Kansas Casualty


Kansas

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Transcript


LineFromTo

OK, they're here!

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Nice one, Dix.

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Jeff!

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Slaughterhouse employee, boning knife went through his femoral artery.

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He's lost five units at the scene and he's still bleeding out.

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-Fletch can you set up a rapid infuser.

-Yeah, yeah, yeah, I'm on it.

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OK, off. Two of saline. Two of gelofusine.

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I can't stop the bleeding. I can't get a BP.

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and his GCS is dropping.

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-OK, how long since you put the last bag up?

-About three minutes.

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OK, we're dealing with a class four haemorrhage.

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If we can get him pushing bloods in less that a minute,

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-I'll by you all a drink.

-Right, mine's a pint.

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One minute and counting.

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-Folks, one, minute.

-Tess, we got a femoral bleed.

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Lloyd, you go with them.

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Need a hand?

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No, we are OK. Let me know when you get there, OK, Tom?

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-Yeah, OK, OK.

-Noel! I need Dylan in resus now.

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Right, I'll find him.

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-Have you seen Dylan?

-He's in cubicles.

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Right. Thanks.

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Doctor Keogh, we've got a bleeder and you're needed in resus.

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OK.

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-TANNOY

-'Could a Mr Alfred Jones please come to reception...'

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-Doctor Keogh, can you sign this please?

-Not now, thank you.

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-Linda, with me, please.

-OK.

-Fletch, how we doing?

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-Have we got a gown or anything? Thank you.

-OK.

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PHONE RINGS

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Dylan, Dylan, can you get my phone? It's somewhere in there.

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-Your phone?

-Yes.

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-Pulse 140, radials getting weaker.

-Fletch?

0:02:060:02:09

-Yeah, nearly done.

-OK.

0:02:090:02:11

OK, let's have... Thank you.

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OK, can you clamp it off?

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Hello?

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Doc, sorry, Mr Hanssen wants a word.

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Oh, erm... Mr Hanssen...

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No, I can't speak right now.

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In about half an hour?

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OK, thank you.

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-Hanssen, our lord and master?

-Bloods in.

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Great, let's get him cross-matched.

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-Dylan?

-Yes.

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REGULAR BEEPS

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I think I owe you all a pint. Well done.

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HARD ROCK MUSIC

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Get it all out.

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I was... I was just listening...

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You don't have to explain anything to me.

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So, your mum let you come with me today, then?

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-I'm my own man, these days.

-Whatever!

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I'll call her later.

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Oi! Watch out!

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Oh, look at you. My hero.

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It's a good job I've only brought one tent.

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You can keep me safe at night.

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Come on, mate. Come on. Nearly there.

0:03:460:03:49

-How's his breathing? OK?

-No. Faster please, Jeff!

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Come on, Come on, Come on.

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Come on, mate.

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Get on with it. Blue lights.

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Blue lights!

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HARD ROCK MUSIC

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I can't believe you got tickets!

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Yeah, contacts!

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Hey, watch out!

0:04:460:04:49

Laura, you OK?

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Lads, get that girl out there.

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Uh-oh, trouble.

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-Linda, I need a word.

-Sorry, Zoe, I'm really busy.

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-You've got a bit of blood on your neck.

-Have I?

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Charlie! I've got some news.

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Sorry. Incoming. Linda?

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-You ready?

-Er, yeah.

-When?

-Right now.

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Oh.

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Sorry, Zoe, what were you trying to say?

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Hanssen's just asked me to be Clinical Lead.

0:05:230:05:27

Great! Good news all round.

0:05:270:05:29

-Right, this is Brian, his airway deteriorated on the way in.

-OK, straight to resus.

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Is that a temporary thing or...?

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Well, Jordan's on indefinite leave,

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so, they don't know when, or if, he'll be back.

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Drinks are definitely on you at the end of the shift.

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OK, let's get him over, ladies and gents, please.

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On three. One, two, three.

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Here we go.

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Hello, Brian, I'm Doctor Hanna.

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I know you're scared, but you're going to be OK. Do you understand?

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There you go.

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Le Fort III, I'd guess.

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Sats down to 93. Pulse up to 115.

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Let's prep for an RSI. Linda, can you set up the etomidate and sux, please?

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# Ding dong, the witch is dead Which old witch? The wicked witch

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# Ding dong, the wicked witch is dead... #

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What's with her? Every time I see her today, she's singing that song.

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I know, it drives you mad, doesn't it? I'm getting one of my migraines.

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You know Louise? The little bird from despatch?

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-Yeah.

-She's left.

-Why? What happened?

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-Who cares?

-Aw, we liked her at St James.

-Yeah, I like her.

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# Let's open up and sing And ring the bells out... #

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We've got a few more coming in from the festival.

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You didn't fancy joining Sam and Tom with the great unwashed, then?

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Wellies? Mud? Me?

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I don't like this.

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I've never been good with crowds.

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Stop worrying. Just relax and watch the show.

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You'll forget about it, I promise.

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HOLLERS

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I want out!

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This way. Come on.

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Excuse me.

