Seeing in the Dark Casualty

-He's been off school with a bug.

-How did he end up like this?

-This could be an infectious bacteria.

-What is it? Tell me!

It's E. coli. My wife is eight months pregnant.

I don't want to close the department.

You think it's right to keep this from the public?

We're doing everything we can.

Are you mad?

We're looking for the hospital - my wife's a bit under the weather.

SHE WAILS

We had a baby!

I'm going to miss you, Agnes.

Not sure I have any energy left for this Halloween do.

Nah, night of the living dead?

You'll fit right in.

If anyone thinks they've been affected by E. coli,

can you to come to the front, please?

-Hey, hey, hang on!

-I'm sorry, sir, but they might be infectious.

-I could bleed to death.

-If you would, that'd be incredibly helpful.

-Dylan!

-Be one less patient to treat, wouldn't it? Mr Nolan, please?

Someone's in a good mood, I see.

-I don't see any great reason for joy. Do you?

-Right.

Bethan's going to look after you.

Bye-bye, sweetheart.

You've got all my numbers, haven't you?

-In triplicate.

-All right. OK.

-See you later.

-See you.

PHONE VIBRATES

-I didn't mean to intrude.

-I don't want you near my family.

Look, Rob, I know it's tough but I had to report it to the Health Protection Unit. You know I did.

You seen this?

-Someone leaked it.

-Why would

-I

-do that?

Heard I'd made a complaint against you. It's vindictive.

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

-We've lost the supermarket order.

Without that, the bank'll foreclose. We'll lose the farm.

-That has got nothing to do with me.

-How can you say that?!

-Be...

I think I'd better leave.

Yeah, I think you'd better had.

HE SPEAKS POLISH DOG WHINES

HE SPEAKS POLISH

BABY CRIES

Come on, Nathan.

Where's my happy boy, eh?

CRYING CONTINUES

CRYING CONTINUES

Here y'are. Look!

Take it.

HORN HONKS

HORNS HONK TYRES SCREECH

I've got it. Here you are.

-There you go, Mr.

-SHE SCREAMS

Nurse Andrews, this is our infection control officer.

Can you talk us through, please?

Yeah, we take a history. Immediate stool and bloods.

IV fluids for those who need them. But mostly, we're sending them home within two hours.

That's cos most of them are neurotics with absolutely nothing wrong with them.

-Thank you, Dr Keogh.

-That's a pleasure, Dr Hanna.

Can I just say what an enormous debt of gratitude we all owe you for today?

We've admitted three patients - all elderly, none critical.

Thanks, Tom, I need you back in the department. We're stacking up with non-related admissions.

-I'll make a start.

-Thank you.

-Will you cut it out?

-Just to make your life easier?

-I thought we were a team.

-We were until you blabbed to the press.

-Blabbed?!

It's common sense. You don't talk to the press.

Do you think, maybe, that this could wait?

Grow up!

-I wouldn't take too much notice of Dylan.

-Oh, it's not him.

-Rob Arkwright issued some complaint to the Trust board.

-Could it lead to disciplinary action?

Who knows? I broke every rule by speaking to the press, didn't I?

They're covering their backs. That's all.

Can I have some help here, please?

I need to stabilise his neck, so will you hold it like that for me?

I'll be back in a minute. Thank you.

-Baby's in the blue car.

-OK.

You need to get his neck stabilised.

BABY YELLS

-Hey. Hello, little fella.

-OK, Airbag's caught her.

Hello, sweetheart. My name's Dixie. I'm a paramedic.

-Can you tell me your name?

-Bethan. The baby, Nathan...

-Jeff?

-No, he's fine. Temperature's good - it's all good.

-All right.

-Your baby's seems to be doing OK.

-He's not my baby.

-Jeff?

-Yep?

-Could you hold her neck for me, please?

Right, Bethan. Airbag seems to have done its job, love.

Jeff's just going to hold your neck for a bit. I'm going to run to the ambulance and get a board.

We're going to pop you on it, just as a precaution till we get you to hospital. OK?

OK.

Zoe.

-Hi.

-I need you to sign off on a transfer to Paeds. It's that three-year-old.

