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OK, they're here!
Nice one, Dix.
Slaughterhouse employee, boning knife went through his femoral artery.
He's lost five units at the scene and he's still bleeding out.
-Fletch can you set up a rapid infuser.
-Yeah, yeah, yeah, I'm on it.
OK, off. Two of saline. Two of gelofusine.
I can't stop the bleeding. I can't get a BP.
and his GCS is dropping.
-OK, how long since you put the last bag up?
-About three minutes.
OK, we're dealing with a class four haemorrhage.
If we can get him pushing bloods in less that a minute,
-I'll by you all a drink.
-Right, mine's a pint.
One minute and counting.
-Folks, one, minute.
-Tess, we got a femoral bleed.
Lloyd, you go with them.
Need a hand?
No, we are OK. Let me know when you get there, OK, Tom?
-Yeah, OK, OK.
-Noel! I need Dylan in resus now.
Right, I'll find him.
-Have you seen Dylan?
-He's in cubicles.
Doctor Keogh, we've got a bleeder and you're needed in resus.
-'Could a Mr Alfred Jones please come to reception...'
-Doctor Keogh, can you sign this please?
-Not now, thank you.
-Linda, with me, please.
-Fletch, how we doing?
-Have we got a gown or anything? Thank you.
Dylan, Dylan, can you get my phone? It's somewhere in there.
-Pulse 140, radials getting weaker.
-Yeah, nearly done.
OK, let's have... Thank you.
OK, can you clamp it off?
Doc, sorry, Mr Hanssen wants a word.
Oh, erm... Mr Hanssen...
No, I can't speak right now.
In about half an hour?
OK, thank you.
-Hanssen, our lord and master?
Great, let's get him cross-matched.
I think I owe you all a pint. Well done.
HARD ROCK MUSIC
Get it all out.
I was... I was just listening...
You don't have to explain anything to me.
So, your mum let you come with me today, then?
-I'm my own man, these days.
I'll call her later.
Oi! Watch out!
Oh, look at you. My hero.
It's a good job I've only brought one tent.
You can keep me safe at night.
Come on, mate. Come on. Nearly there.
-How's his breathing? OK?
-No. Faster please, Jeff!
Come on, Come on, Come on.
Come on, mate.
Get on with it. Blue lights.
HARD ROCK MUSIC
I can't believe you got tickets!
Hey, watch out!
Laura, you OK?
Lads, get that girl out there.
-Linda, I need a word.
-Sorry, Zoe, I'm really busy.
-You've got a bit of blood on your neck.
Charlie! I've got some news.
Sorry. Incoming. Linda?
Sorry, Zoe, what were you trying to say?
Hanssen's just asked me to be Clinical Lead.
Great! Good news all round.
-Right, this is Brian, his airway deteriorated on the way in.
-OK, straight to resus.
Is that a temporary thing or...?
Well, Jordan's on indefinite leave,
so, they don't know when, or if, he'll be back.
Drinks are definitely on you at the end of the shift.
OK, let's get him over, ladies and gents, please.
On three. One, two, three.
Here we go.
Hello, Brian, I'm Doctor Hanna.
I know you're scared, but you're going to be OK. Do you understand?
There you go.
Le Fort III, I'd guess.
Sats down to 93. Pulse up to 115.
Let's prep for an RSI. Linda, can you set up the etomidate and sux, please?
# Ding dong, the witch is dead Which old witch? The wicked witch
# Ding dong, the wicked witch is dead... #
What's with her? Every time I see her today, she's singing that song.
I know, it drives you mad, doesn't it? I'm getting one of my migraines.
You know Louise? The little bird from despatch?
-Why? What happened?
-Aw, we liked her at St James.
-Yeah, I like her.
# Let's open up and sing And ring the bells out... #
We've got a few more coming in from the festival.
You didn't fancy joining Sam and Tom with the great unwashed, then?
Wellies? Mud? Me?
I don't like this.
I've never been good with crowds.
Stop worrying. Just relax and watch the show.
You'll forget about it, I promise.
I want out!
This way. Come on.
Hey, we need to get this kid out.