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Hey, we need to get this kid out.

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Come here. Come forward!

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Hey, here. Give me his hand. Give me his hand.

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He's having a panic attack!

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Come on, I've got you.

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-Can you grab it? Come here. Give me his hand.

-Isn't that that guy you...?

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Come here.

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Danny, come on.

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Hey! Hey! Come back!

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Leave it, Leave it.

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What was that about?

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Nothing. Move. Move now.

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Problem?

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There's too many people. I've never seen it this packed before.

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Maybe they shouldn't sell so many tickets.

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It's not tickets. There's something wrong.

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These are going to have to cut it short.

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I'm going to need time to clear the back before the headliners are on.

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He's the loser you pulled at the club last week.

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I didn't sleep with him!

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-I went back to his house and that was it.

-What happened?

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I realised that I didn't want to be with him,

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Everybody off now. Pull the plug.

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BOOS

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SCREAMS

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She was climbing the festival fencing. Fell off. Broke her arm.

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GCS has been 15 throughout.

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Take her to triage, we'll get a doctor to see to that.

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OK, this way, sweetheart.

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Can you do me a favour? Could you just jump up on that bed for me

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and we can have a little look at you.

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Can I borrow Dix? Thanks.

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-Tamsin.

-Come on, kid. I've got a surprise for you.

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Surprise, I love surprises.

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But it better not be any doughnuts,

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because I am definately on a no doughnuts diet.

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Louise.

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Lovely to see you again. Really.

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Nobody told me you was pregnant.

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It's her first day on reception.

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So, we are going to try and make it

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as nice as possible for her, and stuff.

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-Noel is dead.

-What is the matter with her? Oh!

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Move back, move back. Move away from the flames.

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Move away from the flames.

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Stand back.

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-Is anyone hurt?

-Not by the flames.

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There's just too many people.

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Through there.

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PHONE RINGS Holby ED.

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We need to clamp down on time wasters.

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Time wasters?

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Imagine how much smoother this place would run if we rooted them out.

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You do realise we're not actually doctors, don't you?

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It's about people.

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-You lot do know how to read people, don't you?

-Yeah.

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Look at that old geezer.

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Toothache? I mean, if I had toothache, I'd go to the dentist.

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Wouldn't you?

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Yeah, probably.

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What's she doing?

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I have no idea.

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What's she doing in there?

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I mean, if it's a karma thing,

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I'd like to know what I've done to deserve that!

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You've only got to work with her, haven't you? You don't have to like her.

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I mean, you don't even have to like me.

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Yeah, well, I'm liking you less and less.

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That's married life for you.

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Keep a hold of my hand, OK?

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Move.

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Just keep pushing! We need to get out of this place!

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I don't feel well, Laura.

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DESPERATE SHOUTING

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I really don't feel well. Laura!

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Laura!

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Coming through. Excuse me. Try not to panic.

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Move. Let me through.

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Watch your backs, watch your backs.

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We need more snatch squad. People are getting squashed in there.

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We've got trouble at tunnel two.

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-Everyone, stay calm.

-I need all spare bodies. Move!

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Holby Control to 3006,

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request additional ambulances at Panacea Festival.

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SIREN

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I need help, here! Hey!

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-Stop, everyone, stop panicking.

-Move along.

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Make room for him. Give him some space. Don't...

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Give me your hand.

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No.

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Man down!

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Tom! Tom!

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Man down!

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Tom.

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We need some help.

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Tom!

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-Sam?

-Over there.

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Get back!

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-You OK?

-Yeah.

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Excuse me, doctor coming through. Excuse me.

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Doctor coming through. Come on, please, move.

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She's over here!

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Please, move. Move aside. Come on. Thanks. Thanks.

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Hiya. It's all right. I'm a doctor. It's all right. Come on. Look at me.

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-Look at me. Look at me.

-Move back.

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You two need treatment.

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No, we're fine.

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SCREAMS

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Grab my hand.

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Laura.

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Laura. Laura.

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Danny.

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Down.

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Laura, quick, up here, quick.

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Get off her. Get off of her.

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-Get off me.

-Move, down move.

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SCREAMS

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And so we're expecting some respiratory and crush injuries.

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Tess, will you keep some cubicles free for extra casualties?

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Let's make sure we're all ready, OK.

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Linda.

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Congratulations.

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I was going to tell you. I should've told you,

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but, you know, it doesn't really change anything.

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Except you're the boss now, mmm?

0:14:580:15:00

Tess, our Denise has a job interview to be a cleaner here.

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Oh, good for her.

0:15:100:15:11

Could you put in a good word with the cleaning contractors?

0:15:110:15:15

-So what, because she was an addict, we just write her off?

-No.

0:15:170:15:21

Tess, she's been through rehab. She's clean.

0:15:240:15:27

And you believe her?

0:15:270:15:29

Yeah, I do.

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And you'd be happy with her working here?

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Well, it's a big hospital.

0:15:320:15:34

OK, well, when I've got a moment, I'll call them.

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Thank you.

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Help me!

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Keep still. Try and stay calm.

