georgie.

So was he worth it, Sam?

Do you really think it was even about him?

Look, I was miserable, but I didn't want you to end it.

I wanted you to...fight for it.

'Dylan, its Jeff. Cave Rescue are here,

'but they're going to take a while to set up, OK?'

-Copy that, Jeff.

-We can't wait.

I'm just going to make a small incision in your chest, OK?

Oh, God. My arm's shaking.

-Up a little.

-Is that the right spot?

-Yeah, there, there, there.

-There?

-Make the incision.

I can barely reach.

Sorry, Amanda.

AMANDA GASPS

I'm just opening up the wound with my fingers.

I can't reach with my other hand.

David, take this.

I need you to insert that into the incision that Sam has just made, OK?

It's a chest drain. It'll save her life.

You can do it, David. OK.

Nice and easy. I need you to insert it very firmly

-between my fingers, OK?

-I... I can't.

Yes, you can. Nearly there.

I'm sorry for the pain, but we're nearly done, OK?

We are going to give you loads of morphine in a sec.

Just one last push.

Well done, well done! Now pull the blue bit out the end.

OK. You're doing really well.

That's it. Well done.

One last thing. I need you to place this tube

over the end of the drain that you've just inserted, OK?

Can you do that for me?

OK, David. OK, you can do it.

That's it, that's it.

Yeah. OK, we are in.

AMANDA'S BREATHING QUICKENS

-Yeah, good man.

-You OK, Amanda?

OK, you might have just saved her life.

-I want morphine.

-ROCKS RUMBLE

-OK, how are you getting on?

-Can I go?

Let's see how these crutches feel.

OK.

-LEG CRACKS Argh!

-That's not right.

OK, let's get you back on the bed.

OK. Lloyd, let's get back on to x-ray.

Let's see if he's aggravated the fracture. OK, I've got it.

Oh, my...

Get that leg secure. Steady as you go, Rescue One.

Rescue One descending.

'Medical services on surface standing by. Over.'

Shaft seems unstable. Steady as you go.

Lower away. Steady.

Nearly down. Get the casualty ready.

Which of them goes up first?

Steady, stop.

Hold the stretcher there.

I'm sorry...

I'm sorry, David.

-We are going to have to move Amanda first.

-Stop stretcher.

-(I'm sorry.)

-Hold the line.

I'll go up with her. Are you all right to stay with him?

Yeah.

Right, come on, we need to move this rock.

Come on, let's do this.

HE WHIMPERS

On my count, then.

One,

two,

three.

DAVID SQUEALS

Keep going.

OK, we're getting the woman up first.

I've got you.

OK, we're going to get you out of here.

Ready, set...

It's OK. Ssh. Ssh.

-OK, Amanda.

-Lift.

-Amanda first, is there an ambulance standing by?

-Yes.

Right, let's get her in a vacuum splint, then. Come on, let's go.

OK, David? David, stay with us. Keep looking at me, David.

What's that?

This is a manometer.

It measures the pressure inside your muscles.

I think you've got compartment syndrome, Tommy,

which is when the pressure in your leg kills the tissue.

This might hurt a bit.

Ah!

Compartment syndrome, I told you.

-15 minutes.

-15 minutes and we'll lose the foot.

-Uh?

-OK, Tommy, we're going to take you to resus, OK,

where we'll perform a procedure called a fasciotomy, OK?

That will release the pressure in your leg, OK?

'Holby Control. Do we have an ETA on the first casualty? Over.'

Holby Control, this is Jeff Collier. ETA about 10 minutes.

Repeat 10 minutes. Over.

AMANDA GROANS

Tell me it looks worse than it is.

I hear Britney got involved with a patient. I appreciate it's hard,

-juggling the kids with work, but it shouldn't happen again.

-OK.

SIREN WAILS

I'm trying to thread a needle on a roller coaster.

It's an observation, Dom, not a challenge!

Be careful with him!

All right, easy boys, easy does it, he's losing blood.

Sam, are you OK?