Come here. Come forward!
Hey, here. Give me his hand. Give me his hand.
He's having a panic attack!
Come on, I've got you.
-Can you grab it? Come here. Give me his hand.
-Isn't that that guy you...?
Danny, come on.
Hey! Hey! Come back!
Leave it, Leave it.
What was that about?
Nothing. Move. Move now.
There's too many people. I've never seen it this packed before.
Maybe they shouldn't sell so many tickets.
It's not tickets. There's something wrong.
These are going to have to cut it short.
I'm going to need time to clear the back before the headliners are on.
He's the loser you pulled at the club last week.
I didn't sleep with him!
-I went back to his house and that was it.
I realised that I didn't want to be with him,
Everybody off now. Pull the plug.
She was climbing the festival fencing. Fell off. Broke her arm.
GCS has been 15 throughout.
Take her to triage, we'll get a doctor to see to that.
OK, this way, sweetheart.
Can you do me a favour? Could you just jump up on that bed for me
and we can have a little look at you.
Can I borrow Dix? Thanks.
-Come on, kid. I've got a surprise for you.
Surprise, I love surprises.
But it better not be any doughnuts,
because I am definately on a no doughnuts diet.
Lovely to see you again. Really.
Nobody told me you was pregnant.
It's her first day on reception.
So, we are going to try and make it
as nice as possible for her, and stuff.
-Noel is dead.
-What is the matter with her? Oh!
Move back, move back. Move away from the flames.
Move away from the flames.
-Is anyone hurt?
-Not by the flames.
There's just too many people.
PHONE RINGS Holby ED.
We need to clamp down on time wasters.
Imagine how much smoother this place would run if we rooted them out.
You do realise we're not actually doctors, don't you?
It's about people.
-You lot do know how to read people, don't you?
Look at that old geezer.
Toothache? I mean, if I had toothache, I'd go to the dentist.
What's she doing?
I have no idea.
What's she doing in there?
I mean, if it's a karma thing,
I'd like to know what I've done to deserve that!
You've only got to work with her, haven't you? You don't have to like her.
I mean, you don't even have to like me.
Yeah, well, I'm liking you less and less.
That's married life for you.
Keep a hold of my hand, OK?
Just keep pushing! We need to get out of this place!
I don't feel well, Laura.
I really don't feel well. Laura!
Coming through. Excuse me. Try not to panic.
Move. Let me through.
Watch your backs, watch your backs.
We need more snatch squad. People are getting squashed in there.
We've got trouble at tunnel two.
-Everyone, stay calm.
-I need all spare bodies. Move!
Holby Control to 3006,
request additional ambulances at Panacea Festival.
I need help, here! Hey!
-Stop, everyone, stop panicking.
Make room for him. Give him some space. Don't...
Give me your hand.
We need some help.
Excuse me, doctor coming through. Excuse me.
Doctor coming through. Come on, please, move.
She's over here!
Please, move. Move aside. Come on. Thanks. Thanks.
Hiya. It's all right. I'm a doctor. It's all right. Come on. Look at me.
-Look at me. Look at me.
You two need treatment.
No, we're fine.
Grab my hand.
Laura, quick, up here, quick.
Get off her. Get off of her.
-Get off me.
-Move, down move.
And so we're expecting some respiratory and crush injuries.
Tess, will you keep some cubicles free for extra casualties?
Let's make sure we're all ready, OK.
I was going to tell you. I should've told you,
but, you know, it doesn't really change anything.
Except you're the boss now, mmm?
Tess, our Denise has a job interview to be a cleaner here.
Oh, good for her.
Could you put in a good word with the cleaning contractors?
-So what, because she was an addict, we just write her off?
Tess, she's been through rehab. She's clean.
And you believe her?
Yeah, I do.
And you'd be happy with her working here?
Well, it's a big hospital.
OK, well, when I've got a moment, I'll call them.
Keep still. Try and stay calm.
-Help me! Dad help me.
-Help! Help me!
Stop! What are you doing? What are you doing?
-He's trapped. He's my son.
-Moving it might kill him.
He's my son.