0:15:460:15:48

-Carl, Carl.

-Help me! Dad help me.

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-Carl.

-Help! Help me!

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Stop! What are you doing? What are you doing?

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-He's trapped. He's my son.

-Moving it might kill him.

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He's my son.

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Just stay back and let me do my job. We'll get him out.

0:16:020:16:04

Come on, mate. You heard the lady.

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Give us a bit of room, please.

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We'll treat you in a moment.

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OK.

0:16:120:16:14

-I can't tell how much of the weight they're taking.

-OK.

0:16:160:16:20

Please, get him off me! Please.

0:16:210:16:22

-Get him out!

-Whoa! Keep back for me, please, we are doing are best, OK?

0:16:220:16:26

-Thanks.

-OK, can you hear me?

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Can you tell me what's your names are?

0:16:290:16:32

-Carl.

-Laura.

0:16:320:16:34

OK, Laura, Carl, my name's Sam.

0:16:340:16:37

We're going to get you out, OK?

0:16:370:16:39

Any movement has to be very, very careful

0:16:390:16:41

-or we'll have a quadriplegic on our hands. Got it?

-Got it. OK.

0:16:410:16:45

Keep squeezing my hand for me. That's it, good girl, good girl.

0:16:470:16:51

OK, raising.

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OK. Thanks, guys.

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OK, everyone quiet.

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There's a third person down there.

0:17:130:17:16

If we take our time getting the wall off, they could die.

0:17:160:17:19

Yeah, but if we rush it, they're going to die.

0:17:190:17:22

We're going to need a decision.

0:17:240:17:26

We're going to have to risk it.

0:17:270:17:30

OK. Raising.

0:17:340:17:36

Keep nice and still for me, Laura. That's it.

0:17:390:17:41

Let us know when you're ready, will you?

0:17:410:17:44

OK.

0:17:440:17:46

Good, good, good.

0:17:460:17:48

One, two, three.

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-WAILS

-All right, my darling.

0:17:500:17:52

-You got her?

-Yeah. On three.

0:17:520:17:53

BOTH: One, two, three.

0:17:530:17:55

OK, Dixie, this is Laura.

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I want you to completely immobilize her,

0:17:590:18:01

-and drive her very slowly back to the ED.

-OK.

0:18:010:18:03

Bringing out head end - on three. One, two, three.

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Good girl.

0:18:080:18:10

All right one more on three. One, two, three.

0:18:100:18:13

Danny! Danny! Where is he?

0:18:130:18:17

Stay nice and calm, my love.

0:18:170:18:19

Flail chest. Paradoxical breathing.

0:18:280:18:32

Tom, Tom.

0:18:320:18:35

Go back with Carl, now. Go!

0:18:350:18:38

SIREN

0:18:490:18:53

Danny? Danny, if you can hear me, can you squeeze my hand?

0:19:000:19:04

Well done. Well done.

0:19:050:19:07

I'm not too worried about his breathing.

0:19:070:19:09

I think we can wait until we get to the ED to intubate him.

0:19:090:19:12

Can we get there a little faster, please?

0:19:120:19:15

Mind your backs. Thanks a lot.

0:19:170:19:19

His name's Carl.

0:19:190:19:21

Query fractured right femur, possible abdo injuries.

0:19:210:19:24

Pulse is 110, BP 90 over 70.

0:19:240:19:26

Radial pulse is palpable.

0:19:260:19:29

He's had 10mg of morphine on site and another ten in transit.

0:19:290:19:32

Everyone on me. Ready? One, two, three.

0:19:320:19:34

Full trauma series?

0:19:340:19:36

Yeah, yeah.

0:19:360:19:37

Tom, I'll take the fail segment. I'll need Charlie back though, yeah?

0:19:370:19:40

-Are you all right?

-Yeah, don't worry about me.

0:19:400:19:42

-Linda keep an eye on him.

-Yeah.

0:19:420:19:45

So, how are we feeling?

0:19:450:19:46

I'm going to be OK, right? Tell me I'm going to be OK.

0:19:460:19:50

Why was that girl so scared of you?

0:19:500:19:52

I don't know what you're talking about.

0:19:520:19:55

So far, so good.

0:20:170:20:18

Let's get some long bone films done.

0:20:180:20:20

Rob's his dad.

0:20:200:20:22

How's he doing?

0:20:250:20:26

Umm, I'm sending him up for X-rays on his leg,

0:20:260:20:29

then we'll get a better idea.

0:20:290:20:32

Hi, I'm Linda. Here's Carl's things.

0:20:320:20:34

Hey.

0:20:390:20:41

It hurts like hell.

0:20:410:20:42

Just... Just take it easy, son.

0:20:420:20:45

Why does he have to be here?

0:20:470:20:49

He's one of the good guys. He's saved a lot of lives today.

0:20:490:20:54

-He helped get you out.

-I'm taking him for his X-Ray now.

0:20:540:20:56

Can I come with you?

0:20:560:20:58

No, take a seat in reception. I'll come and find you after.

0:20:580:21:01

Whoa! OK, guys.

