Mea Culpa Casualty

HE REVS ENGINE

ENGINE STALLS

So, you'll go through everything with the undertaker, yeah?

I'll, um, I'll sort the flowers.

I'll call everyone, let them know it's this Thursday.

And Mum will have the kids tonight and tomorrow, OK?

Yeah, that's good. That's good.

Where are the car keys?!

Just take it easy, OK?

They're here, here they are.

Once the funeral's out the way, things will be back to normal, OK?

Come here. Come on.

It's OK.

It's OK.

HE SIGHS

SIREN BLARES

Referral forms?

Yeah, they're behind the...

Ah, sorry, Tess.

Tell me you ordered them?

-I meant to, but...

-How do we keep on top of the paperwork, Noel?

I'm so...

-Morning!

-Morning.

-Um, I'm looking for Mr Jordan?

-Right, if you take a seat, I'll let him... You are?

-Sam Nicholls.

Excuse me, are you all right?

-Has she been here long?

-No.

Not booked in. Maybe she's waiting on someone.

It's just, people usually look up. But, she's not.

PHONE RINGS

Miss. Miss!

-You're not supposed to...

-Mr Jordan?

Dr Nicholls. This is Dr Nicholls, everyone, she's joining us.

-Tomorrow, I thought it was?

-Ah, yeah, about that.

Could I have a quick word with you when you're free?

Noel, will you show her through to my office, I'll be along shortly.

What happened to him?

He's a postman.

He was naughty, doing his rounds on his motorbike and his bag strap

got caught in the wheel and...

He's going to lose that arm.

Thanks for sharing that.

I'm aware of the possibility. Let's hope it doesn't happen.

I'm sure Orthopaedics and Plastics have their own opinion.

Yes, you're quite right, Mr Jordan. Let them try everything else, first.

Good luck to him.

You've been reading that for an hour.

Can I?

Paul?

You don't believe it, do you?

He was depressed.

You...you can't read anything into that.

The last thing he did...

..before he...

..before he took his own life...

..he sent this to me.

But he wasn't thinking about you, he...

I'm sorry, he wasn't thinking about anyone but himself, he...

Look, after the funeral, we'll report it to the diocese.

-Let them...

-They'll cover it up.

That's what they do.

No-one's going to believe...

No, I don't believe it!

I've known Father Vincent since I was a girl, there's no way he'd...

-HE SHOUTS

-He was going to take his own life!

Why would he lie?

(Oh!)

So...

-Dr Nicholls.

-Sam.

-Sit down.

-So, how is he?

-How's who?

-The postman?

Still attached to his arm, thank you for asking.

Starting as you mean to continue?

You keep speaking your mind.

Fearless is good.

I've been looking forward to working with you.

I used to read your papers in my bivvy at night.

Well, I hope they helped you get to sleep.

So, why did you come a day early, then?

Well, I was hoping to get out with the paramedics, recce the place.

If that would be OK?

I'll see what I can do.

-So, you're in the army?

-Yeah.

-How long are you around?

-Nine-month secondment.

Oh, we got a fella here, he's ex-army, name's Big Mac.

Don't get him started though, you'll need industrial-strength earmuffs.

Oh, um, I need a B&B just for tonight. Who should I talk to?

Talk to Noel.

-Two hours, I've been waiting!

-I appreciate that.

We'll get you seen as soon as we can.

-Well, do that instead of playing with toys!

-Oi!

Excuse me, mate.

Noel, I start work here as of tomorrow.

-Could you book me in a B&B? DIXIE:

-Sam, got a shout!

-Hang on.

-Nothing fancy.

-That's not my job!

How much longer will I have to wait?

Can you hang on, please? Hello, Holby...

-Look, I want my leg seen to, now!

-Could you just back off, please?

Just get me a doctor.

PHONE RINGS

-Holby.

-CLEARS THROAT

Holby ED.

You need to calm down, Paul.

-You've not been thinking clearly since Fran died.

-No! Do not call him!

-You need to hear this from Father Vincent.

-Too right!

Too right, I do!

DOOR BANGS

I want a screen put up on the reception desk.

Scarlett? Can we start working through this board?

-There's a couple of patients about to turn red.

-Yeah, I'm on it.

-Tess!

