Wild Horses Casualty


Wild Horses

Jeff and Omar butt heads over what makes a good paramedic, while Linda is forced to choose between breaking the law and saving Annie.


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Transcript


LineFromTo

-No... NO!

-Ahhh!

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SHE SCREAMS AND WHIMPERS

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How's your head?

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Mm, it's heavy.

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You slept for hours.

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Didn't want to wake up.

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When you're better, we'll go away.

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Fresh start where no-one knows us.

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Soon as I'm better.

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-The police are on their way.

-Have they found him?

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-No, but they will.

-I was scared.

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Yeah, well, you're safe now.

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Scared...

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..if we...both came off smack together that...

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you'd end up hating me.

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So, that's why I went with him.

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Don't be stupid.

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One of us had to score.

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Have you been here all night?

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Where else would I be?

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-You need to have a scan.

-I thought the doctor said she was stable.

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A head injury has to be monitored.

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I'll try and get away from work when they bring her down, OK?

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Employee of the month!

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Whose idea was that?

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I think it was Omar's.

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Omar. Why doesn't that surprise me?

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We never meet our targets and we both know who's to blame.

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-He's a good paramedic.

-He's lazy.

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Anything for an easy life. People like him, they hold us back.

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20-minute walk, they said.

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Not in these shoes. Let's say I arrived at 8:15. No-one's any the wiser.

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I'm tired of being constantly assessed. "Pain Scores".

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"Performance initiatives". "CPIs".

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Since when did you take notice of CPIs?

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Ah... Since Tamzin and Jane joined the firm and nicked all our shouts.

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-Guys, this is Louise.

-Louise. New controller.

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-Ah. Hello, Louise.

-All right?

-Just done my three months basic.

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Putting some names to the voices.

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-Dixie.

-Jeff.

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3006. And Tamzin, Omar are...

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Don't worry about him. We've all got his number.

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She'll be here soon.

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Mum!

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There's no more chances.

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-Good to be out of the classroom. My training will be on the job.

-Yeah, it's the best way to learn.

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Could do without these forms though. "Off the shelf assessment"?

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-Duty Manager's office.

-Dixie, right?

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-Yeah, that's right.

-Couple more years. You'll be in that chair.

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-Ah, I'm glad someone has faith in me.

-Part of the job, Tamz. Unlocking potential.

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It's all there in the Best Practice guidelines. It's why they move us around.

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To experience a wide range of roles and levels within the service.

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My nan always said if she was ever, you know, critically ill,

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she'd rather end up Holby than St James'. Better standard of care.

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She died in bed, so we never got to test that theory.

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At St James' we delivered. Day in. Day out.

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This station needed...a new broom.

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Proficient. Professional.

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Organisational objectives.

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I've seen the future. Ring-fencing. Super hubs.

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-Emergency response points.

-You're more informed than we are.

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It pays to be prepared, Tamz, that's all I'm saying.

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-Now. Who's going to talk me through Risk Assessment?

-Him.

-Her.

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Can you never tidy quietly?

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You need to get dressed.

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-I need a moment's peace.

-It's important.

-Less of your lip. Go knock that kettle on.

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Don't be making her a cuppa tea.

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Your hair'll go up with all that stuff you put in it.

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Ah, you should have seen the sky last night.

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Never seen a sky like it.

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I was dancing home I was.

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Your man on the piano.

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# Where do you go to my lovely When you're alone in your bed? #

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Mam!

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Sound asleep when I looked in on you.

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-Sleeping like a baby.

-KNOCK AT DOOR

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Don't answer it.

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Hello, Ciaran.

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-Ah, not working?

-Yeah, I'm aware of that.

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-I told you, it's fake.

-It's genuine.

-Yeah, genuine knock off.

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Second hand.

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-I'm surprised it's got one. 50 quid!

-Very funny.

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-Ah, nah, can't be kosher at that price.

-What, are you an expert on gentlemen's timepieces?

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-Car park junkies...

-Sounds like a band.

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Preying on my stereo.

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No, they got nowhere else to go.

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The clinic is closed today.

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Provisions have been made for the uninformed.

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-OK?

-Bars on the windows.

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What's the place coming to?

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-NFA?

-No fixed abode, love.

-NTC.

-Not too clean.

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Sorry.

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Worse on inspiration,

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slight shortness of breath.

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Right, deep breath, please.

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-He needs a chest X-ray, Charlie. Can you send him through to resus?

-Sure.

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Let's get this off. Scarlett, I need his eye cleaned up.

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-Careful!

-Oh, sorry.

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Believe me. No-one is going to steal your hat.

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Who is this, Scarlett?

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Oh, ah, this is...Frank.

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-Hello, Frank.

-Er...no fixed abode.

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Laceration above his right eye.

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We can cope without you, Charlie.

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-That's reassuring.

-You've been assaulted.

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-The needle was clean.

-That's hardly the point.

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You're 15 minutes late.

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I know, I'm sorry, I had to go...

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My office. The Police. They'd like a statement.

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Welcome back, Linda.

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I've spoken to the warden.

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-It might have been the prawns.

-See?

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We knew it would be the prawns.

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Right, watch and learn. We'll get a stool sample, bloods, Us and Es, all right?

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-Charlie.

-Are we changing our policy on prescribed heroin?

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-Should you be in today?

-The Medical Director's office would like to know.

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Linda?

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OK, so, I'll tell them we are reviewing the policy, shall I?

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Yes. Why don't I do that?

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Chloe Trent. Any news?

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Intensive care. Go and see for yourself.

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I had to shut the clinic on safety grounds.

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And Chloe paid the price.

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I'm telling ya, bloke's a walking trauma magnet.

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All the best shouts. All the glory.

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-It's not a competition.

-We just look second rate.

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Well, speak for yourself.

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OK, this is William Obele.

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Sunnyvale retirement condo.