0:21:010:21:03

Laura, we're worried you've done some damage to your neck.

0:21:070:21:11

Now, you've got sensation below your neck, which is fantastic.

0:21:110:21:14

But we need to keep you nice and still,

0:21:140:21:18

because any movement could make it worse, OK?

0:21:180:21:21

No, please stay where I can see you.

0:21:240:21:26

OK, all right, darling.

0:21:260:21:28

-So, who's that bloke you were with? Is he your fella?

-Danny?

0:21:320:21:36

No. He's my best mate.

0:21:380:21:40

He's the only lad I know

0:21:400:21:42

who ain't trying to cop off with me all the time.

0:21:420:21:44

I know that sounds vain, but it's true.

0:21:450:21:48

I can believe it.

0:21:480:21:50

He's the only one that gives a damn about me.

0:21:500:21:53

He wants to do things with me and go places with me.

0:21:550:21:59

You sound very fond of him.

0:21:590:22:01

More than fond.

0:22:030:22:05

Everything all right?

0:22:080:22:10

Yeah, fine.

0:22:100:22:11

Right, this is Danny. GCS 12. Resps 33.

0:22:160:22:19

Sats 96. He's got a big flail segment

0:22:190:22:22

and a scalp haematoma. I've given him 5mg of morphine.

0:22:220:22:25

Nurse, where's Laura?

0:22:250:22:27

Try not to talk for me, OK?

0:22:270:22:29

Right, has everybody got a piece? OK, one, two, three.

0:22:290:22:33

-Had a fight with a wall, didn't you?

-You should see the wall.

-Try not to talk for me, Danny.

0:22:350:22:40

Let's get a full trauma series.

0:22:400:22:42

And a chest X-Ray now, please.

0:22:420:22:43

Just want to know. Laura's...

0:22:430:22:46

Danny, try not to talk for me.

0:22:460:22:49

OK, we are going to get some x-rays done, yeah?

0:22:490:22:51

OK. His resps are dropping. Sats 86.

0:22:510:22:55

He's going into respiratory arrest. Let's intubate.

0:22:550:22:58

Resps now zero.

0:22:580:23:01

-OK, Sam, are you going to be OK to anesthetise?

-Yeah, on it.

0:23:010:23:04

-Dan!

-OK.

-That's my son!

-Yeah, OK, that's fine.

0:23:050:23:07

Listen, we got our top dogs looking after him.

0:23:070:23:09

You got to let the team deal with him, all right?

0:23:090:23:14

Dixie?

0:23:180:23:20

It's all right, sweetheart. I'm here.

0:23:200:23:22

Are we there yet?

0:23:220:23:25

Nearly.

0:23:260:23:28

Am I going to walk again?

0:23:340:23:36

Course you will.

0:23:360:23:37

Good girl.

0:23:390:23:40

Were you at the festival?

0:23:480:23:49

Yeah.

0:23:490:23:51

D'you mind if I...

0:23:510:23:54

Rob? Sorry.

0:23:540:23:56

It's the wristbands. I checked a few of them in the tunnel.

0:23:560:24:00

They were mostly counterfeit.

0:24:000:24:02

Like that lad's. I knew there were too many people there.

0:24:020:24:06

If we can find out where the wristbands came from,

0:24:060:24:09

we can nail the animals who are responsible for this.

0:24:090:24:11

Mate, you're here as a parent. You can't go into cubicles quizzing people, OK?

0:24:110:24:14

I'm an ex-copper. I can't help it.

0:24:140:24:17

Look, take a seat and I'll let you know about his x-rays, OK?

0:24:170:24:20

Have you seen paradoxical breathing before?

0:24:520:24:55

No. That's the flail chest, is it?

0:24:550:24:57

Yeah.

0:24:570:24:58

Sam, I need you in cubicles.

0:24:580:25:00

-I can do more here.

-We're covered here and I don't have time to argue.

0:25:000:25:03

Charlie, can you..? Thanks.

0:25:030:25:06

I need you to look after anyone else who's hurt out there.

0:25:070:25:09

Cubicles, please.

0:25:090:25:10

OK.

0:25:100:25:12

Right, Mrs Phelan?

0:25:140:25:15

I'm afraid Danny's injuries are life-threatening.

0:25:150:25:19

When the wall collapsed on him,

0:25:190:25:21

it fractured several of his ribs.

0:25:210:25:25

Yes, which left him with what we call a flail chest segment,

0:25:250:25:28

which is when the rib cage detaches itself from the chest wall,

0:25:280:25:31

and so it's floating in his chest.

0:25:310:25:33

Do you understand?

0:25:330:25:34

Will he get better?

0:25:380:25:39

We're controlling his breathing, so there is a chance of recovery.

0:25:390:25:44

You... You're the boss?

0:25:460:25:48

I'm the Clinical Lead, yes.

0:25:480:25:51

So, you're the best doctor here?

0:25:510:25:54

The top doctor?

0:25:540:25:55

Once we're satisfied that he's stable,

0:25:570:25:59

we're going to transfer him up to ITU.