You know I don't like screens there.

-We'll talk about it later.

-Later?

If I spend less time debating this and more time treating the patients,

they won't lose their rag and you wouldn't need a screen!

So, later.

Right.

And he's still in theatre, yeah?

How is his arm?

OK. Let me know what happens, thank you.

Hi, yes, it's Noel Garcia in the ED.

I want to speak to someone about getting a screen installed

on the reception desk.

Oh, that's grand.

And have you a hymn sorted out?

DOORBELL RINGS

Good.

How's the nerves?

DOORBELL RINGS

Well, I'm only going to marry you

the once, you know, Bridget!

All right, God bless, ta-ra now.

DOORBELL IS RUNG IMPATIENTLY

-Hello.

-Where is he?

What? Paul!

What did you do to Francis?

-HE BELLOWS

-What did you do to my brother?!

Excuse me? That's my action figure.

-My son always loved Stealthior.

-Me, too.

-He was always the coolest.

-Oh.

Loved?

Sorry, do you need to see a doctor?

Then, can I ask why you're here?

Gareth died here.

A year ago, today.

I'm sorry.

Look, I don't want to get in the way.

But I need to be here.

If that's OK?

I didn't do anything to your brother.

-I'm calling the police.

-Shut up!

-Paul.

-Shut up.

-We could talk about...

-Shut up!

Read this.

"Paul.

-"I'm sorry I haven't written or phoned..."

-Louder!

He needs to hear this!

"I'm sorry I haven't written or phoned for a long time.

"I'm such a hopeless brother."

I'm sorry, I...

-Keep going!

-Read it. Read it.

"All I have is despair

"and hate.

"There is nothing good in life.

"I can't remember a single moment of happiness since Father Vincent

"destroyed my life."

Oh, Paul, please.

Father Vincent.

"I've never got over what he did to me.

"All I want is to stop feeling like this.

"All I want is to feel nothing."

Nothing. His life was a mess.

-And it was always someone else's fault.

-Lying. Stop lying!

He couldn't cope with this world.

My heart breaks for him.

I...I tried to do the best I could for the both of yous.

To make men of you.

But come on, Paul. In the end...

he was just weak.

Paul?

Paul, I think you should leave now.

-No!

-What? Wait.

Please, Paul. I think you should go now.

Oh, do something!

No!

Put down the knife. Paul, please.

-Put down the knife! Please!

-Let Go!

-Please!

FATHER VINCENT GASPS

Oh!

Oh!

-Call an ambulance!

-No.

-Call an ambulance!!

-NO!

HELEN PANTS

I had a call from upstairs, wanting to know if Mr Jordan and I

OK'd the installation of a screen on reception.

I made the call, Tess.

-Hmm.

-Look, I deal with stroppy patients all of the time,

and when they're losing their rag cos they're having to wait,

it's me who gets it.

Sister Bateman?

That's Seonaidh Lucas. Her son died here a year ago.

Yes, I remember. He drowned.

(Yeah.)

Would you like Noel to call your husband?

Oh, no, no, no.

Thank you.

We're not together any more.

He, er... moved on!

I mean...

we lost our only child.

Is it right...

to move on?

He's bleeding to death, Paul, please, just call an ambulance!

Look, I'll explain what happened to Fran.

I'll tell them you're not violent.

-Just please, please call an ambulance!

-Put the phone down!

Just give me time to think!

Nobody move!

-How, eh...

-Ambulance.

How dangerous is he?

-He's not!

-I'm in the Saint Maria Goretti Priests' House...

It's... He's got a temper

but I've never seen him like this.

Up until Fran we were happy.

One of the priests has had an accident. Heart attack.

Just, get here fast.

He's dying.

-Is there any other family you'd like us to contact?

-Ah, honestly it's...

it's fine.

Did you get to say goodbye to him?

I'm sorry, I'm sorry, I didn't...

It's OK.

He...

was a beautiful boy.

Eh?

And he was going to be such a wonderful man.

And he loved his superheroes!

4.45...

a year ago, today.

And there weren't any superheroes for him then, were there?

Excuse me, I...

I've just got to, um...

SIREN BLARES

Right, here we go.

London Road.

They're here.

Hello? Ambulance!

In here.