The parents heard about the E. coli on the news. It's lucky we got it early.

-There might be SOME good to come out of the press coverage.

-It's why they brought her in.

Caring parents, are they? Responsible parents?

They would have brought her in anyway. Thought I'd just get that in before you.

-Shouldn't we be backing her?

-We're here, aren't we?

We're working our insides out. Doesn't mean we have to be happy about it.

Jeff.

This is Nathan. He's a year old.

He was secured on a back seat of a car during an RTC

-but he's fine - all his obs are normal.

-OK. Tom's waiting for him in Resus.

OK. Come on, then.

-OK. What have we got?

-Unidentified male, came off his bike.

On arrival GCS 12 - is now 14.

He's got severe bruising to the right-hand side of his rib cage.

Pulse is 95, sats 97, BP 110 systolic. He's had 500 of saline.

OK. We got no name?

No, he's been out of it the whole time and got no ID.

Let's get our mystery man straight to CT. Fletch!

This is Bethan, 18. She was driving. Car hit another car. Airbag caught her.

GCS was 15 on arrival. She's become breathless en route and she's getting worse.

She's developed an urticarial rash and some swelling to her lips.

Think its anaphylaxis. She's had 0.5 of adrenaline.

Hello, Bethan, I'm Dr Hanna.

You're having an allergic reaction to something. We're giving you an injection to help you to breathe.

Can you give me some nice deep breaths?

That's it.

DIXIE SIGHS

-God, I hate these.

-Yeah, me too.

Fletch, let's get her into Resus. We'll give her 10mg of Piriton IM,

200mg of Hydrocortisone,

a nebuliser of Salbutamol and a chest, neck and pelvis X-ray.

Tom...any worries?

Obs are good.

Great. Thank God for car seats, eh?

Sam.

You look whacked.

Yeah, well, I've had better days.

-Have you assessed?

-Yes.

I'd say query of fractured ribs, and right ulna.

Some sort of infection?

Possibly conjunctivitis. Which would explain the lymphadenopathy.

-Any relatives?

-Er, no.

Mobile phone broken. No ID.

But...he is carrying this.

What is he - 18? 19 at most? That age, I was just happy to get a snog.

Me too!

How we feeling?

-Oh, a little bit tired, if I'm honest!

-Ah, and how about her?

Her BP's improving. It's 110/70, but she's a little bit worried about the baby.

The baby's fine. Do you have a telephone number for his parents?

Yeah, in my phone. His mum's Ally. Ally Orman.

-Do you mind if I have a little look?

-No, go for it.

-You got that?

So Bethan, you've had a reaction to something. That's why you couldn't breathe properly.

-Are you allergic to anything?

-No.

-On any medication?

Anything at all?

Took a few anti-histamines. Got this rash.

Right. When you say you took a few,

how many is that?

Two? Four? Six?

More than six? Less than ten?

Yeah. Yeah. I thought they'd help.

Well, you should really stick to the dose.

Is that what caused the breathing problems?

Well, it would be extremely rare but if you did take that many...

They still didn't cure the rash!

No, that is strange - it still didn't cure the rash.

-It's not your day, is it?

-Well, baby's mum is on her way.

Is he scared? I should be with him.

Seriously, he is the most un-scared baby I've ever seen, all right?

Fletch.

Keep a close eye on her.

You worried?

-More curious.

-OK.

-Sam, how we doing with your query appendicitis?

-Waiting for a porter, then she'll be gone.

Good. Tom?

Man in six has an excruciating case of hypochondria. Convinced he's got cancer -

-all I can see is mouth ulcers.

-Have we seen him before?

-Six times in three months.

-Show him the door and you have my permission not to be nice about it.

So, Sam, fastest turnaround seems to be your kidney stones in two.

Tom, you take foot injury in one.

I'll take the chest drain in four,

and then once we've got that lot cleared we should all...

-Start all over again.

-Exactly.

Mystery man's making a bit more sense. I'm no expert but I think he might be Polish.

Oh!

-Witaj.

-I take it you don't speak Polish.

-Means "hello". And I can count to five and order a beer, as well.