0:25:590:26:01

They've got better ventilators, which are more suited to his injuries.

0:26:010:26:05

Promise you'll save him, please.

0:26:070:26:10

We'll do everything we can.

0:26:100:26:12

-Promise?

-Yes.

0:26:120:26:14

-Promise?

-Yes.

0:26:140:26:15

MOBILE PHONE BUZZES

0:26:150:26:19

It's his father. I have to answer it.

0:26:190:26:22

-Ow!

-I thought you paramedics were meant to be hard?

0:26:280:26:31

You got lucky. It could've been a lot worse.

0:26:310:26:34

Yeah, it's a good job your mate was there to get me out.

0:26:340:26:36

Is he a permanent here?

0:26:360:26:38

-Tom?

-Yeah, I mean, is he single?

0:26:380:26:42

What? If you don't ask you don't get.

0:26:420:26:46

No idea.

0:26:480:26:51

Ow.

0:26:510:26:53

OK, all done.

0:26:550:26:58

So, how are you feeling?

0:26:580:27:00

Yeah, better.

0:27:000:27:02

Less pain.

0:27:040:27:06

Pity.

0:27:060:27:08

I'll leave you both to it.

0:27:120:27:14

These were in your jacket.

0:27:200:27:22

I found them.

0:27:220:27:24

I was going to hand them in, but obviously...

0:27:240:27:27

Found them? Yeah, and that's what criminals do, isn't it?

0:27:270:27:30

Leave money and evidence lying around for you to find.

0:27:300:27:34

I could always tell when you were lying.

0:27:340:27:37

You kept pushing me, telling me to get a job, so I just thought...

0:27:370:27:40

Not like this - and you know it.

0:27:400:27:42

Was it just you?

0:27:440:27:45

Course it wasn't.

0:27:470:27:50

You couldn't organise something like this by yourself.

0:27:500:27:53

How many?

0:27:530:27:56

Couple of thousand.

0:27:560:27:58

We were selling them in clubs.

0:27:580:28:00

Told people to come to the campsite entrance.

0:28:000:28:03

There were a bloke that weren't checking too hard.

0:28:030:28:07

You going to grass me up?

0:28:090:28:11

I don't know.

0:28:130:28:15

Please, Dixie,

0:28:270:28:28

please, just please, just find out how Danny is for me?

0:28:280:28:31

He'll be getting the best care.

0:28:310:28:32

It's all my fault.

0:28:340:28:36

Sshh. Don't think like that.

0:28:360:28:37

How can I not think like that?

0:28:370:28:39

I was the one that got him the ticket.

0:28:390:28:40

OK, we'll be there in one minute, Dix.

0:28:420:28:44

He's blown a pupil. CT. Immediate scan.

0:28:490:28:52

Right, let's get him out of here. I need a glucose strip, please.

0:28:520:28:55

Hi, it's Charlie Fairhead in ED.

0:28:550:28:58

We've got a patient that needs an immediate scan.

0:28:580:29:00

That's great, we'll bring him straight through.

0:29:000:29:04

Confirm, it's cerebrospinal fluid, so it's either swelling of the brain

0:29:040:29:07

-or it's a fracture at the base of the skull.

-Right.

0:29:070:29:09

Let's get him out of here, please.

0:29:090:29:11

Right, Laura, I'm just going to move you to another bed, love.

0:29:170:29:20

-Nice and gently, please, everyone.

-One, two, three.

0:29:200:29:23

OK, can I get a full trauma screen, please, and let's get her scanned.

0:29:230:29:27

Hello, Laura, my name is Doctor Keogh. Can you tell me how you are feeling?

0:29:270:29:30

-Where's Danny?

-I'm sorry?

0:29:300:29:32

Danny?

0:29:320:29:33

Danny, I don't know a Danny. Can I suggest that we worry

0:29:330:29:36

rather less about him and rather more about you, OK?

0:29:360:29:38

How is he? Mrs Phelan, where is he?

0:29:380:29:41

I keep seeing Danny's face.

0:29:430:29:46

I could've...should've got him out.

0:29:460:29:51

Let it go.

0:29:530:29:55

Is that what you do?

0:29:550:29:56

We could've saved him

0:29:560:29:59

and you just let it go?

0:29:590:30:01

Yep.

0:30:010:30:03

How do you do that?

0:30:030:30:04

Cos I can't.

0:30:040:30:06

You know that paramedic's got the hots for you.

0:30:110:30:15

Expertly changed the subject.

0:30:150:30:18

Fluid technique. And final.

0:30:180:30:21

You don't do touchy-feely, right?

0:30:210:30:24

You should've known that.

0:30:240:30:26

Yeah, but I never had you pegged as a rock chick, either.

0:30:260:30:29

OK.

0:30:330:30:35

Am I done?

0:30:350:30:36

Yes, you're done. Now go. Leave me alone.

0:30:360:30:39

Is she in with a chance?

0:30:400:30:42

Never at work.

0:30:420:30:44

Well, it's the lesser-known eleventh commandment.

0:30:460:30:49

Tom.

0:30:500:30:51

It wasn't your fault.