Just stay back and let me do my job. We'll get him out.
Come on, mate. You heard the lady.
Give us a bit of room, please.
We'll treat you in a moment.
-I can't tell how much of the weight they're taking.
Please, get him off me! Please.
-Get him out!
-Whoa! Keep back for me, please, we are doing are best, OK?
-OK, can you hear me?
Can you tell me what's your names are?
OK, Laura, Carl, my name's Sam.
We're going to get you out, OK?
Any movement has to be very, very careful
-or we'll have a quadriplegic on our hands. Got it?
-Got it. OK.
Keep squeezing my hand for me. That's it, good girl, good girl.
OK. Thanks, guys.
OK, everyone quiet.
There's a third person down there.
If we take our time getting the wall off, they could die.
Yeah, but if we rush it, they're going to die.
We're going to need a decision.
We're going to have to risk it.
Keep nice and still for me, Laura. That's it.
Let us know when you're ready, will you?
Good, good, good.
One, two, three.
-All right, my darling.
-You got her?
-Yeah. On three.
BOTH: One, two, three.
OK, Dixie, this is Laura.
I want you to completely immobilize her,
-and drive her very slowly back to the ED.
Bringing out head end - on three. One, two, three.
All right one more on three. One, two, three.
Danny! Danny! Where is he?
Stay nice and calm, my love.
Flail chest. Paradoxical breathing.
Go back with Carl, now. Go!
Danny? Danny, if you can hear me, can you squeeze my hand?
Well done. Well done.
I'm not too worried about his breathing.
I think we can wait until we get to the ED to intubate him.
Can we get there a little faster, please?
Mind your backs. Thanks a lot.
His name's Carl.
Query fractured right femur, possible abdo injuries.
Pulse is 110, BP 90 over 70.
Radial pulse is palpable.
He's had 10mg of morphine on site and another ten in transit.
Everyone on me. Ready? One, two, three.
Full trauma series?
Tom, I'll take the fail segment. I'll need Charlie back though, yeah?
-Are you all right?
-Yeah, don't worry about me.
-Linda keep an eye on him.
So, how are we feeling?
I'm going to be OK, right? Tell me I'm going to be OK.
Why was that girl so scared of you?
I don't know what you're talking about.
So far, so good.
Let's get some long bone films done.
Rob's his dad.
How's he doing?
Umm, I'm sending him up for X-rays on his leg,
then we'll get a better idea.
Hi, I'm Linda. Here's Carl's things.
It hurts like hell.
Just... Just take it easy, son.
Why does he have to be here?
He's one of the good guys. He's saved a lot of lives today.
-He helped get you out.
-I'm taking him for his X-Ray now.
Can I come with you?
No, take a seat in reception. I'll come and find you after.
Whoa! OK, guys.
Laura, we're worried you've done some damage to your neck.
Now, you've got sensation below your neck, which is fantastic.
But we need to keep you nice and still,
because any movement could make it worse, OK?
No, please stay where I can see you.
OK, all right, darling.
-So, who's that bloke you were with? Is he your fella?
No. He's my best mate.
He's the only lad I know
who ain't trying to cop off with me all the time.
I know that sounds vain, but it's true.
I can believe it.
He's the only one that gives a damn about me.
He wants to do things with me and go places with me.
You sound very fond of him.
More than fond.
Everything all right?
Right, this is Danny. GCS 12. Resps 33.
Sats 96. He's got a big flail segment
and a scalp haematoma. I've given him 5mg of morphine.
Nurse, where's Laura?
Try not to talk for me, OK?
Right, has everybody got a piece? OK, one, two, three.
-Had a fight with a wall, didn't you?
-You should see the wall.
-Try not to talk for me, Danny.
Let's get a full trauma series.
And a chest X-Ray now, please.
Just want to know. Laura's...
Danny, try not to talk for me.
OK, we are going to get some x-rays done, yeah?
OK. His resps are dropping. Sats 86.
He's going into respiratory arrest. Let's intubate.
Resps now zero.
-OK, Sam, are you going to be OK to anesthetise?
-Yeah, on it.
-That's my son!