-I'm fine, I'm fine.

-Is that everyone out, Doc?

-Yeah, all clear.

-OK, let's just get him down and clear.

Right, that blood's out. Can you grab me that?

-Right, she's gone into PEA. We need to ventilate now, OK?

-OK.

-David?

-You OK on compressions, yeah? 30, yup?

One, two, three...

I got it, I got it. Four, five, six...

-Nice and calm, Sam, please.

-..seven.

..eight, nine, ten, eleven...

..and 12, and 13, and 14, and 15, and 16, and 17...

..18, 19, 20, one, two...

..and 23, and 24, and 25, and 26, and 27...

..28, 29, 30.

-Lovely, and again.

-One, and two, and three...

Come on! Five, six, seven...

..eight, nine, ten...

..11, 12, 13, 14, 15, 16, 17...

..18, 19, 20, 21, 22, 23, 24, 25...

-Abdomen's rock hard.

-..26, 27, 28, 29, 30...

Sam, Sam, Sam, he's dead.

-He's dead.

-SHE SCREAMS WITH FRUSTRATION

He's dead.

David?

If you can still hear me,

I'm going to talk to your family,

I'm going to talk to Amanda and they...

They are going to know that you died trying to save her.

Thanks, fellas.

She's in PEA.

31 year-old female rescued from a cave collapse.

She's developed a cardiac tamponade

-as a result of injuries during the fall.

-Watch your back.

OK, let's get her straight into resus.

Great, thanks, Ted.

-Am I going to lose it?

-No. You may need further surgery,

but everything should be fine, for now.

Lloyd keep that...

-Tension pneumothorax.

-Well, I haven't got time for a fast scan.

How confident are you?

-Always very confident.

-That's good enough for me.

She's not responding to fluids and two doses of adrenalin.

I'll drain off her pericardium, I'll need her ventilated.

Sam's coming with another patient. She's had quite a fall. Open tib, fib and chest injuries.

She became acutely dyspnoeic,

developed a tension pneumothorax, which we drained in situ.

I noticed a raised JVP and pulsus paradoxus.

She arrested into PEA en route.

Can I have another adrenalin and two units of O neg?

Hey-hey. I might've known you'd be skiving.

Six units and someone call x-ray and ITU, please.

So, how you doing, then?

-MONITOR BEEPS

-We've got an output.

I think she's stable for now,

so why don't you go and get cleaned up, yeah?

OK.

From the moment that we moved that rock,

we both knew that this was almost certainly going to happen.

I just... I wasn't comfortable with...

Look, it didn't sit right with me, either.

But as it saved her life,

I think I'll live with the occasional sleepless night.

SHE CLEARS HER THROAT

Britney's made a final decision.

Looks like we're ready for court.

SHE SIGHS

Are the police informing David's parents?

Uh...yes.

I'm... I just wanted to say, um...

sorry about some of the things that I said earlier.

And, um...

I'm sorry for some of the things I have done in the past. Um...

Amanda's in ITU now.

And I didn't realise you saw our marriage like that.

Anyway, you did a fantastic job today

in very difficult circumstances

and you acted completely in the interests of both casualties.

If anybody asks, I will make sure they know that.

Sounds like an early draft of a written report.

Nobody's asked for a written report, have they?

SHE LAUGHS Calm down.

Thank you.

We can't go on like this, Sam.

I know. I know, it's just...

You, me, the GMC...

It's all just stuck.

Sorry, um, Dylan? Dr Hanna's looking for you.

Dylan?

Thanks for...

being a man about it.

You always knew how to cut through things and get me thinking straight.

Hi. Is this David's father? It's Dr Sam Nicholls here.

I was with David in the cave.

I just wanted you to know that he...

..he died a hero,

helping us to save another life.

And it was a privilege to know him.

Even briefly.

It sounds like you have company.

Yeah, I'll call you back later.

Hello, my name is Sam Nicholls.

I understand you deal with divorces.

If you could please give me a call back tomorrow. My number is 077

0099...

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