0:30:530:30:54

We've had him scanned.

0:31:020:31:04

Sarah, when the wall fell on Danny, he sustained a trauma to his head,

0:31:060:31:10

which has developed into a cerebral oedema.

0:31:100:31:12

What's that?

0:31:120:31:14

It's swelling of the brain.

0:31:140:31:15

The substance coming out his nose

0:31:150:31:17

is the fluid that normally surrounds the brain.

0:31:170:31:20

So, we've put him on a drug called mannitol

0:31:200:31:23

and we're hoping that that will reduce the swelling.

0:31:230:31:26

Is he going to die?

0:31:280:31:30

You should prepare yourself, in case that happens.

0:31:300:31:34

But you promised you'd save him.

0:31:340:31:36

We're doing all that we can.

0:31:360:31:40

I'll get on to ITU and we'll keep on trying, Sarah.

0:31:400:31:44

The situation is that the neurosurgeons

0:31:490:31:53

have looked at the scans

0:31:530:31:55

and they feel that nothing can be achieved by surgery right now.

0:31:550:31:58

Is there anything we can get you or anyone we can contact for you?

0:32:000:32:05

Who made that decision?

0:32:050:32:08

Oh, he did, did he?

0:32:080:32:11

Dylan. Well, let's get that decision unmade.

0:32:110:32:15

ITU. They've got one bed left and they're refusing to take Danny,

0:32:180:32:21

because apparently, you nipped in while your patient was being scanned.

0:32:210:32:24

Yes. They've got one bed. We've got two patients that need it.

0:32:240:32:27

I made a rational decision.

0:32:270:32:28

No, you went behind my back.

0:32:280:32:30

You make decisions about your patient,

0:32:300:32:32

but if it affects other patients,

0:32:320:32:33

-I make the decision.

-If you're happy to jeopardise my patient's recovery.

0:32:330:32:37

-No. I want the best for both patients.

-The best?

0:32:370:32:39

Let me get this straight. Your patient has a flail chest, blown pupil.

0:32:390:32:43

And a cerebral oedema. Your point?

0:32:430:32:45

You know that his chances of survival are very low.

0:32:450:32:48

He's on a IV mannitol. And his second pupil hasn't blown.

0:32:480:32:51

-It's a matter of time.

-Not your decision.

0:32:510:32:53

The less time my patient spends here and the more time in ITU,

0:32:530:32:56

-the greater her chance of recovery. Your patient doesn't have much...

-But he has a chance.

0:32:560:33:00

-Yes, I have a chance of winning the X Factor.

-Are we done?

0:33:000:33:03

You're not making a rational decision. ITU won't take him.

0:33:030:33:05

I'll make the case for Danny. Do not move your patient till I say so.

0:33:050:33:08

-You're wasting your time.

-No, you're wasting MY time.

-Can I get back to my patient?

0:33:080:33:13

Change of plan.

0:33:170:33:18

How is she?

0:33:180:33:20

Not as bad as I feared.

0:33:200:33:21

She's got a spinal cord contusion. HDU, please.

0:33:210:33:23

I'm confident with the right treatment, good physio,

0:33:230:33:26

she should make a full recovery.

0:33:260:33:27

Is it OK if I have a word?

0:33:270:33:29

Yes, be my guest.

0:33:290:33:30

Hey, you remember me?

0:33:300:33:32

I was helping Danny and you pulled him away.

0:33:330:33:36

The security guard.

0:33:360:33:38

You freaked when you saw him. Why?

0:33:380:33:41

Look, I'm not going to get you into trouble.

0:33:410:33:43

I just need to know what happened.

0:33:430:33:45

I met the guard.

0:33:470:33:49

I met him in a club a couple of weeks ago.

0:33:490:33:52

I went back to his place.

0:33:520:33:54

He was bigging himself up, saying he could get us into the festival,

0:33:540:34:00

cos he had all these fake wristbands that he was selling.

0:34:000:34:04

I was just sat there,

0:34:040:34:07

on his bed,

0:34:070:34:08

and I was thinking to myself,

0:34:080:34:10

"Why am I here? I don't want to be here."

0:34:100:34:14

And I just wanted to be with Danny.

0:34:140:34:16

And he knew that, because all I spoke about was Danny.

0:34:160:34:19

But I ended up stealing a couple of the wristbands.

0:34:190:34:24

I thought I could get in the festival,

0:34:240:34:26

but he recognised me,

0:34:260:34:28

and I just... I just thought...

0:34:280:34:30

-Tom?

-Thank you.

0:34:330:34:37

I stopped you, didn't I?

0:34:370:34:39

I stopped you getting him out.

0:34:390:34:42

Counterfeit wristbands.

0:34:540:34:57

-I don't know what you're talking about.

-Out there, you were frantic with worry.

0:34:570:35:00

But in here, you turned on him. I know it was Carl who was selling the wristbands.

0:35:000:35:04

You know, do you?

0:35:040:35:05

You're not even trying to hide it.

0:35:060:35:09

You were absolutely sure the festival was overcrowded.