-So you're practically bilingual.

-You're impressed, I can tell.

-Nie, nie jestem.

-W-Was that rude?

-Use your imagination.

Now, can I get you anything?

-Can I see Nathan?

-No. Not until we know what's wrong with you.

His mum's going to be here in a minute.

The most important thing is that you two are both all right. Yeah?

Yeah. Yeah, course.

PHONE VIBRATES

Er, shouldn't really have that on in here.

My dad.

-Do you want me to call him? Let him know where you are?

-We're not talking.

-Sounds serious.

He hates my boyfriend.

I was supposed to be meeting him.

It's not that bad.

Well, OK. Here y'are. I want you to pop this mask back on.

OK? Relax.

Deep breaths.

There you go.

Tess? The vending machine's broken.

I fix humans, not machines.

I know, but I need chocolate. Should be free on days like this!

I just saw you scoffing a doughnut!

That was from a relative. It would have been rude not to eat it.

-Hey, I'm saving mine for later.

-You're making me jealous.

I'm sure he'd like you to have one.

How long has he been here?

Not long. He just said he just wanted to say thanks.

OK, Just try and breathe normally for me. That's it.

So, is it an allergy?

Well, your glands are really swollen.

Have you been feeling run down?

-Had diarrhoea, too. That was fun.

-I can imagine.

We've been camping out - me and my boyfriend.

Toilet only flushed when it felt like it, and then the pipe cracked.

-Oh, it was really gross.

-Well, no wonder you're feeling run down if you're living like that.

-That's why I got the au pair job.

-Well, that sounds like a good move.

-Not according to the boyfriend.

-Thought I was leaving him, not the hellhole.

-Yeah, well, men can be very stupid.

Bethan, Nathan's mum's here - she'd like to have a word.

-I can tell her you're too ill, if you like.

-Oh, no. It's OK.

Yeah? OK.

Ally...

I'd never hurt Nathan. You must know that.

You said you'd stay inside.

You'd only go out into the garden. That's what you said.

I know. I should have told you, but you were so wound up...

-So this is all my fault, is it?!

-No, but...

Well, Nathan's OK, isn't he?

I'm going to pack your bags. You can come and collect them whenever you're ready.

You're sacking me?

Can't I even say goodbye?

After what you've done?

Ally...

OK. Lie back.

Let's get this mask back on.

There you go.

Do you remember your name?

Bart.

Bart Nowak.

OK. Can you look straight ahead for me, please, Bart?

OK, Bart, your right eye's very red.

Has it been bothering you long?

It's, er... What you say?

Conjunc-tiv-it-is.

Conjunctivitis.

Have you seen a doctor?

My mother's a doctor. I called her.

In Poland?

I told her my eye - red.

She said conjunctivitis.

And I bet she said you should go and see someone about it.

Didn't she?

OK, how many fingers am I holding up?

-Two.

-OK. How about this side?

It's...blurred

but I think two.

OK, good. How we getting on with those results?

Yeah, here we are.

Ah, excellent.

-If you take these, this will help with the pain.

-Then can I go?

We need to see why your vision is blurred. I'm going to give someone a call from upstairs

-to come down and take a better look.

-I have a chance of a ride.

Free, home, but it's tonight.

Back to Poland?

I can't afford a ticket.

This is the only way. Please.

Lloyd will take you through to cubicles. And I'll get straight on to Opthalmics, OK?

Then we'll talk afterwards.

-Agreed?

-Thank you.

Bethan, we've got some of your results back.

You're pregnant.

I'm on the pill.

Well, because you had diarrhoea, that may have affected the pill. Do you know how late you are?

-I thought it was just this bug.

-Have a think about when your last period was, cos that would really help us.

OK?

Fletch, I'm going to have to nip up to ICU. Can you try and persuade her to call someone?

-I won't be long.

-OK.

-So...

-HE CLEARS THROAT

..it's turning out to be a bit of a day, innit?

Sorry. Master of the obvious.

-I have to find Bart.

-No, don't do that. Is Bart your boyfriend?

-I've been such a cow. Please. He said he'd leave if I didn't meet him.