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Protracted vomiting for the last four hours.

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Stomach cramps and diarrhoea.

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-Oh... This guy's good.

-Two of his pals have already beaten him to it.

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Pulse is 110. BP is 110 over 70...

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-I've got it.

-Woooaahh!

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Yuk...

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Your teacher says you've been missing lessons.

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-That teacher knows nothing.

-Two days last week.

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You been wagging school? There.

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The teacher called you last Tuesday.

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-You calling my son a liar?

-Mrs McNeive, I have serious concerns...

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-You know what you can do with them.

-..about the welfare of your son.

-Me and me son are fine. Just fine!

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When did you last have a drink?

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Six weeks. Three days and counting.

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-If you're still drinking.

-I am not still drinking!

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Coming round here. Making accusations. I think you enjoy it.

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-I'm doing my job.

-You're spying on people.

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-Ciaran. Ciaran, we're not finished!

-Ciaran. Come back here!

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Where do you think you're going?

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Get him!

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Dinner money.

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Come and get it.

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You want some?

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Urrgh!

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Gimme a light.

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No!

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Get off!

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Aaargh!

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You're marked, gypsy boy!

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Let's go.

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Hey, Jeff. I'm having drinks after work to celebrate my prize.

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-You haven't won it yet.

-We're a small team. We'll get to you eventually.

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Listen, mate. I'm good at my job. I don't need a tin badge to remind me.

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-Ah, come on you two, give it a rest.

-You have persecution complex.

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-No, I have a you complex.

-Right! That's it!

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-I've had enough of this petty bickering.

-Well, tell Lone Wolf.

-Nah, Top Dog.

-Tamzin!

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You're working with me.

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-Right.

-You two, you're a team.

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-Ah, no way.

-I can't work with him.

-'3006 from Control, return to base.'

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Oh, it wasn't a request. I want this sorted.

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-'3006 receiving. We're on that. Over.'

-Dixie?

-End of shift.

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-OK. You drive.

-No, you drive.

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-I'll tell you what, Jane, I'll toss you for it.

-Excuse me?

-Never mind.

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-OK, I'll wait here.

-OK... Promise?

-Promise.

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I need some water.

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When was your last fix?

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A few days ago.

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-Where's the baby?

-She's with a friend.

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-What friend?

-You should save your concern for Chloe, OK?

0:11:250:11:29

Why don't you go home? Try and get some sleep.

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I'll sleep when she's better.

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RATTLES BAG

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Come on.

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HORSE NEIGHS

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Did you miss me?

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Look what I've got. Mmmm. Are you hungry?

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'Course you are.

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Come on! Faster! Faster!

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Faster, Silas!

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Come on, Silas!

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SHOT FIRES

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HORSE NEIGHS

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Call centre. Got repetitive. I didn't like my boss. So I thought, Ambulance Control.

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Give it a whirl. You're a good listener. You empathise. You're always on the phone.

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How's it been so far?

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I've really found my niche. I could see myself managing a team.

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-Want one?

-Have to watch the carbs. Sitting in that chair all day. Perfect weight for my height.

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-Perhaps Louise could hitch a shout with us?

-Check things out at street level.

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Yeah, yeah, maybe. But it'd have to be a non-urgent.

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Don't worry. We covered it all in training.

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We did role play, right.

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Recognised question protocol.

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"My daughter's choking." "Do not leave the child."

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"Is there anyone there you can call for help?" It didn't have the thrill of a real emergency.

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I have to say, Tamz, I'd never have you down as a paramedic.

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-Well, the same thought occurred to me.

-Ah...

-'Holby control to 3006.

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'RTA. Panton Street. Motorcyclist in a collision with a lorry.'

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3006 received. Over.

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Now that sounds like Brian.

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Training Supervisor. Bit too hands on for my...

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Those targets are pure fantasy, mate.

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-Excuses.

-Demographics. Extenuating circumstances.

0:14:140:14:16

Long words. You wouldn't understand.

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-You don't like me because I'm a better paramedic.

-No, I don't like you cos you bad mouth me.

0:14:220:14:27

-And you try and schmooze Dixie.

-She likes to be schmoozed. Maybe you should schmooze her more.

0:14:270:14:32

-OK, young man. We're here now. Just going to take your head.

-Get off me.

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-OK, you need to keep still.

-Can you, can you grab us a scoop please?

-Yeah, sure.

0:14:360:14:41

-All right. What's happened here, young fella?

-He, erm... He fell off a horse.

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Travellers. They let them run wild.

0:14:450:14:48

-He ain't wild. I need to find him.

-Find who?

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Silas.

0:14:500:14:52

Silas your horse, yeah?

0:14:520:14:54

-He took off.

-I'm sure he can't have gone far.

-He'll be frightened.

-Good.

0:14:540:14:58

Here, we'll get this around your neck.

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-I... I'll keep a look out for him.

-No! I'm not going. You can't make me.

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We can keep you here if you want.

0:15:040:15:07

Listen, mate, you have to calm down, OK?

0:15:070:15:10

Now, I'll get you into hospital and get you to see a doctor. And then I'll tell you what...

0:15:100:15:14

-I might just come back here and look for your horse.

-No wonder we miss response times.

0:15:140:15:19

-Let's just lift him up and get him in, shall we?

-Yeah, sure.

0:15:190:15:23

Come here! Come here!

0:15:400:15:44

He had it coming. He busted my nose.

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You touch my gun again and I'll do more than bust your nose.

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Do you hear me?

0:15:500:15:52

Give your brother a hug.

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You want to get someone to take a look at that.

0:16:060:16:08

There's a bit of a backlog.

0:16:180:16:20

Waiting for a neck injury...

0:16:210:16:25

She's in good hands, you know.

0:16:270:16:29

I need some money.

0:16:310:16:33

-Ooh, well I think I got a couple of bob...