Hang on, this isn't what we...

I put pressure on but it won't stop bleeding.

It's all right, I've got it. OK.

-Whoa!

-Arterial bleed!

-OK, keep your hands back for me, please?

-His resps are low.

He's tachy at 130.

OK, we need to get fluids in

and I need to stop this bleed as soon as possible, or he dies.

OK, keep your hands nice and hard for me. Firm pressure.

Look, we can save him,

but I need to get some stuff from the ambulance first, OK?

-PAUL:

-You'll call the police.

-I won't have time.

-Jeff.

Oh, OK.

All right, mate.

Could you, uh, just let my friend pass, please?

Then we can try and help your mate.

Is that all right with you?

I won't be long.

Just let me pass, OK?

-JEFF: Thank you.

-DIXIE: Thank you.

OK, crack on, then.

How we doing?

What's that?

Celox.

As soon as it's in contact with the blood it clots it.

OK.

You're lucky.

Lucky?

Lucky-ish. One of the perks of being an army doc -

-toys civilians can only dream about.

-He's not going to die?

He's got a chance. That's all.

-OK, give me four minutes of firm pressure, Jeff.

-All right.

-Sounding a bit wheezy to me?

-Yeah.

Vincent, please.

Just tell me what you did to him!

Did to who?

My brother. He abused my brother.

FATHER VINCENT: Oh. Oh, no!

-We need to get him to hospital fast.

-I didn't.

-No.

He and the church will get their story straight. Tell me.

-I didn't.

-Tell me what you did to him. Just tell me.

-Take it easy.

-Tell me!

Tell me!

DIXIE: Jeff!

-Oof!

-Just calm down, all right?

-Whoa, whoa.

-Whoa, whoa, easy, easy.

PAUL PANTS

-Sam! We need you back here.

-OK, let's elevate this leg.

I'm going to get some wheels. Can you come with me, please, mate?

Israeli bandage on.

One, two...three!

It's all right, stay calm. Are you still with us?

Yeah, the screen should come about here, Tess.

-You spoken to Mr Jordan?

-You were out of order doing this.

No, no. I got the message. My safety isn't high on your priorities.

It isn't high on anyone's priorities.

I do take your safety very seriously.

Later?

OK.

I'll look into it with Mr Jordan.

Thank you.

Oh, no!

HE SIGHS

-OK, push in another unit of saline.

-I'm way ahead of you.

OK.

He's more tachycardic.

Resps 30.

He's barely moving any air.

Central cyanosis.

You asthmatic? He's having an asthma attack.

Floor it, Jeff!

Hang on,

-what's this clown doing?

-CAR HORN BEEPS

SIREN BLARES

CAR HORN BEEPS

Hang on!

SAM AND DIXIE: Whoa!

Geez, what the hell was that?!

Some clown's just rammed us!

Give me five milligrams of Salbutamol and a nebuliser.

-It's on its way. Here it comes again, Jeff!

-Hold on!

SIREN BLARES

TYRES SQUEAL

The nebuliser! I can't give him this without it.

The chamber fell out when we swerved, that was the last one.

-What? There aren't any more nebulisers?

-Afraid not.

I'm going to slow down. Hang on!

SAM AND DIXIE: Whoa!

PAUL REVS ENGINE

Jeff, we can't stop!

SIREN BLARES

3006 to control.

Urgent backup needed on the approach to Holby Interchange.

I'm being rammed off the road.

Stats at 88%. I'm going to push in more O2.

-You think that'll help?

-Without nebulisers that's all we've got.

Got nothing in your bag? Nothing us civilians can just dream of?

Here he comes!

SIREN BLARES

OK, hang on!

Just keep it steady, Jeffrey!

Steady? Great. Anything else?

-I need 200 mils of Hydrocortisone.

-OK, on it.

All right, brace yourselves!

PARAMEDICS SCREAM

Oof!

I'm not finished with him!

I'd say you are.

POLICE SIREN BLARES

DIXIE PANTS

-JEFF:

-You all right?

Oof, yeah.

Yeah, I think so.

You OK?

Yeah, yeah. Ha! Ha-ha!

How long till another ambulance gets here?

I dunno. Five minutes.

That's too long.

He needs to get into hospital now.