-We can't let you go yet.

So let's get this back on.

-Why don't you let me call someone for you? What about your mum?

-She died when I was a baby.

OK.

This argument with your dad. Is it just about your boyfriend?

Dad hates him. Treats him like he's scum or something.

-Well, if he let you live in that dump...

-That wasn't down to Bart!

I can't make you call your dad, but have a little think about it, all right?

You need someone with you.

They've taken him off dialysis, then?

-If his kidneys don't kick in...

-There's a good chance it'll work.

They wouldn't be trying if there wasn't.

Tell her.

Tell me what?

The CCDC called.

They've finished testing the plant at the farm. We're clear.

-Are you sure?

-We're not the source of the outbreak.

-Well, that's good news, isn't it?

-You really don't get it, do you?

Nobody's going to buy our produce now. Not for months.

-Years, even.

-Leave it, Rob.

SHE did this!

What's more important?

Bobby!

-Can we get a trolley in here?

-Why's she like this? What's happened?

-Bobby?

-It's all right. Bobby's OK.

-How do you know her?

She's my daughter.

OK, well, we need to get Bethan down to the ED.

Mr Hearn? Ray?

Are you feeling all right?

Oh.

Just dropping off.

-I can think of more comfortable places to have a snooze.

-Oh!

I'm not allowed one at home.

Why's that?

Agnes's sister's has decided she'll stay till the funeral.

She's Methodist.

Do they not nap in the afternoons, then?

Chairs are for sitting in, apparently.

Oh, er...

Thought it'd be a nice gesture.

Sort of thing Agnes would have done.

Do you know what, Ray? This is perfect.

Doughnuts are a tonic.

You sorted a date for the funeral?

Tuesday, apparently.

And how are you coping?

You sure you're all right?

Go on, I...

be in, in a bit.

Want to finish... giving these around.

-Dad, I'm all right. Really. Shouldn't you be with Bobby?

-No way am I leaving.

Seriously, Beth, why didn't you tell me you got a job?

-Even that halfwit Bart didn't know where you were.

-Don't call him that.

-Who was driving? Was it him?

-No.

One of his dodgy mates, then? Bet they were stoned.

-Dad, it was me. I was driving, all right?

-Do you think this could wait?

I'm sorry.

I'm sorry. Let's not argue.

We're down to a three-hour wait now.

Woo-hoo(!) Let's crack open the champagne.

-The boss did promise us a drink.

-Can't wait.

-Ah, you got to be kidding!

-Is there a problem?

-Yeah.

They're all scared they've got this E. coli bug.

Just tell them to come back when they're sober.

That's really helpful, Fletch, thank you(!)

Could you come with me, please? This way.

Look, and if any of you lot are sick you can clean it up yourselves, all right?

She's perfect.

Look at her fingers.

You came out like a boxer. Tight little fists.

Always ready for a fight.

I will never forget you looking up at me.

Big eyes staring.

I wasn't much older than you are now.

You all right?

I'm sorry to interrupt. Bethan, your blood results are back.

You knew you told me earlier that where you were living's a bit grotty?

No hot water, working toilet?

What's this about?

-Well, are there any animals that live there? Like cats or dogs?

-A cross terrier.

Bart's obsessed with him. He's just a puppy.

-Why are you interested in the dog?

-I'm pretty confident it's toxocariasis.

-Isn't that what you get from excrement?

-Dad!

Kids get it from the grass in the park.

It's a parasite, yeah?

Yeah. Your breathing problems mean it's migrated down to your lungs.

-And because you've got a tender abdomen, makes me think it's in your liver, too.

-That's gross!

You get it from things like not washing your hands properly. They're just tiny eggs.

-It's easily treatable if I'm right.

-What about...?

Er, Rob, would you give us a minute, please?

-Why?

-Please, Dad.

No, come on!

I'm here for you, right?

Me and you.

We always said that.

I'm pregnant.

Hello, Ray. All right if I join you?

Would you like a doughnut?

No. No, thank you.

On a diet?

No. Why - d'you think I should be?

Oh! No, love. You're perfect.

I feel about a hundred today.