-Fifty quid.

0:16:330:16:36

Ah, no, no, Annie, enough of that muck.

0:16:360:16:38

-C'mon, Big Mac.

-No, Annie!

0:16:380:16:41

-I'll make it worth your while.

-< Clear!

-I...

0:16:410:16:44

Chloe? Chloe!

0:16:440:16:46

The clinic closing down is very frustrating, I know, but...

0:16:500:16:53

Are you trying to give me a pep talk?

0:16:530:16:55

-Yes.

-OK.

0:16:550:16:57

I just don't think we can afford to take it personally.

0:16:570:17:02

-If we do, we've lost the battle.

-It gets under your skin, Charlie.

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In my case, literally.

0:17:060:17:08

-Can we have some help in resus, please!

-I've got this covered.

-OK.

0:17:100:17:13

Mind your backs!

0:17:130:17:15

Um. Excuse me!

0:17:160:17:18

I told them not to move her.

0:17:190:17:21

-Right. Where do you want her?

-Here, please.

0:17:230:17:26

Let's get her intubated straight away. She's got a subdural haemorrhage with a new bleed.

0:17:260:17:30

-Lenny, can you start manual ventilations, please?

-Yes.

0:17:300:17:34

-Careful, Scarlett.

-Oh!

0:17:430:17:45

Boy with no name. Fell off a horse.

0:17:450:17:47

-OK, get him into Paeds.

-Wasn't KO'd. Query fractured left clavicle.

0:17:470:17:51

Pulse 125 systolic. He's had two and a half of morphine.

0:17:510:17:53

Where did you find him?

0:17:530:17:55

Holby Pony Club.

0:17:550:17:57

Trevellan Estate.

0:17:590:18:02

OK, talk to me.

0:18:020:18:03

Subdural haemorrhage GCS. Dropped in CT.

0:18:030:18:05

-OK, I've got this. You go.

-Sure?

0:18:050:18:08

-Yeah.

-Er... BP 220 over 138.

0:18:080:18:11

This is an ITU patient. What's she doing here?

0:18:110:18:14

I'll call them.

0:18:140:18:16

OK, team. Let's get her stabilized, please.

0:18:160:18:19

Yeah, we've got one of your patients in resus. Chloe Trent.

0:18:190:18:24

Hi, I'm Dr Hannah. What's your name?

0:18:240:18:27

Have to call you something. Did you bang your head?

0:18:280:18:31

-No.

-Airway's patent. Good.

0:18:310:18:33

-Do you know where he lives?

-We're heading back to base. We can ask around.

0:18:330:18:37

-Like we have nothing better to do. Let's go.

-Ok, primary survey.

0:18:370:18:42

Chest movements equal. Vesicular sounds bilaterally symmetrical.

0:18:420:18:45

Obvious left clavicular fracture. You've broken your collar bone. That's this bone here.

0:18:450:18:50

-I'm not stupid.

-Possible fractures.

0:18:500:18:52

-9th and 10th ribs. Left side.

-HE GROANS

0:18:520:18:54

We'll need lateral cervical spine.

0:18:540:18:57

Chest and pelvis. BP. Pulse.

0:18:570:19:00

Two lines. Take bloods. Got that?

0:19:000:19:01

More or less.

0:19:010:19:03

Let's get up 20% Mannitol please.

0:19:030:19:05

Chloe? What's going on?

0:19:050:19:07

-Get her out please.

-Let them get on with their work. You just wait outside...

0:19:070:19:11

-Just wait outside.

-Is she going to be OK?

0:19:110:19:13

Pupils fixed and dilated.

0:19:130:19:15

She's arrested.

0:19:150:19:17

Begin VF. Ok, let's shock her.

0:19:170:19:18

Put the defib in please, Wayne.

0:19:180:19:21

Quick as we can.

0:19:210:19:22

Dr Hannah?

0:19:250:19:26

There's a burn on his face.

0:19:260:19:28

Well spotted.

0:19:280:19:30

-He didn't get that falling off a horse.

-Acute injuries first, Scarlett. Let's get him X-rayed,

0:19:300:19:36

then we'll deal with any other concerns.

0:19:360:19:38

Right.

0:19:400:19:42

-Still asystolic.

-OK.

0:19:450:19:48

Another milligram of adrenalin.

0:19:480:19:50

Initial VF unresponsive to three shocks. In PEA for ten minutes and now asystole.

0:19:510:19:58

Pupils?

0:19:580:19:59

MACHINE BEEPS

0:19:590:20:02

Both still fixed and dilated bilaterally.

0:20:020:20:06

Is it time to let her friend in?

0:20:060:20:08

OK. Forget the adrenalin.

0:20:100:20:12

I'm going to call it.

0:20:120:20:14

Time of death 11:09.

0:20:140:20:16

What? No. No. No. She was talking.

0:20:160:20:19

Tell him. Tell him. She was talking.

0:20:190:20:21

Sorry... She's gone.

0:20:210:20:25

-You should've never said you'd look after the horse.

-I had to get him in the ambulance somehow.

0:20:300:20:35

You know where I come from, a man's word is his honour. Pick them up.

0:20:350:20:39

Drop them off. End of story.

0:20:390:20:40

Listen, mate, this lady's son's lying in hospital.

0:20:400:20:43

-I think she has a right to know, don't you?

-You get too involved.

0:20:430:20:46

No, that's your problem. This job isn't about stats, it's about people.

0:20:460:20:50

Hello! Ambulance service.

0:20:520:20:55

Sure you got right address?

0:20:580:20:59

Well, you were there when I asked.

0:20:590:21:02

Waste of time.

0:21:020:21:04

Right, OK, listen. We finish the shift, OK? We prove Dixie wrong.

0:21:040:21:08

Yeah, after that - Ma'salama.

0:21:080:21:09

You said it.

0:21:090:21:11

Wait.