Let's press-gang that police car.

Come on.

Come on, then. Let's get him out.

-Aah!

-Argh!

MUSIC: "Faint" by Linkin Park

# I can't feel the way I did before

# Don't turn your back on me

# I won't be ignored

# Time won't heal

# This damage anymore

# Don't turn your back on me

# I won't be ignored

# I can't feel the way I did before

# Don't turn your back on me

# I won't be ignored

# Time won't heal

# This damage anymore

# Don't turn your back on me

# I won't be ignored

# No, hear me out now

# You're gonna listen to me

# Like it or not

# Right now

# Hear me out, now

# You're gonna listen to me

# Like it or not

# Right now

# I can't feel the way I did before

# Don't turn your back on me

# I won't be ignored... #

PHONE RINGS

SIREN BLARES

Right, quick as you can.

One, two, three...

-And again, fellas.

-And again.

-One, two, three...

OK. Come on, Vincent, stay with me.

OK. This is Father Vincent McConnell, he's 57.

Stabbed with a kitchen knife.

Tess, I'd like to nip out. It's, erm, Seonaidh Lucas.

She...left this photo of her son and I'd like to return it.

Oh, stick it in the post. We're very busy.

I just want to check that she's OK.

Half an hour. Only half an hour.

Let's give him Salbutamol nebs back-to-back.

Start the first with five mils of Salbutamol

and 0.5 of Ipratropium, Tess.

GCS, Dixie?

His GCS was 12, his BP's been maintained at 90 systolic,

his pulse is 84.

He's lost maybe, em... a litre of blood,

and he's had two litres of normal saline.

All right, OK. On three.

One, two. three!

-Any idea what triggered the asthma attack?

-None at all.

Possibly stress. I treated him with a Celox strip and an Israeli bandage.

-Who's she?

-The new doctor.

-I thought she starts tomorrow.

-Keen, ain't she?

She can hear you.

-TESS:

-Are you two OK?

Yeah, I think so.

Get yourselves sorted out.

Vincent, I'm Dr Zoe Hanna. You're in hospital now.

No! Don't touch that!

It must be removed in theatre.

We're just checking the bleed is stable, which it is for now.

Tess, there's not much going on in there. Can I have a chest x-ray,

a blood gas and some hydrocortisone?

Let's prep for intubation, who knows what might happen.

Thank you.

-How did we all get out of that alive?

-My driving.

ALL LAUGH

Oh, how could this happen?!

Uh, I don't know.

# Become so tired

# So much more aware

# I'm becoming this

# All I want to do

# Is be more like me

# And be less like you

# Can't you see that you're smothering me?

# Holding too tightly

# Afraid to lose control... #

DOORBELL RINGS

DOORBELL RINGS

DOORBELL RINGS

DOORBELL RINGS

Seonaidh, sorry, Mrs Lucas.

You forgot this.

Thank you.

Excuse me.

DOORBELL RINGS

Sorry, um...

I was just wondering...

..are you OK?

Yes.

Well, em, since I'm here.

It'd be great to look at your son's action figure collection.

It'll only take a second.

SHE MOUTHS

Oh, wow!

-Can I?

-Mm.

The Amazing Falcon!

I didn't even know it was anything special.

This guy was selling it at a car boot sale.

You know, that Christmas...

..we spent a fortune on a bike and...

..bought his docking station.

And I think that cost just under a tenner

and I'd never seen him so thrilled.

-No wonder.

-I've never understood why.

-It's the Millennium edition.

(Oh!)

Really hard to get hold of.

Silver trim on the wings.

-It only appeared in one edition of the comic.

-(Oh!)

It's really cool that a kid of his age would know that.

What?

It is cool!

No, I...

That's exactly what he would say.

(Oh.)

Are you OK?

Yeah.

He always used to take one of these everywhere.

But not that day.

I just thought it was him growing up, you know?

What happened?

Well...

..he went boating with his dad...

..and, er...

..he was drowning

when I was with a friend!

Having a cocktail!

And planning where to meet them both for dinner.

Yeah.

4.45 they said he died.

And I wasn't there.

I wasn't there!

Oh, I'm...I'm sorry. Sorry.

All right.

You know, a nurse could do this.