0:35:110:35:13

-That's why there were so many people in that tunnel.

-He's a good kid.

0:35:130:35:17

Are you going to report this to the police or am I?

0:35:170:35:20

Come on, Danny.

0:35:200:35:22

Hang on, please.

0:35:240:35:26

He's always been a fighter. I know that...

0:35:300:35:33

..that if anybody can pull through this, Danny can.

0:35:350:35:38

You just keep talking to him.

0:35:380:35:40

Heart rate's down to 40.

0:35:400:35:42

BP is 96 over 66.

0:35:420:35:43

-How's his other pupil?

-Reactive.

0:35:430:35:47

-That's something, right?

-Yeah.

0:35:470:35:49

Which bed's he in?

0:35:490:35:51

Just over there.

0:35:510:35:53

Charlie.

0:35:540:35:56

-Vincent.

-Dr Hanna's making a case for me to change my mind

0:35:560:36:00

and take HER patient to ITU.

0:36:000:36:02

What do you think? Is he going to make it?

0:36:020:36:04

Well, I wouldn't want to prejudice your judgement.

0:36:040:36:07

But Doctor Hanna has my full support.

0:36:070:36:11

-The lad's mother?

-Yeah.

0:36:130:36:15

I'd be happier if she wasn't looking over my shoulder.

0:36:160:36:19

All right, I'll sort it.

0:36:190:36:21

I know his prognosis is grim,

0:36:230:36:24

but if there's even the slightest chance,

0:36:240:36:27

I think he should be in ITU.

0:36:270:36:28

Just pop outside for a moment.

0:36:280:36:30

I'm extending you this courtesy because of the patient's age

0:36:300:36:33

and because this is your first day.

0:36:330:36:34

And congratulations.

0:36:340:36:36

But I'm not going to make a habit of it, Dr Hanna.

0:36:360:36:39

I have to see something extraordinary if I'm going to change my mind.

0:36:390:36:43

I don't want to leave him.

0:36:470:36:49

-I think you should wait outside, Sarah.

-Please.

0:36:490:36:54

I love you.

0:36:560:36:59

What?

0:37:270:37:30

Dylan. I was wondering how you'd handle him.

0:37:300:37:33

I'm in charge now, I get it. I get it.

0:37:330:37:37

Do you?

0:37:370:37:38

What, you think I'm being emotional, as well?

0:37:400:37:42

Tell you what I think.

0:37:420:37:44

Nobody wants you to stop being you,

0:37:440:37:46

but sometimes, now, you are going to have to take a step back.

0:37:460:37:52

Why did he just do that, Charlie?

0:37:520:37:54

Because he's right.

0:37:540:37:57

Something else.

0:38:040:38:05

All this nipping out for a fag, that's going to have to stop.

0:38:050:38:11

Don't you start.

0:38:110:38:14

Can I go back into Danny?

0:38:300:38:32

He'll be finished in a second.

0:38:320:38:34

What's happened to Laura?

0:38:380:38:40

I can't discuss another patient.

0:38:400:38:42

Sorry.

0:38:420:38:44

She came round last week,

0:38:460:38:48

said she'd got some tickets from a fella in a club.

0:38:480:38:51

Danny was so excited.

0:38:520:38:55

I think he thought this was his big chance.

0:38:550:38:58

Not that he'd say that to me, but...

0:38:580:39:01

..he would have done anything for her.

0:39:040:39:07

Yeah... Excuse me.

0:39:120:39:15

You, um, you can't blame the girl.

0:39:170:39:23

What happened...was not her fault.

0:39:250:39:29

It...

0:39:300:39:31

The spinal cord contusion, it's just, um,

0:39:340:39:38

it's bruising around the spine.

0:39:380:39:40

There's nothing's severed, so there's no permanent damage.

0:39:400:39:43

That's good news, hmm?

0:39:450:39:47

You should make a full recovery.

0:39:470:39:50

Can you excuse me for one second?

0:39:500:39:53

How is she?

0:39:540:39:56

Well, she's not doing cartwheels -

0:39:560:39:58

probably a good thing, given her condition.

0:39:580:40:02

OK, boss, yes, this is the moment where I get my dressing down.

0:40:020:40:05

You tell me where I stand in the great scheme of things.

0:40:050:40:11

I was wrong. Your patient should have the ITU bed.

0:40:110:40:14

I've made my decision.

0:40:250:40:27

Yes, so have I. Doctor Keogh's patient gets the bed.

0:40:270:40:30

He already knows.

0:40:300:40:33

I agree. I'll leave you to it, then. Good luck.

0:40:330:40:37

Pulse is down to 30, BP's 200 over 30.

0:40:410:40:44

His second pupil's blown.

0:40:550:40:58

The mannitol hasn't worked, Sarah.

0:40:590:41:02

I'm afraid we've done everything that we can.

0:41:020:41:04

There must be something you can do?

0:41:060:41:08

-Look at him, he's breathing.

-He looks...

0:41:080:41:10

MONITOR BEEPS

0:41:100:41:13

-He looks...

-I'm sorry. MONITOR BEEPS

0:41:130:41:16

Right, Zoe.