0:21:110:21:13

-What?

-I heard a noise.

0:21:130:21:15

Hello!

0:21:180:21:19

All right, love, don't move. We'll get you out.

0:21:190:21:23

-What are you doing?

-What's it look like?

-No, no, no. Wait.

0:21:250:21:29

-We call the police. Follow procedure.

-Forget procedure. There's a lady lying on the floor.

0:21:290:21:33

Get onto control. Tell them we've got a running call, OK?

0:21:330:21:37

Let me do it.

0:21:390:21:40

I must have tripped.

0:21:440:21:46

What have you done to me door?

0:21:460:21:49

-All right, Mac?

-It's broken, innit?

0:21:550:22:00

Er, sorry, the watch.

0:22:000:22:03

SIRENS BLARE

0:22:030:22:06

-Don't mind me. I'll be fine.

-OK. Off.

0:22:210:22:24

Now you find that little toe rag and you tell him to keep his mouth shut.

0:22:310:22:35

Come here.

0:22:380:22:39

Go on.

0:22:420:22:44

So where do you keep this horse?

0:22:470:22:50

Must be hard work.

0:22:500:22:52

We should really call your mum. She'll be worried.

0:22:520:22:57

The more you keep people guessing, the more questions they'll ask.

0:22:570:23:01

Ciaran. Me name is Ciaran.

0:23:010:23:04

Ciaran.

0:23:050:23:08

-That's a nasty burn on your face.

-It's nothing.

0:23:080:23:11

-Doesn't look like nothing.

-Well, I'm telling you it is.

0:23:110:23:15

We should notify her next of kin.

0:23:210:23:23

She's already dead to them.

0:23:230:23:25

-You need to see a doctor.

-I need a fix.

0:23:270:23:29

You need a fix!

0:23:290:23:31

Annie, look at her!

0:23:310:23:34

Look at her!

0:23:340:23:35

What's it going to take?

0:23:380:23:40

Horse Boy's X-rays.

0:23:450:23:48

Great.

0:23:480:23:50

OK. Let's have a look.

0:23:520:23:54

Cervical spine,

0:23:560:24:00

vertebrae, thoracic junction.

0:24:000:24:01

-All normal.

-Malnourished.

0:24:010:24:04

Older cuts and bruises.

0:24:040:24:06

-The boy's chest X-ray.

-Oh, great.

0:24:060:24:08

Ah.

0:24:140:24:15

-Fluid in the left costophrenic angle.

-Ruptured spleen?

0:24:180:24:21

Could be a slow bleed. Right, Lloyd, we need a CT scan urgent.

0:24:210:24:25

Just keep your nose out of it. I'm sick of people interfering.

0:24:290:24:32

-All right, calm down.

-Everything all right?

0:24:320:24:34

This sling's too tight.

0:24:340:24:36

It looks fine to me.

0:24:360:24:38

-You wear it then.

-His name is Ciaran.

0:24:380:24:40

Clearly you two have bonded.

0:24:400:24:42

-Can I go now?

-Not yet, sunshine. Does that hurt?

0:24:420:24:44

No.

0:24:440:24:46

-All clear for CT.

-Let's get him straight down there.

-Quick as you can, please!

0:24:480:24:51

-We should call social services.

-No, we should stabilise him first.

0:24:580:25:02

-He's scared.

-Our priority has to be emergency treatment, Scarlett.

0:25:020:25:05

-Dr Hannah.

-Yeah?

-Shelagh McNeive. Fell at home. Possibly KO'd. Lacerations to the head.

0:25:050:25:10

-I want to see my son.

-He fell off a horse.

0:25:100:25:13

-He doesn't have a horse. I keep telling you.

-Have you fallen over before?

0:25:130:25:17

I wasn't drunk. If that's what you mean.

0:25:170:25:19

I didn't mean that. Can I have a look?

0:25:190:25:22

Yeah, OK, thanks.

0:25:220:25:24

-Could you take her through. I won't be long.

-Yeah, OK.

0:25:240:25:26

-Scarlett, she'll need a couple of stitches, LFTs glucose and bloods and a full tox screen.

-OK.

0:25:260:25:33

And how did you do it again?

0:25:330:25:35

Walked into a door.

0:25:350:25:37

Right.

0:25:390:25:41

Well, we'll wait a few days for the swelling to go down then get you in for an X-ray.

0:25:410:25:45

-That's it?

-That's it.

0:25:450:25:47

Er...no. Nah, nah, no way.

0:25:500:25:51

-Oh, come on, Lenny.

-We're not here to chaperone smack heads.

0:25:510:25:55

She's trying to get off it.

0:25:550:25:56

-So she can get off it somewhere else.

-Give her something to straighten her out.

0:25:560:26:00

-You OK there? I'm Dr Lyons...

-You have an obligation to treat her.

0:26:000:26:04

Excuse me one second.

0:26:040:26:06

This is an Emergency Department.

0:26:060:26:09

Those are addicts.

0:26:090:26:11

-I don't need an ethics lesson from you.

-You're all heart. You know that?

0:26:110:26:14

Oh, right, so should we invite them all in?

0:26:140:26:17

-Can we keep it down?

-Sorry. But she is taking up a bed.

0:26:170:26:19

-She has a name. And you're out of order.

-Linda!

0:26:190:26:22

We will refer Annie to a pharmacy and she can get a dose of oral methadone there.

0:26:220:26:27

It's the other side of town. She can barely cross the street.

0:26:270:26:30

Well, I'd give her the bus fare, eh, but oh, no, she'd spend it on smack.

0:26:300:26:35

Thank you, Dr Lyons.

0:26:350:26:37

Annie, please wait...

0:26:370:26:38

-See! She's going back on the streets to score.

-Linda.

0:26:380:26:41

-And you know what she'll do to pay for it.

-Linda!