-Yeah, OK, that's fine.
Listen, we got our top dogs looking after him.
You got to let the team deal with him, all right?
It's all right, sweetheart. I'm here.
Are we there yet?
Am I going to walk again?
Course you will.
Were you at the festival?
D'you mind if I...
It's the wristbands. I checked a few of them in the tunnel.
They were mostly counterfeit.
Like that lad's. I knew there were too many people there.
If we can find out where the wristbands came from,
we can nail the animals who are responsible for this.
Mate, you're here as a parent. You can't go into cubicles quizzing people, OK?
I'm an ex-copper. I can't help it.
Look, take a seat and I'll let you know about his x-rays, OK?
Have you seen paradoxical breathing before?
No. That's the flail chest, is it?
Sam, I need you in cubicles.
-I can do more here.
-We're covered here and I don't have time to argue.
Charlie, can you..? Thanks.
I need you to look after anyone else who's hurt out there.
Right, Mrs Phelan?
I'm afraid Danny's injuries are life-threatening.
When the wall collapsed on him,
it fractured several of his ribs.
Yes, which left him with what we call a flail chest segment,
which is when the rib cage detaches itself from the chest wall,
and so it's floating in his chest.
Do you understand?
Will he get better?
We're controlling his breathing, so there is a chance of recovery.
You... You're the boss?
I'm the Clinical Lead, yes.
So, you're the best doctor here?
The top doctor?
Once we're satisfied that he's stable,
we're going to transfer him up to ITU.
They've got better ventilators, which are more suited to his injuries.
Promise you'll save him, please.
We'll do everything we can.
MOBILE PHONE BUZZES
It's his father. I have to answer it.
-I thought you paramedics were meant to be hard?
You got lucky. It could've been a lot worse.
Yeah, it's a good job your mate was there to get me out.
Is he a permanent here?
-Yeah, I mean, is he single?
What? If you don't ask you don't get.
OK, all done.
So, how are you feeling?
I'll leave you both to it.
These were in your jacket.
I found them.
I was going to hand them in, but obviously...
Found them? Yeah, and that's what criminals do, isn't it?
Leave money and evidence lying around for you to find.
I could always tell when you were lying.
You kept pushing me, telling me to get a job, so I just thought...
Not like this - and you know it.
Was it just you?
Course it wasn't.
You couldn't organise something like this by yourself.
Couple of thousand.
We were selling them in clubs.
Told people to come to the campsite entrance.
There were a bloke that weren't checking too hard.
You going to grass me up?
I don't know.
please, just please, just find out how Danny is for me?
He'll be getting the best care.
It's all my fault.
Sshh. Don't think like that.
How can I not think like that?
I was the one that got him the ticket.
OK, we'll be there in one minute, Dix.
He's blown a pupil. CT. Immediate scan.
Right, let's get him out of here. I need a glucose strip, please.
Hi, it's Charlie Fairhead in ED.
We've got a patient that needs an immediate scan.
That's great, we'll bring him straight through.
Confirm, it's cerebrospinal fluid, so it's either swelling of the brain
-or it's a fracture at the base of the skull.
Let's get him out of here, please.
Right, Laura, I'm just going to move you to another bed, love.
-Nice and gently, please, everyone.
-One, two, three.
OK, can I get a full trauma screen, please, and let's get her scanned.
Hello, Laura, my name is Doctor Keogh. Can you tell me how you are feeling?
Danny, I don't know a Danny. Can I suggest that we worry
rather less about him and rather more about you, OK?
How is he? Mrs Phelan, where is he?
I keep seeing Danny's face.
I could've...should've got him out.
Let it go.
Is that what you do?
We could've saved him
and you just let it go?
How do you do that?
Cos I can't.
You know that paramedic's got the hots for you.
Expertly changed the subject.
Fluid technique. And final.
You don't do touchy-feely, right?
You should've known that.
Yeah, but I never had you pegged as a rock chick, either.
Am I done?
Yes, you're done. Now go. Leave me alone.
Is she in with a chance?
Never at work.
Well, it's the lesser-known eleventh commandment.