Do you know what? I think I will have a doughnut.

Agnes loved doughnuts.

We never had them.

Ray, you know the farm that we thought was the source of the outbreak of E. coli?

Well, it's been cleared. So it's not coming from there.

Oh.

Glad, really. That farmer's wife's a lovely lass.

I didn't realise that you knew them.

Oh, yeah. She, er...ran the stall.

There every week, she was.

Always standing - even when she was so pregnant.

Agnes was always worried about her ankles.

Wh-What stall?

Er...farmers' market over at Stanton.

Bit pricey, but...

I had this daft idea that...

if we ate fresher, we might live a bit longer. Ooh!

Are you OK, Ray?

I...keep getting this pain in my side. It'll pass.

OK. HE WINCES

OK, can I have some help over here, please? That bed over there.

Is that Mr Hearn?

-Yes. He collapsed in the waiting room.

-Why the hell was he kept waiting?

No-one knew he was sick.

I should have spotted something, Dylan. He just keeled over next to me.

Hello, Mr Hearn, it's me again.

-We'll have you right as rain in no time. Can I get a line in, please, and full bloods?

-Yeah, I'm on it.

I hope this isn't what I think it is. No, I'm not staying.

Zoe, Zoe, Zoe, Zoe... I'm on your side, you know.

-Was that an apology?

-No, no, I still think you're an idiot.

That's more like it.

Whoever the board are, I'm sure they won't have missed all this.

Don't think I don't know that, Dylan!

You sure you don't want these?

The pain is not too bad.

Where is the optom...?

-Ophthalmic surgeon?

-Surgeon?

-I need operation?

-We won't know until they examine you.

Can I get you anything?

Here.

How's Grandad?

Don't say that near him.

Do you think she's going to keep it?

-Suppose that depends on the boyfriend a bit, doesn't it?

-Hmm...

Will the toxocariasis harm the baby?

Well, I'm not sure. We will have to treat her very carefully.

Probably was the puppy. Had the runs and everything.

I think the main culprit's the place she was living.

-You should report the landlord. Bet he was still taking rent.

-Right.

Rob, there's another thing. There was an old man here today whose wife died.

He mentioned that she bought some veg from the farmers' market.

-Have you informed the inspectors about that?

-Yeah.

-Yeah, of course.

-Are you sure? Because they will need to check those crops.

The inspector's happy. All right?

Now, when can I take Bethan home?

Well, I just need to keep her in for tonight.

Just for observation. I'm going to find her a bed for her now, actually. OK.

Thanks.

PHONE VIBRATES

Dad.

Where you going?

Er... Listen.

They want to keep you in.

So I thought I'd nip back and get you a few things.

You do know that I love you, don't you?

How's your pain now, Ray?

Lot better, thanks.

See. Told you we'd sort it.

It's the same as Agnes, isn't it?

I'd rather know.

You're still very much with us.

We'll do our best for you.

Don't.

What?

Oh...I've had my time, love.

Might be better like this.

Can't even cook an egg.

That's easily learnt.

Bart, I want...

-This is looking a lot clearer.

-Well, it's amazing what the threat of an enema will do.

-Why is your RTC guy still here?

-He's waiting on the ophthalmic surgeon.

-What you looking for?

-Well, CT and bloods are normal,

-but he's got partial vision loss in one eye.

-Hold on, Sam.

-Eosinophils they are very high, aren't they?

-Toxocariasis?

Mm-hm, probably. Do you know what's really weird? I've just had another case.

Is this is the ring guy, yeah? D'you mind if I have a word with him?

-Er, yeah. Be my guest.

-No, that's the thing. I just went to check his obs and he's gone.

"I have to go. Thank you."

Girlfriend's just dumped him. Poor guy's in pieces.

Bartok Nowak. D'you know? I think his girlfriend's in cubicle three.

Lloyd, you go and look for him, I'll go and speak to her.

-Bethan, is your boyfriend's name Bartok Nowak?

-Yeah.

-I think he's been in the ED the whole time.

-What? Is he OK?

-Came off his scooter. I think he's OK.

-Can I see him?