0:26:410:26:44

-If we gave her some morphine...

-It is not going to happen.

0:26:440:26:47

I'm sorry.

0:26:470:26:48

Ciaran McNeive.

0:26:510:26:53

It's a child protection issue.

0:26:530:26:55

Shouldn't you be with him?

0:26:570:26:58

-Er... Staff Nurse Conway. Holby City ED.

-What are you doing?

0:26:580:27:02

-Great. As soon as you can, please. Thank you.

-Hang on.

0:27:020:27:04

-Did Tess ask you to make this call?

-You should see his mother, Jay.

0:27:040:27:08

Scarlett, there is a procedure for this type of thing, yeah?

0:27:080:27:11

She can barely stand up.

0:27:110:27:12

Be cool.

0:27:160:27:18

Suppose you think it's funny?

0:27:230:27:25

I didn't know you'd faint.

0:27:250:27:27

I didn't faint. I came over a bit queasy.

0:27:270:27:29

Can't stand the sight of blood.

0:27:290:27:31

Maybe you should see a doctor?

0:27:310:27:34

Hospitals give me the creeps.

0:27:340:27:36

I've ticked all my boxes.

0:27:380:27:40

-They'll be missing me back at Control.

-We can drop you off.

0:27:400:27:44

No! I've had my fill of ambulances. Fresh air'll do me good.

0:27:440:27:47

Louise! You've got something on your...

0:27:470:27:50

Oh, no matter.

0:27:500:27:51

The bus stop's by the main gate.

0:27:510:27:53

Give her a break. She's finding her feet.

0:27:530:27:56

Finding her feet?

0:27:560:27:57

She's a liability.

0:27:570:28:01

C'mon.

0:28:010:28:02

What have you been saying?

0:28:050:28:07

-Nothing.

-One word and I'll finish that horse proper.

0:28:070:28:13

Understand?

0:28:130:28:14

Hey. Hello, son.

0:28:140:28:18

-Is he a friend of yours?

-Did you find him?

0:28:220:28:25

-Yeah, well, um... Thing is...

-You said you would.

0:28:250:28:28

Yeah, I know that. I've been a bit busy.

0:28:280:28:31

Someone shot him.

0:28:310:28:33

-What are you doing?

-Phoning the police.

0:28:350:28:37

Not the cops.

0:28:370:28:39

Well, I'm afraid you don't get to choose.

0:28:390:28:42

He's not mine.

0:28:420:28:43

He never gets ridden...

0:28:450:28:47

Just left there.

0:28:470:28:49

I wasn't hurting no-one.

0:28:490:28:51

Someone here to see you.

0:28:510:28:53

-Ah, Ciaran.

-I told you not to call her!

0:28:530:28:56

What? Here? No.

0:28:580:29:00

-No, I can't do this here.

-Do you want to get clean?

0:29:000:29:03

I'll ring around a few places and try and sort something out. Come on. Lie down.

0:29:030:29:07

-Listen to music.

-No, don't leave me.

0:29:080:29:10

I'll be back to check on you.

0:29:100:29:13

Why are you doing this?

0:29:130:29:15

Because you're too good to lose.

0:29:150:29:19

She was right to contact me.

0:29:350:29:36

She should have conferred with me first.

0:29:360:29:39

Shelagh McNeive is an alcoholic.

0:29:390:29:40

She was drunk when I went round there this morning.

0:29:400:29:44

-Can you chase up the CT scan?

-I'm on it.

-And get some theatre space booked.

0:29:440:29:48

-I want to be covered. Frankie!

-Ciaran is registered under the child protection scheme.

0:29:480:29:53

-I'm not convinced his mother can take care of him.

-And who called you?

-I did.

0:29:530:29:57

-Why didn't you ring me?

-I knew you'd be drunk.

0:30:010:30:04

I wasn't drunk. I fell over.

0:30:040:30:07

-You've been telling me lies.

-No.

0:30:070:30:09

Missing school.

0:30:090:30:11

Stay away from that horse.

0:30:110:30:13

-I won't.

-You will.

-I won't.

0:30:130:30:15

This really isn't the time for social worker intervention.

0:30:150:30:19

-The wound on his face. It looks like a cigarette burn.

-And you think it was me?

0:30:190:30:23

No-one is making accusations.

0:30:230:30:25

You think I would burn my son?

0:30:250:30:28

-Somebody did.

-With a cigarette?

-Ciaran. How did it happen?

0:30:280:30:31

This is what she wants. Don't you see?

0:30:310:30:34

I'll be recommending short term foster care.

0:30:340:30:36

-I don't wanna go into care.

-Ciaran, if I don't know what happened, I haven't got a choice.

0:30:360:30:41

I would never lay a finger on him.

0:30:410:30:43

-What Ciaran needs right now is calm and quiet.

-Who was it, Ciaran?

0:30:430:30:47

-I can't...

-They'll take you away from me.

-No!

-Then tell them!

0:30:470:30:51

Just lads on the estate.

0:30:510:30:53

-And why didn't you tell me?

-Cos they pick on me because of you.

0:30:530:30:58

-Shelagh McNeive's tox results.

-Thank you.

0:30:580:31:02

No alcohol in the blood or urine. She hasn't had a drink.

0:31:050:31:09

Wouldn't listen.

0:31:120:31:15

HEARS VOICES: "Didn't wanna wake up.

0:31:150:31:17

"When you're better, we'll go away, fresh start where no-one knows us."

0:31:170:31:21

"Look at her, Annie!"

0:31:210:31:22

Oooh.

0:31:220:31:24

"Look at her! D'you want to get clean?"

0:31:240:31:27

-VOICES CONTINUE:

-"What's it going to take?"

-"I need a fix."

0:31:270:31:31

"You need a fix? Look at her, Annie."

0:31:310:31:35

"Look at her!"

0:31:370:31:39

Oh, no. No.