Well, we don't want you using it as an excuse to thrown a sickie

on your first day, do we?

OK, ready?

-You know when I said fearless is good?

-Yup.

Well, alive is better.

Any word from that postman?

They're going to amputate.

Go on, say it.

Say what?

"I told you so."

Just remember, Dr Nicholls,

you are not always going to be right.

They keep telling me that.

So, did they get the guy that did this to you?

Oh, look, I'm sorry.

I really shouldn't have, er....

I think you should be getting back to work now.

I'll go, em...

This is a liberty, I know,

but...

I brought some telephone numbers for you.

It's Samaritans, hospital psych department, counsellors.

You don't look surprised.

Look, I may well be out of order saying this.

But I don't think you're coping.

What happened to Gareth,

it wasn't your fault

and you mustn't blame yourself.

I know it's easier to say that but it is true.

Don't try and deal with this all by yourself.

You will call those numbers, won't you?

You really don't give up, you, do you?

Nope.

Well, your bosses are very lucky...

having you there.

Cheers for that.

Well, I really have to crack on so you should go back to work.

Um, yeah.

I never knew your son.

But I'm sure he'd want you to keep going.

-Are you feeling a bit more comfortable, Vincent?

-Ah. Am I...

..am I...going to...die?

You're going to be fine.

Ah...bad...liar.

Zoe, the wound's oozing a little.

Wayne, pressure bandage, please.

DIXIE GASPS

I thought I told you.

Yeah, I wouldn't have you any other way, princess.

-I think we deserve a doughnut, don't you?

-Mmm!

And you!

Mmmm!

Right, let's have a brew, eh, Jeff?

Resps at 30.

Sats down to 87%.

I thought his asthma was on the mend?

Not any more. We must move this up a gear

before the arterial bleed kicks off again.

Vincent, we're moving you to theatre where the vascular surgeons...

You know the risks?

Yes.

Well, I'm not convinced he's ready to move yet.

Don't question my judgment in front of my patient.

Where's Joe? Not going... anywhere, till I make confession.

-Right now, your treatment is our biggest priority.

-No! No treatment.

If he makes it upstairs! We must control the bleed down here.

You understand? If you ask us to stop, you're risking your life?

Yes, get Joe.

I'm afraid this is my patient.

Excuse me. He wants us to stabilise him,

so that he can get his colleague to hear his final confession.

What?

Vincent, any delay could significantly reduce

your chances of survival.

Do you understand that?

Yes! Get Joe!

Get Joe!

Oh, get Joe.

That's him!

SHE BREATHES DEEPLY

SHE SOBS

TOILET FLUSHES

FATHER VINCENT WHEEZES

Need...last...rite...

..make confession.

I don't know, that...

..I can do it, Vincent.

You need someone else.

No. No-one else!

You, Joe!

I die...

..in sin.

Er, hello, em...

SHE SOBS

I think I need to talk to someone!

I, er...

I think I need help.

SHE EXHALES DEEPLY

Yeah.

Excuse me, please.

Sorry, excuse me. Sorry.

-I said half an hour.

-I know.

I'm sorry. I'll make up the time!

I've got good news.

I discussed it with Mr Jordan,

and we're recommending that you get your screen.

What?

Don't know if I want it any more, Tess.

-It'll get between us and the public.

-What is wrong with you today, Noel?!

FATHER VINCENT WHEEZES

The brother!

The brother!

This...is about the brother?

If it's too painful to speak, don't.

Just nod.

OK.

Did you...abuse...the brother?

FATHER VINCENT WHEEZES

Vincent?

This is your last confession,

your last chance to cleanse your soul of sin.

Do you understand?

Good.

Did you...abuse Paul's brother?

No! No!

Stop!

Just wait, stop!

Stop!

Come here!

I don't want to hurt you!

No, you only tried to kill me

and two other paramedics!

I didn't mean to.

-That's not what it's about.

-Then what is it about?

Let's hear the excuses.

Excuses?!

Is it cos your brother killed himself?

You think you know everything, don't you?

You know nothing!

We were altar boys, Fran and me.

Fran was younger than me.

Fran changed once Father Vincent

had got his hands on him.

But you don't... you don't know what happened?

What did you do to that boy?