No, that's the thing - he's gone walkabout. Where is this dump he's living in?

-It's the workers' block. Bart and his mates who work for my dad all live there.

-What - on the farm?!

Right on the edge of Dad's land.

They get a cheap rent if they work for him. It was all right in the summer.

We used to light fires and stuff, and we grew loads of things. It was fun.

-You know these things that you grew. Did you sell them?

-No.

Jenny did, though. They were her crops, really.

And did she sell them at the farmers' market?

Think she's been doing quite well out of it.

Hello, is that Dr Hayton?

Hi, it's Dr Hanna again from Holby City.

Yeah, I just wanted to check if Rob Arkwright had mentioned

that they were selling produce at a market.

Completely separate to the processing plant.

No, he didn't?

-Yeah. I'm sure you weren't. That doesn't surprise me.

-Zoe?

I'm sorry. Dr Hayton? Could I call you back in maybe five minutes?

Be great. OK. Bye.

-Hiya.

-Hi.

Bobby's OK. He's passing water.

That's good news. At least it's some kidney function.

I know its early days.

-Where's Beth and Rob?

-Beth is just resting in the cubicle over there

and I'm not sure where Rob is.

-Zoe, Ray Hearn's just crashed. They've moved him to Resus.

-OK, let's go.

-DYLAN:

-He's in VF.

-Oh, no.

OK, charging. Everybody back, please. Shocking...now.

-He wanted to be with his wife, Zo.

-Not our decision.

-Can you do CPR, please?

He's back in sinus...

-..with an output!

-Good lord.

Just goes to show.

-OK, Linda?

-Yeah.

Are you crazy? What are you doing?

Get out! And you. Go on.

WORKERS SPEAK POLISH

-You the last?

-Yes, I am.

-What are you doing?

-Don't panic - your bag's out.

-This is our home!

-Not any more, it's not.

-What would Bethan say?

-Bethan doesn't want to see you again. She showed me that text.

-She showed you?

-Beth wants you gone.

-You made her send it.

No need. She's seen through you. You used her.

No. I love her!

Eh? Eh?

DOG BARKS

BART YELLS DOG'S NAME

No! Leave it!

DOG BARKS ANXIOUSLY

Bart! Bart!

-Have we got a definite diagnosis?

-No, we're still waiting on the labs.

So we don't know for sure it's E. coli?

His wife's just died from it and we're in a middle of an outbreak.

Look at his nails.

OK. Yes, that wouldn't be caused by E. coli.

What are you thinking?

Metal poisoning has the same symptoms as E. coli.

-You think he's been poisoned?

-He was hyper-salivating.

It's arsenic, isn't it?

-Really?

-It's very rare.

-But treatable?

-Yes, if we move fast.

SIRENS WAIL

ROB GROANS

I hate burns.

Can't say they're my favourite, either.

Give me a hand.

OK, get him down.

Is there anyone else in there?

You have to save him. You have to!

Tamz! Can you help out, please, love?

Please! Please! You've got to save him. You've got to look after him. Please!

Nice and slowly, mate.

-OK, mate, pop yourself in the corner.

-Jeff I could do with a hand here, sweetheart.

-I need to get a line in.

-All right here? Yeah?

What's your name?

-Bart's got to be all right.

-Bart'll be fine. I'm going to sort you out.

Dix?

-Dix, I can't do this - I'm going to be sick.

-You can.

-I can't.

-You can, sweetheart. Come on. Deep breaths.

Look, check his airway and get some oxygen on him, OK?

I'm going to help you, OK?

How's that airway?

Tamz, airway?

-Tamzin?

-Yeah, it's clear, yeah.

Right, and what's next?

Er...ten of morphine. Steve!

Yeah, and you need some water gel pads and fluids, OK?

This is gonna help the pain, all right?

All right. Nice one. Line's in.

Cheers, Jeff. I'm OK now, love.

OK. How you getting on there, kid?

Yeah, you can. Yes, you can.

Wow! I've never seen that before.

It was a very good spot.

Finally, I've done something right, then?

Fowler's solution. Found it in his bag. It's a restorative tonic.

Been around for generations but it was banned decades ago.