0:31:390:31:42

"I need money... C'mon, Big Mac."

0:31:460:31:49

"No, Annie!"

0:31:490:31:51

"I'll make it worth your while."

0:31:510:31:54

"Annie. Look at her!"

0:31:540:31:55

VOICES CONTINUE

0:31:570:32:00

"Get her out, please."

0:32:040:32:05

"Let them get on with their work. "Just wait outside."

0:32:050:32:08

-"Will she be OK?"

-"Pupils fixed and dilated."

0:32:080:32:12

"Time of death 11:09."

0:32:130:32:16

SHE SCREAMS

0:32:160:32:18

Annie MacLean, she needs a place today.

0:32:200:32:23

Anybody seen my keys?

0:32:230:32:25

How much? You're supposed to be a bloody charity!

0:32:270:32:31

No, don't put me on hold.

0:32:310:32:33

There are procedures in place for suspected abuse and they're there for a reason.

0:32:330:32:37

-You completely undermined me.

-I was using my initiative.

0:32:370:32:39

-Is that what you call it?

-You were dealing with a death in resus.

-Jay.

0:32:390:32:43

-OK, I should've informed you when Scarlett called social services.

-You were in on this?

0:32:430:32:47

-It had nothing to do with Staff Nurse Faldren.

-I'm relieved, as he should know better.

0:32:470:32:52

-She acted in the patient's interest.

-She crossed a line.

0:32:520:32:55

Do you know what? I'd do it again.

0:32:550:32:57

The boy needs looking after. Isn't that what we're here for?

0:32:570:33:01

We work as a team in the ED.

0:33:010:33:04

We have to. And if you want to get on, you'll do well to remember that.

0:33:040:33:08

-CT scan.

-Thank you.

0:33:130:33:18

Tess. He is bleeding from the spleen.

0:33:180:33:21

If that bursts, the bleed will be torrential. Can you page a surgical registrar?

0:33:210:33:25

-Jay?

-Yeah?

-You need to get him prepped for theatre.

0:33:250:33:27

Linda!

0:33:310:33:32

-LET ME OUT!

-Hey, what?

0:33:340:33:36

What you doing in my office, man. It's out of bounds.

0:33:370:33:40

-I really need a fix.

-Ah, sweetheart. That's the last thing you need. All right?

0:33:400:33:45

-I thought we were friends.

-Yeah, well we are... We were...

-Help me out, Big Mac.

0:33:450:33:49

-It's 30 quid. Who'll know?

-Oh, love, you really don't want to do this, all right?

0:33:490:33:53

-I know you want me. I've seen you look.

-No. Do I look that desperate or what?

0:33:530:33:57

It's always men like you.

0:33:570:33:59

-Ah, no. C'mon.

-Come on, Big Mac.

-Stop it.

0:33:590:34:01

-Help me out!

-Stop it! All right?

0:34:010:34:03

Help me out! I'm going to be sick.

0:34:030:34:08

-I wasn't going to do anything, was I?

-Don't.

-What?

0:34:080:34:11

Hang on. What about you?! Locking her in here, man?

0:34:110:34:14

Look, Linda, love, you have to be careful.

0:34:350:34:38

Annie is an addict! She plays people!

0:34:380:34:40

-She needs me.

-You have to let it go!

-I can't.

0:34:400:34:43

So what? Dropping me in it? How is that helping?

0:34:430:34:49

Annie?

0:34:510:34:52

Annie?

0:34:520:34:54

-Big Mac?

-What the...?

0:34:540:34:58

OK... Come on. BIG MAC!

0:35:010:35:04

-Get a trolley. Now!

-Oh, no!

0:35:060:35:08

Who's the Prime Minister?

0:35:100:35:12

Tony Blair... Erm, it was Tony Blair.

0:35:130:35:17

It's, well, the other one. Whatshisname.

0:35:170:35:19

Can you look at my finger?

0:35:190:35:20

I'm staring at your finger.

0:35:200:35:22

Vertical ophthalmoparesis.

0:35:220:35:25

-I think you have enough.

-Enough for what?

-A diagnosis.

0:35:270:35:30

You have three classic symptoms, confusion, ophthalmoplegia, ataxia?

0:35:300:35:34

Yeah.

0:35:340:35:36

We think you're suffering from a condition called Wernicke's Encephalopathy.

0:35:360:35:40

It's particularly associated with alcoholism. If left untreated,

0:35:400:35:43

it can lead to anterograde amnesia, brain damage...

0:35:430:35:47

-subacute degeneration of the spinal cord...

-Thank you. Let's not get ahead of ourselves.

0:35:470:35:53

I came here to see my son. He...he fell off a horse.

0:35:530:35:56

97 over 67.

0:35:560:35:59

I can't go in a home. She needs me.

0:35:590:36:01

If they find out I've grassed.

0:36:010:36:03

-They'll go after Silas.

-Pulse 80.

0:36:030:36:07

Mind your backs. Coming through.

0:36:120:36:14

She vomited. I found her choking, Diminished cough reflex.

0:36:140:36:17

-I'll page Mr Jordan.

-Acute heroin withdrawal.

0:36:170:36:21

-Two days since her last fix.

-Straight in.

0:36:210:36:24

Her O2 sats are through the floor.

0:36:280:36:32

-Where did you find her?

-Toilet.

0:36:320:36:33

Recently admitted for a DVT. She's on a course of heparin.

0:36:330:36:36

Let's get some suction there please. Quick as you can.

0:36:360:36:40

OK. IV line in.

0:36:400:36:43

Let's get the suction in. OK. Get in there.

0:36:430:36:46

MACHINE BEEPS

0:36:460:36:47

-All right.

-She's fitting.

-Hold her still. Hold her still!

0:36:470:36:50

Remove this obstruction.