HE WHEEZES

Did you...

did you abuse him sexually?

No!

No, no, not that!

-Then...

-I didn't!

..what did you do?

All...his...fault...

he...drove...me...mad...

with...no...respect...!

That's...the way it was...then.

No.

This is your confession, Vincent.

And it is worthless unless you face your sins and repent.

You abused...that boy.

Do you accept that?

Do you repent?

HE WHEEZES

Do you ask for God's forgiveness?

Then you have to be honest.

How far...did this abuse go?

We used to muck about on the altar.

Father Vincent hated it.

Whenever he caught us, he'd give me a smack.

He used to say he'd given up on me.

But not Francis.

He used to kick me out.

I left Francis alone with him!

Francis changed.

We didn't talk about it at first but...

It's like he killed something inside of him.

-I should've protected him.

-Hey...

I should've...

made him tell me what happened.

But...I just didn't think that...

I let Francis down, then.

I can't let him down now!

So that's my excuse.

I can't stand by any more. He's barely breathing.

One minute.

-Enough.

-No!

-Listen! We haven't got time for this.

He's barely breathing and we need to intubate him.

Ten more seconds, please?

Vincent, how far did this abuse go?

You bullied him?

You beat him?

Only Francis.

He was a child! In your care!

Weeks? Months?

Years?

-Years.

-FATHER VINCENT WAILS

Only you and that boy know what damage you did,

but do you admit to God that...

..that you put that boy on a road that led him to kill himself?

Do you admit these sins to God?

Absolution.

Absolu... MACHINE BEEPS

He's in VF.

-You're going to have to stand back!

-It is not finished!

-It is now!

Gel pads!

PADS BUZZ

Charging... Clear!

Shocking.

You can't go near him.

Not like that.

I've got no choice now. There's no turning back.

I know they're just going to toss me in jail...

Give me the screwdriver, I'll get you in.

You don't believe me.

(I do. I do.)

I believe you!

There are no guarantees,

but this is your only chance of getting the answers you need.

PHONES RING

Just stay close to me and look straight ahead.

You gave me your word.

HEART MACHINE BLEEPS

-No, no, no, no!

-Paul!

Get out!

Don't get too close.

What did he do to Francis?

-You know I can't divulge...

-Tell me!

I used to leave them alone together.

He did many terrible things to your brother.

But he did not do that.

No output.

He fears for his soul and I believe him.

Clear!

He confessed?

Shocking!

-He's under control.

-I'm arresting you on suspicion of attempted murder.

Yeah, we've got an output.

Great, let's go.

Paul Caffrey, I'm arresting you on suspicion of attempted murder.

God, the father of mercies...

..through the death and resurrection of your son,

has reconciled the world to us.

Hold the lift!

For the forgiveness of sins

and through the ministry of the church,

may God give you pardon and peace.

And I absolve you of your sins.

-Vascular surgery.

-Up or down?

In the name of the Father and of the Son,

and of the Holy Spirit.

Ever since I can remember I've gone to church.

Paul wasn't happy about it, but...

I took the kids.

Every Sunday.

But right now...

..I feel like God's abandoned me.

Faith is nothing

if it's not tested.

If it's easy, it's worthless.

Please,

let me help your family heal.

Do you think he'll survive?

Who knows.

Either way, what we did will be forgotten.

Moaning about someone else nabbing all the glory?

Sure you weren't in the army?

Me?! Camouflage makes my backside look huge!

Look, um...

sorry about arguing with you earlier.

-I was out of order.

-I'm meeting Jordan at The Vine for a drink.

You can buy me one if you like.

The Vine?

Yeah, it's a wine bar around the corner from...

But you're not really a wine bar kind of girl, are you?

Maybe I'll pop in for one. I'll see you later.

Oh, I booked you into a B&B.

-Ah! You're a star.

-No problem.

All part of the service. Em...

-Here's the address and I've drawn you a map.

-Oh, great.

Thank you.

How do I get to The Bull And Gate?

They're letting me buy the paramedics a drink.

Apparently it's a tradition.

Yeah.

How old are you?

Old enough to take you to the pub if you can wait five minutes?

-I'd like to drop my bike off first if that's all right.

-No problem.

-The pub's a short stagger from your B&B.

-Excellent.

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