Due to high arsenic content?

The skin lesions and the nails means it's built up.

So, what - was he having it with his cocoa?

-Either that or his wife's been trying to poison him.

-I highly doubt that.

Well, medics are on their way down. Pharmacy are looking into chelation.

-Great. At least he stands a chance now.

-Yes.

-You been mugging old men again?

-It's a shame to waste a good doughnut

but as I am watching my weight...

-How is he?

-He's still critical, but Dr Keogh's on it.

-Er...

-They're for Noel.

-I'm pulling rank.

Right, OK, guys, we've got a serious fire.

Two patients, with significant burns

and one more with compromised airway. ETA five minutes.

OK, Mac, will you get Ray out of Resus, please?

Last thing he needs to see is this. Fletch, you're with me.

Louise, save me that doughnut.

It's the RTC kid who came off his scooter earlier.

He's not having a good day - he's just got himself trapped in a house fire.

-Straight into Resus, Tom's waiting.

-Ten of morphine, first bag of saline.

Rob, what happened?!

He went in after the kid. I'll get his wife.

Rob, can you hear me? Will you let Bethan know we've found her boyfriend, as well?

One, two, three...

-Right, let's get another line in, please.

-Can I get five of morphine? Can you hear me?

Can you speak to me?

Bart.

Bart? We're going to concentrate on you for now.

Can we get a full blood count, U&Es, LFTs, glucose, and carboxyhaemoglobin?

Burns chart.

Thank you.

HE GROANS

Sorry. We're going to be as gentle with you as possible, OK?

-Sam, are you OK here?

-All good here.

-Tom?

-Yeah?

-Talk to me.

-That's the line in.

BP's dropping. Pulse is 120.

-Resps are still high.

-Burns?

30%, full thickness on the left leg and upper torso.

-Bart!

-Bethan, you got to give us some space here.

-Stand there. Stay there.

-What happened?

Bart was in the building. Your dad pulled him out.

Dad saved him?

-Fletch, ten of morphine.

-Yeah.

Apparently so, yes, carried him out. He's over here.

-Is he OK?

-Well, his burns are nowhere near as bad.

Bethan, listen to me, Bart's very sick. His burns are extensive.

Do you understand?

You mean... Is he going to die?

We can't say that yet. We're going... WE'RE going to send him to a specialist burns unit.

Bethan, listen to me. We are going to transfer him

to a specialist burns unit, where they do amazing work, OK?

Try and stay calm.

That's in.

There you go.

You know, burns take ages to get used to.

We all hate them.

If you hadn't had been there today, Dixie...

It still happens to me.

Really?

We see each other through, yeah?

Yeah.

So how's the pain now, Rob?

OK, we're looking at 10% full-thickness burns on his arms and legs.

He's going to need grafts.

-Brave man.

-Thanks.

Good news, Rob.

Bobby's passing water, so his kidneys are kicking in again.

Thank you.

Is Jen...?

Yeah, she's on her way down.

What about Bart?

How bad is it?

It's not good. it's very serious.

Bethan's with him now.

What were you doing there, Rob?

You lied to me.

You hadn't told the HPU about the other fields. I checked.

You've told them?

Yes, I had to. Those workers had no hot water, no working toilet.

It doesn't take a genius to work out how the E. coli went from the workers into the soil.

If we caused the outbreak...

through neglect, we can't claim.

The farm is me. And the kids...

they need a home.

There's a boy over there, Rob, who could die.

Oh, Rob.

Are you...?

-Is he in any pain?

-Well, we're controlling it with morphine.

-Look at you.

-Dad, you saved Bart.

No.

They told me you went in to get him.

Bobby's going to be so proud of you.

Don't...

No, it's going to be OK.

We'll get through this. Darling, please don't cry.

Jen, Bart...

He's young.

-Strong.

-He could die.

I'm so sorry, Beth.

What is it?

-What are you not telling me?

-Zoe?

Is it Bart?

-Sats have really dropped and he's developed stridor.

-Tom?

Too much laryngeal oedema. I can't even see the cords. You can't do this.

-Sats are dropping.