0:36:500:36:52

MACHINE BEEPS CONTINUOUSLY

0:36:560:36:58

HE GRUNTS

0:37:020:37:04

CHOKING

0:37:040:37:06

All right. That's it.

0:37:060:37:08

-That's clear.

-Um... I can't find a vein.

-Try her foot.

0:37:080:37:11

-Let me take that.

-Let's get the oxygen back on, Linda.

0:37:110:37:15

Yep. I think it's clear. OK.

0:37:150:37:17

O2 sats are nearly back to normal.

0:37:170:37:19

Good. Thank you. Dr Lyons?

0:37:190:37:22

-How we doing?

-Yeah, got one.

0:37:220:37:25

Good. OK. Let's do an ECG, please, some gases.

0:37:250:37:28

Can we get a blanket. Keep her warm. Keep the oxygen on.

0:37:280:37:31

Thanks, guys.

0:37:310:37:32

Oh...

0:37:400:37:41

OK, and don't forget the date.

0:37:410:37:43

-Hey, Tess.

-Yep.

0:37:430:37:45

This is Mandy. 38. Asthma attack.

0:37:450:37:47

Peak flow 200. Sats of 94%.

0:37:470:37:50

Five milligrams of Salbutamol.

0:37:500:37:53

OK, Mandy. Just shifting you over, all right?

0:37:530:37:57

-Four more hours. End of shift.

-Celebration drinks on me.

0:37:570:38:01

-What's this?

-Employee of the month.

0:38:010:38:03

You win that prize, I'll bare my arse in Holby Cathedral. Know what I mean?

0:38:030:38:07

I'll look forward to that, Jeff.

0:38:070:38:10

-You were watching him.

-They were assisting me in resus.

0:38:100:38:12

-What and he just walked away?

-What now?

0:38:120:38:14

-Ciaran McNeive's disappeared.

-You're joking.

-Do I look like I'm joking?

0:38:140:38:18

-Tess, get onto the police.

-Where are you going?

-To tell his mother.

-We need to find him fast.

0:38:180:38:22

Yeah, it's OK. I know where he is.

0:38:220:38:25

-I will call control. Get it cleared.

-If we'd looked for that horse in the first place...

0:38:280:38:32

-That's what I need. A guilty paramedic.

-If I'm guilty, it's down to you.

0:38:320:38:36

Right, c'mon. Chop-chop.

0:38:370:38:39

This horse. Any distinguishing features?

0:38:410:38:45

Four legs and a tail?

0:38:450:38:47

C'mon! We still here?

0:38:470:38:49

Line them up then, bruv.

0:38:570:38:59

-When can I have a go?

-Whoa.

0:38:590:39:01

What have I told you about touching my gun?

0:39:010:39:03

Now line 'em up.

0:39:030:39:05

What are you doing?

0:39:150:39:16

-NEIGHING

-Oh...

0:39:180:39:20

CLATTER OF HOOVES

0:39:200:39:23

Look who it is.

0:39:230:39:26

He's come home.

0:39:260:39:28

How are you feeling?

0:39:300:39:32

How do you think I'm feeling?

0:39:320:39:34

They're keeping you in overnight.

0:39:360:39:39

An hour ago they couldn't wait to get rid of me.

0:39:390:39:41

-I'll get you another blanket.

-You should've left me.

0:39:430:39:45

-It would've been better for everybody.

-What happened to Chloe wasn't your fault.

0:39:450:39:51

-If I'd have gone with her.

-And if I hadn't have sent her away.

0:39:510:39:54

-SHE SIGHS

-She never stood a chance.

0:39:540:39:58

The odds were stacked against her.

0:39:580:40:01

Ok, I'll give you an IV drip, B Vitamins infusion and something to stave off the DTs.

0:40:040:40:08

I'd forget where I lived if I didn't write it down.

0:40:080:40:11

Catch this illness early enough, and you'll often see a marked improvement.

0:40:110:40:15

Wait and see?

0:40:150:40:18

It must be hard coping on your own.

0:40:180:40:20

-Ciaran's a handful.

-Hmm, and where's his dad?

0:40:200:40:24

He left cos I drank.

0:40:240:40:26

I drank cos he left.

0:40:260:40:28

If you want to get better you can never have another drink again.

0:40:300:40:33

Crying shame.

0:40:330:40:35

Ain't it just?

0:40:350:40:37

Come on, Tone. That's enough.

0:40:400:40:46

Shoot at his feet.

0:40:460:40:47

Go on. Make him dance.

0:40:470:40:49

-I wanna go home.

-Just do it.

-No!

-Do it!

0:40:540:40:58

-Leave him alone!

-Oh, look who it is.

0:41:010:41:04

-Run along, chav boy.

-I ain't scared of you.

-Yeah?

0:41:040:41:07

Well, you should be. Maybe I'll finish the job.

0:41:070:41:10

HE GROANS

0:41:100:41:11

What's wrong with him?

0:41:110:41:14

He's drunk like his mother. Oi, gypo, get up!

0:41:140:41:18

HE RETCHES

0:41:180:41:19

What have you been saying?

0:41:190:41:21

SIREN BLARES

0:41:210:41:23

-I told you to keep him quiet.

-I did. I warned him.

0:41:230:41:25

We should wait for assistance.

0:41:280:41:30

Yeah, I know. POLICE SIREN IN BACKGROUND

0:41:300:41:33

I can't help myself.

0:41:330:41:35

C'mon, mate, really? What will you do, son?

0:41:410:41:43

Shoot me too?

0:41:430:41:45

What? You think I wouldn't?

0:41:450:41:47

Listen, kid. Walk away.

0:41:470:41:50

He fell down. I never touched him.

0:41:520:41:54

Get off!

0:41:540:41:56

-The horse is wounded.

-Yeah, I know.

0:41:560:41:59

He won't let us near him, will he?