0:41:160:41:18

FLATLINE TONE

0:41:210:41:23

Tell you what, maybe you should wait outside.

0:41:260:41:28

I'm not leaving him.

0:41:280:41:30

It's up to you. You stay if you wish.

0:41:300:41:33

I'd like Laura to see him.

0:41:340:41:37

Are you sure about that?

0:41:380:41:40

Yes.

0:41:420:41:43

Dad?

0:41:550:41:56

Rob? Are you OK?

0:41:580:42:02

Do you want a few minutes alone?

0:42:030:42:06

No. You need to hear this, too.

0:42:060:42:09

The other families, they have a right to know what happened.

0:42:130:42:17

They've got a right to know who to blame.

0:42:190:42:22

Don't do this...please.

0:42:220:42:27

We need to speak to a police officer.

0:42:270:42:31

Well, let's get Carl settled upstairs first

0:42:330:42:35

and then I'll arrange for someone to come and talk to you both.

0:42:350:42:37

Dad...please.

0:42:370:42:41

If you're sick of being nothing, son,

0:42:410:42:44

now's the time to stand up.

0:42:440:42:46

Tell the truth.

0:42:480:42:50

Oh, great. Danny's mum wants her to see him.

0:42:590:43:01

Please take me!

0:43:010:43:03

But she's supposed to be going to ITU.

0:43:030:43:05

No, I really need to see Danny, please.

0:43:050:43:07

-Fine.

-Right, great.

0:43:080:43:12

Stand by with adrenalin.

0:43:150:43:17

Please, stop.

0:43:220:43:24

Stop it.

0:43:260:43:28

He's gone, hasn't he?

0:43:410:43:43

Even if he survives this... I'm not getting HIM back.

0:43:430:43:49

I want his last moments to be peaceful.

0:43:510:43:55

-Danny?

-And I want her to see what she's done.

0:43:550:44:01

I don't think this is such a good idea.

0:44:010:44:03

Please, please. Just let me hold his hand.

0:44:030:44:08

-Just let me touch him. Anything, please.

-Please, can you leave us alone with him?

0:44:080:44:15

Sarah...

0:44:200:44:22

..these are his last moments.

0:44:260:44:29

Peaceful, yeah?

0:44:300:44:32

Everything else can wait.

0:44:320:44:34

OK, we'll be just outside.

0:44:560:45:00

Danny?

0:45:040:45:05

When you took him from me this morning,

0:45:070:45:09

he was healthy,

0:45:090:45:12

he was beautiful,

0:45:120:45:15

he was happy.

0:45:150:45:17

I love him.

0:45:170:45:20

And I really wanted to tell him at the festival,

0:45:220:45:25

but I never...

0:45:250:45:29

It's all my fault.

0:45:310:45:33

LAURA WEEPS

0:45:330:45:36

I'm so sorry.

0:46:000:46:02

I really am so sorry.

0:46:020:46:05

You did good, today.

0:46:380:46:40

I don't think I treated anyone that wasn't ten years younger than me.

0:46:420:46:46

Ah, well. You'll feel differently once you get that first pint down your neck.

0:46:460:46:50

You said the magic words.

0:46:500:46:52

But got to go home and tuck the kids in first.

0:46:520:46:54

-Aw.

-I thought you'd want to know, your sister's got the job.

0:46:540:46:56

-She starts here tomorrow.

-Here!

0:46:560:46:59

Don't worry, you'll feel differently once you get that first pint down your neck.

0:47:010:47:04

Don't.

0:47:040:47:06

What happened?

0:47:140:47:16

We got a shout. Bloke feels sick at a bus stop.

0:47:160:47:19

We give him an ECG.

0:47:190:47:23

He's got acute angina.

0:47:230:47:25

Now, it turns out he came here this afternoon and you told him

0:47:250:47:28

to go to the dentist.

0:47:280:47:30

So, do you think that Nick would have handled any of that differently?

0:47:400:47:45

I think it's about time you stopped worrying about Nick.

0:47:450:47:48

You've been in charge before.

0:47:480:47:49

Yeah, I know, but before I had a safety net.

0:47:490:47:51

Now, I don't.

0:47:510:47:53

I think you're wrong.

0:47:560:47:58

Zoe. Pubs are not really my thing.

0:48:010:48:06

I wanted to get you a drink. This is what you drink, isn't it?

0:48:060:48:09

I'll force it down.

0:48:090:48:10

An apology. A celebration and an apology.

0:48:100:48:13

-Stay.

-No, no. I'll go.

-Thanks.

0:48:130:48:17

Oh, here she is.

0:48:190:48:21

ALL: Here she is.

0:48:210:48:22

Your round, then, boss?

0:48:220:48:24

The next person who calls me boss will wake up in resus.

0:48:240:48:27

ALL: Ooh!

0:48:270:48:30

So, what's everyone drinking?

0:48:330:48:34

Gin and Tonic, double.

0:48:340:48:36

-Double.

-Double

0:48:360:48:38

OK, all right!

0:48:380:48:41

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