-Lloyd, cricothyroidotomy.

-Let's go.

-What's happening?

Bart's having problems breathing. The fire must have burnt his throat. We need to help him breathe.

-He can't breathe?

-Tom, before you do that, let me try.

-Are you sure?

-Yes.

-Let her try.

Right, I need a McCoy blade, a 6.5 tube

and the smallest bougie you've got.

OK, Bart, let's see what you've got.

Thank you.

OK.

Tube.

Right, let's inflate the cuff.

Let's bag it.

Yeah, it's in.

Great. Good work, both of you.

-Very impressive. Sats are rising.

-OK, let's secure this tube.

-He's OK?

-He's on a ventilator. That's going to help him breathe.

We still need to transfer him up to ITU, but you can go up with him if you want.

Do you think he'd want me there?

-He wouldn't have sent that text if he didn't.

-What text?

-You told him to get lost.

-What are you talking about?

-Isn't that from you?

-I never sent that.

These are Bart's belongings. You might want to look after them.

That's got to tell you something, ain't it?

Kocham cie.

OK, Mr Hearn. The porters'll be along soon, just to take you up to the ward.

We'll have you up and running in no time.

Long time since I ran anywhere!

Are you sure you're right about this stuff?

Yes. Absolutely positive.

Your father-in-law might have prescribed it for his patients.

I think if he did it nowadays, he'd be struck off.

Agnes has been giving it me for years.

Really? How much, exactly?

Well, had it in me fruit juice at breakfast.

Never took any notice.

Been taking a swig now and then since she's gone.

Well, that's what's brought you here.

-Sorry. Sorry, Doc.

-Please don't apologise. We like a challenge.

We also like our patients to walk out of here alive.

You've got to live your life, Ray, while there's still time.

Not without Agnes.

We did everything together.

-She must have stopped you doing things, too.

-Dylan!

All marriages are a compromise, aren't they? Usually one person compromises far more than the other.

Proper little ray of sunshine, isn't he?

-What did Agnes stop you doing?

-We were happy for 60 years.

Come on - there must be something.

Flying. She wouldn't fly.

Where did you want to go?

Well, I've got a brother in Australia. My twin, George.

Haven't seen him for 30 years.

I can't go now.

Why ever not? We don't save people's lives so they can dribble away their days in a bath chair.

I'm nearly 80!

You might live to be a hundred.

What - you really think I could?

-Just buy a ticket?

-Be an adventure.

You're not serious.

Suppose the queen of intubation is far too grand to dress up.

Well, I reckon we're about even.

I did miss the toxocariasis.

Yeah, I would have got that.

You wouldn't dare.

SHE SQUEALS

Hey!

Barely seen you all day, mate.

Well, here I am.

Are you, er, coming to the Halloween party tonight?

I'd rather eat my own arm.

-He didn't see.

-He...

-He didn't see, he didn't see.

I made sure there was no-one in there.

Told the others to check,

but they forgot the dog.

He's telling the truth. He didn't mean for anyone to get hurt.

Please, Beth.

I know about the text.

-What text?

-He sent Bart a text from my phone, saying I didn't want to see him again.

Oh, Rob!

He was ruining her life.

I love him, Dad. I'm having a baby with him!

I'm so sorry. Bart's ready to be transferred.

Beth...

Dr Hanna?

I'll ask Rob to drop the complaint. He should never have made it.

I think he was just lashing out.

Oh, what time do you call this? There you go.

-No, do I have to?

-Forfeit if you don't.

-Oh, OK.

-There you go.

-Well done!

-Where did you get these bandages from?

-Er, none of your business.

-Dylan.

-Dylan...

we're all right, you and me, aren't we?

Yes. Yes, of course we are. What I was trying to say earlier on...

-I-It's fine...

-No, It's all right. I know I screwed up outside with the press. I just let my guard down.

We all screw up from time to time. The way you held it together... Well, held US together today...

I couldn't have done that.

Come on - let me buy you a drink.

Some other time.

Oh, come on, you two - let's get out of here.

OK, come on. Let's go.

THEY CHEER AND LAUGH

Subtitles by Red Bee Media Ltd