0:41:590:42:01

HORSE NEIGHS NERVOUSLY

0:42:010:42:03

OMAR SPEAKS SOOTHINGLY IN ARABIC

0:42:070:42:09

CONTINUES TO SPEAK ARABIC

0:42:110:42:14

OK. Ciaran? Can you hear me?

0:42:160:42:18

-Look after Silas.

-I will.

0:42:180:42:21

-Promise.

-I promise.

0:42:210:42:23

SPEAKS SOOTHINGLY IN ARABIC

0:42:230:42:25

Ciaran McNeive. Ruptured spleen. GCS 13. Pulse 100.

0:42:250:42:29

BP is 90/50 and resps are at 23.

0:42:290:42:32

Ok. Thanks, Jeff. First bed, please. Let's get a big peripheral line in.

0:42:320:42:35

-Scarlett?

-I'm on it.

-We'll need four units of group specific blood stat.

0:42:350:42:39

Ok, let's lift him on three... One, two, three.

0:42:390:42:41

Can I leave this with you, Zoe?

0:42:410:42:43

-Yeah, got it.

-OK. I'll update surgeons ready to transfer him as soon as they call down for him.

0:42:430:42:48

-Ciaran. You're OK. He's OK, isn't he?

-Yeah.

0:42:480:42:51

-He's been very lucky.

-Hey! Luck had nothing to do with it.

0:42:510:42:54

-Thanks for finding him.

-That's all right. It was a team effort.

0:42:540:42:58

Was that a compliment? >

0:42:580:42:59

No chance. C'mon. >

0:42:590:43:03

-It's working again.

-That's a day of your life you'll never get back.

0:43:050:43:08

Yeah. To be honest, I don't think I want it back.

0:43:080:43:11

-Hey! Well done, boys.

-Part of the job, innit?

0:43:110:43:14

-Sterling effort.

-So how is the kid?

0:43:140:43:17

Ah, he's a little fighter, in't he? MOBILES RING

0:43:170:43:21

-You are joking!

-I don't believe it.

-Well, it's not important anyway.

0:43:210:43:25

Get in! Employee of the month!

0:43:250:43:27

-I think this calls for a drink, young lady.

-I think this calls for a few, Big Mac.

0:43:270:43:31

-And don't I need one.

-Meet you there.

0:43:310:43:33

Right! Your round, Collier.

0:43:330:43:35

Nah. There's something I have to do first.

0:43:350:43:38

-Nice lines.

-Objects are easy.

0:43:440:43:47

They don't answer back, eh?

0:43:470:43:49

-You didn't have to cover for me.

-You're a good nurse.

0:43:490:43:53

You need to learn to do what you're told a little bit but...

0:43:530:43:56

So, break over. I want to see you insert this catheter.

0:43:560:44:00

What if someone comes in?

0:44:000:44:02

Funny. C'mon.

0:44:020:44:04

-You think I'm ready?

-I know you're ready.

0:44:040:44:07

Let's do it.

0:44:070:44:09

-Did you see their faces?

-At least Jeff didn't win.

-I thought you two were OK now?

0:44:100:44:14

A truce is just a lull in battle.

0:44:140:44:17

All right. So what d'you say? Quick change and down the pub?

0:44:170:44:20

First let's celebrate our prize.

0:44:200:44:22

"Our prize"?

0:44:220:44:23

So what, now it's a team effort?

0:44:230:44:25

-You would never have done it without me.

-Fair enough.

0:44:260:44:29

We'll make a paramedic of you yet.

0:44:290:44:32

Well, don't tell Omar.

0:44:320:44:35

You sorted it out?

0:44:350:44:36

Well, let's just say we've reached an understanding.

0:44:380:44:41

Back to basics then.

0:44:410:44:43

Dream team.

0:44:430:44:46

Oh, I don't know.

0:44:460:44:48

Change is as good as a rest, innit?

0:44:480:44:50

I think I might do a shift with the lovely Tamzin.

0:44:500:44:54

I don't think you will.

0:44:540:44:56

Jeffrey?

0:44:580:45:01

I was beginning to get used to this place.

0:45:010:45:04

You said you were missing the gang.

0:45:040:45:06

Yeah, well, like Louise said, pays to be prepared.

0:45:060:45:09

-That light was on red.

-Light was not red.

0:45:090:45:11

You need to get your eyes tested.

0:45:110:45:13

I've been tested enough today, thank you very much!

0:45:130:45:16

-Are you still here?

-You see?

0:45:160:45:18

-He had to gloat.

-Sorry, not with you.

0:45:180:45:21

We thought you'd be getting the drinks in.

0:45:210:45:23

They're sending us back to St James's.

0:45:230:45:25

Right.

0:45:250:45:27

This isn't down to you, is it?

0:45:270:45:30

No. No, I don't know anything about it.

0:45:300:45:33

-So when you off?

-End of week.

-That soon?

0:45:340:45:36

There's no point hanging around.

0:45:360:45:39

Well, this could be like a leaving do then.

0:45:420:45:45

Double celebration.

0:45:450:45:47

We'd better get going, actually.

0:45:470:45:50

Right, well, I'll just pop these in the office.

0:45:500:45:54

Yeah. I'll, er...

0:45:560:45:59

Didn't see that coming.

0:46:090:46:11

Well, it's dog eat dog, Jeffrey. Dog eat dog.

0:46:110:46:14

Are you discharging yourself?

0:46:240:46:27

I need to check on Evie.

0:46:270:46:29

-And then what?

-Do you want me to spell it out for you?

0:46:290:46:32

Annie, you're in no fit state to go anywhere.

0:46:320:46:35

So what are you going to do? Lock me up again?

0:46:350:46:38

-Did you ever really want to stop?

-I want to feel nothing.

0:46:420:46:46

I just want to forget.

0:46:460:46:49

Annie, wait.

0:46:550:46:58

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0:47:390:47:42

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