It wasn't your fault.
We've had him scanned.
Sarah, when the wall fell on Danny, he sustained a trauma to his head,
which has developed into a cerebral oedema.
It's swelling of the brain.
The substance coming out his nose
is the fluid that normally surrounds the brain.
So, we've put him on a drug called mannitol
and we're hoping that that will reduce the swelling.
Is he going to die?
You should prepare yourself, in case that happens.
But you promised you'd save him.
We're doing all that we can.
I'll get on to ITU and we'll keep on trying, Sarah.
The situation is that the neurosurgeons
have looked at the scans
and they feel that nothing can be achieved by surgery right now.
Is there anything we can get you or anyone we can contact for you?
Who made that decision?
Oh, he did, did he?
Dylan. Well, let's get that decision unmade.
ITU. They've got one bed left and they're refusing to take Danny,
because apparently, you nipped in while your patient was being scanned.
Yes. They've got one bed. We've got two patients that need it.
I made a rational decision.
No, you went behind my back.
You make decisions about your patient,
but if it affects other patients,
-I make the decision.
-If you're happy to jeopardise my patient's recovery.
-No. I want the best for both patients.
Let me get this straight. Your patient has a flail chest, blown pupil.
And a cerebral oedema. Your point?
You know that his chances of survival are very low.
He's on a IV mannitol. And his second pupil hasn't blown.
-It's a matter of time.
-Not your decision.
The less time my patient spends here and the more time in ITU,
-the greater her chance of recovery. Your patient doesn't have much...
-But he has a chance.
-Yes, I have a chance of winning the X Factor.
-Are we done?
You're not making a rational decision. ITU won't take him.
I'll make the case for Danny. Do not move your patient till I say so.
-You're wasting your time.
-No, you're wasting MY time.
-Can I get back to my patient?
Change of plan.
How is she?
Not as bad as I feared.
She's got a spinal cord contusion. HDU, please.
I'm confident with the right treatment, good physio,
she should make a full recovery.
Is it OK if I have a word?
Yes, be my guest.
Hey, you remember me?
I was helping Danny and you pulled him away.
The security guard.
You freaked when you saw him. Why?
Look, I'm not going to get you into trouble.
I just need to know what happened.
I met the guard.
I met him in a club a couple of weeks ago.
I went back to his place.
He was bigging himself up, saying he could get us into the festival,
cos he had all these fake wristbands that he was selling.
I was just sat there,
on his bed,
and I was thinking to myself,
"Why am I here? I don't want to be here."
And I just wanted to be with Danny.
And he knew that, because all I spoke about was Danny.
But I ended up stealing a couple of the wristbands.
I thought I could get in the festival,
but he recognised me,
and I just... I just thought...
I stopped you, didn't I?
I stopped you getting him out.
-I don't know what you're talking about.
-Out there, you were frantic with worry.
But in here, you turned on him. I know it was Carl who was selling the wristbands.
You know, do you?
You're not even trying to hide it.
You were absolutely sure the festival was overcrowded.
-That's why there were so many people in that tunnel.
-He's a good kid.
Are you going to report this to the police or am I?
Come on, Danny.
Hang on, please.
He's always been a fighter. I know that...
..that if anybody can pull through this, Danny can.
You just keep talking to him.
Heart rate's down to 40.
BP is 96 over 66.
-How's his other pupil?
-That's something, right?
Which bed's he in?
Just over there.
-Dr Hanna's making a case for me to change my mind
and take HER patient to ITU.
What do you think? Is he going to make it?
Well, I wouldn't want to prejudice your judgement.
But Doctor Hanna has my full support.
-The lad's mother?
I'd be happier if she wasn't looking over my shoulder.
All right, I'll sort it.
I know his prognosis is grim,
but if there's even the slightest chance,
I think he should be in ITU.
Just pop outside for a moment.
I'm extending you this courtesy because of the patient's age
and because this is your first day.
But I'm not going to make a habit of it, Dr Hanna.
I have to see something extraordinary if I'm going to change my mind.
I don't want to leave him.
-I think you should wait outside, Sarah.
I love you.
Dylan. I was wondering how you'd handle him.
I'm in charge now, I get it. I get it.
What, you think I'm being emotional, as well?
Tell you what I think.
Nobody wants you to stop being you,
but sometimes, now, you are going to have to take a step back.
Why did he just do that, Charlie?
Because he's right.
All this nipping out for a fag, that's going to have to stop.
Don't you start.
Can I go back into Danny?
He'll be finished in a second.
What's happened to Laura?
I can't discuss another patient.
She came round last week,
said she'd got some tickets from a fella in a club.
Danny was so excited.
I think he thought this was his big chance.
Not that he'd say that to me, but...
..he would have done anything for her.
Yeah... Excuse me.
You, um, you can't blame the girl.
What happened...was not her fault.
The spinal cord contusion, it's just, um,
it's bruising around the spine.
There's nothing's severed, so there's no permanent damage.
That's good news, hmm?
You should make a full recovery.
Can you excuse me for one second?
How is she?
Well, she's not doing cartwheels -
probably a good thing, given her condition.
OK, boss, yes, this is the moment where I get my dressing down.
You tell me where I stand in the great scheme of things.
I was wrong. Your patient should have the ITU bed.
I've made my decision.
Yes, so have I. Doctor Keogh's patient gets the bed.
He already knows.
I agree. I'll leave you to it, then. Good luck.
Pulse is down to 30, BP's 200 over 30.
His second pupil's blown.
The mannitol hasn't worked, Sarah.
I'm afraid we've done everything that we can.
There must be something you can do?
-Look at him, he's breathing.
-I'm sorry. MONITOR BEEPS
Tell you what, maybe you should wait outside.
I'm not leaving him.
It's up to you. You stay if you wish.
I'd like Laura to see him.
Are you sure about that?
Rob? Are you OK?
Do you want a few minutes alone?
No. You need to hear this, too.
The other families, they have a right to know what happened.
They've got a right to know who to blame.
Don't do this...please.
We need to speak to a police officer.
Well, let's get Carl settled upstairs first
and then I'll arrange for someone to come and talk to you both.
If you're sick of being nothing, son,
now's the time to stand up.
Tell the truth.
Oh, great. Danny's mum wants her to see him.
Please take me!
But she's supposed to be going to ITU.
No, I really need to see Danny, please.
Stand by with adrenalin.
He's gone, hasn't he?
Even if he survives this... I'm not getting HIM back.
I want his last moments to be peaceful.
-And I want her to see what she's done.
I don't think this is such a good idea.
Please, please. Just let me hold his hand.
-Just let me touch him. Anything, please.
-Please, can you leave us alone with him?
..these are his last moments.
Everything else can wait.
OK, we'll be just outside.
When you took him from me this morning,
he was healthy,
he was beautiful,
he was happy.
I love him.
And I really wanted to tell him at the festival,
but I never...
It's all my fault.
I'm so sorry.
I really am so sorry.
You did good, today.
I don't think I treated anyone that wasn't ten years younger than me.
Ah, well. You'll feel differently once you get that first pint down your neck.
You said the magic words.
But got to go home and tuck the kids in first.
-I thought you'd want to know, your sister's got the job.
-She starts here tomorrow.
Don't worry, you'll feel differently once you get that first pint down your neck.
We got a shout. Bloke feels sick at a bus stop.
We give him an ECG.
He's got acute angina.
Now, it turns out he came here this afternoon and you told him
to go to the dentist.
So, do you think that Nick would have handled any of that differently?
I think it's about time you stopped worrying about Nick.
You've been in charge before.
Yeah, I know, but before I had a safety net.
Now, I don't.
I think you're wrong.
Zoe. Pubs are not really my thing.
I wanted to get you a drink. This is what you drink, isn't it?
I'll force it down.
An apology. A celebration and an apology.
-No, no. I'll go.
Oh, here she is.
ALL: Here she is.
Your round, then, boss?
The next person who calls me boss will wake up in resus.
So, what's everyone drinking?
Gin and Tonic, double.
OK, all right!
Subtitles by Red Bee Media Ltd