The Blame Game Casualty

Nicole - ambulance is here.

Please, just ring me when you get this.

I don't know what happened.

OK, let's have a look.

What's her name?

Milly.

Milly?

OK. Milly, I'm Jeff. I'm a paramedic. Can you hear me?

Airway's clear. She's breathing.

And I think I got a good pulse.

Can I have the ear thermometer, please?

Can you tell us what happened?

I just came in and she was groaning.

Where were you? Did you see her collapse?

I was out the back - I'm sorry, I needed a cigarette.

She was doing my head in!

It's all right, we're just trying to find out what happened, OK?

-She's done this before, when she gets hot.

-OK.

Temperature's 38, so low fever, just.

I think we should give her some paracetamol just to be sure, though.

Milly?

Her eyes are still dead. Why won't she look at me?

She's breathing and she's got a strong heartbeat.

Just try and relax.

I'll take her to hospital, let the doctor check her over.

We've got a five-year-old collapsed with a seizure, ETA two minutes.

-Sure.

-A five-year-old? I'll get it.

Of course... you're the paediatric expert.

Looks like you're not the only one

who got lucky at the Christmas party.

That's more than a friendly dance.

Can't you see the way she's looking at him?

What, Dominic and Linda?

He's got to be ten years older than her, surely.

I know, but if you're into sugar daddies...

-Zo?

-Yeah?

-Have you been called to this complaints meeting later?

No, what's it for?

The footballer who was paralysed in a car crash a few weeks back.

Jay Kemble? No, no, I haven't.

Right. I've just had a memo. His fiancee's on her way in.

She wants to have a little "chat".

That sounds ominous. Good luck.

Rather you than me. When is it?

Did you know that Louise was taking photos

all through the Christmas party?

No. What's the problem?

-I got a bit carried away towards the end.

-What did you do?

-Well, I think I tried to do the caterpillar!

-What, as in...?

As in.

OK, I'll check and see if she took any.

Can you be a bit subtle!

Of course. Who do you think you're talking to?

Milly Clancy. History of febrile convulsions.

Had a seizure about 30 minutes ago.

BP 105 over 66, had 10ml of paracetamol at the scene.

She's in safe hands now, don't worry.

OK. Take her to Paeds. Hi, Milly. I'm Tom.

MUSIC: "Last Christmas" by Wham!

INAUDIBLE

Oi! You two!

Shoplifters - those kids that have been hanging about -

on the upper concourse.

Here!

Come on!

Danny!

Just go! Now!

Oi!

Jodie!

We need an ambulance at the south entrance now!

He's paralysed from the waist down.

I just have to look at him and it brings tears to my eyes.

Whenever I think about all the things that he loved to do...

..and he can't do them any more.

This should never have happened to him.

And this is why the top brass are getting twitchy.

Oh, my God.

All she seems to care about is holding someone else responsible

and getting as much publicity as possible.

"Justice for Jay"? Come on, are they serious?

The geezer was drunk and crashed his car! Where's the injustice?

They've got to take it seriously.

Right, I've read your statements and I'm sure we're covered.

Is there anything else I need to know?

I'm assuming you're happy with everything you've written?

Yeah, of course.

Jeff?

Yeah, yeah. Absolutely.

RADIO: 'Control to 3006 - male with acute chest pains...'

Do we have to stay here for this meeting?

No, no, you take that.

OK. 3006 to Control.

Received, thank you, on our way.

Jeff, she knows.

You were a bit jumpy.

-Because I've never done this before.

-Neither have I!

If I'd immobilised his neck straight away...

-He'd still be in that rehab centre.

-You don't know that.

I know it's hard, I know you feel terrible,

but we can't change what's happened, can we?

The bloke was drunk and crashed his car.

That's what caused his spinal injury.

So if we're going to play the blame game, I know where I'd look.

She smashed her head down the stairs, she's all dazed and that.

This is all your fault for chasing us.

-You were shoplifting!

-What?

OK, take it easy, let's just look at her, yeah?

Are you all right? Is your chest hurting?

It's just a stitch.

I'm going to do an ECG just to be sure, OK?

What's her name, mate?

-Jodie.

-Jodie what?

Just Jodie.

OK. Jodie, I'm Jeff, I'm a paramedic.

Can you hear me? OK, just stay still, stay still.

Can you tell me what happened?

Blacked out, fell.

-Do you feel sick at all?

-A bit.

And where's the pain, Jodie?

All over.

Your blood pressure's very high. I'm going to have to take you in.

I'm not going anywhere. I'm just a bit out of shape.

Why were you chasing them?

He nicked a jacket.

Well, he didn't get very far, did he? So job well done, I'd say.

I'm OK, no worries.

Tamz, give me a hand immobilising this neck.

He doesn't want to come in, Jeff.

Come on, mate. What harm's a little check-up going to do?

OK, then you need to sign a form saying you refused to be conveyed.

Just go home, put your feet up.

Any pain, any twinges or anything, you dial 999, OK? I'm serious.

Thank you.

Jeff?

What more can we do? We tried.

Dominic? We've got a head injury coming in.

A teenager fell down some stairs.

ETA's ten minutes. Can you take it?

-Absolutely.

-I don't know how we coped without you.

-It feels like I've been here all my life.

-That bad already?

Hey, are we expecting royalty or something?

What? Oh, that is all I need.

Nicole! Nicole, look at the camera.

Excuse me.

Look, this isn't about Jay or his accident.

Or about my complaint.

It's a completely separate, private family matter. Excuse me.

Nicole, how's your baby sister doing?

You probably know more than I do.

-I'm sorry, it's been a difficult time.

-Nicole!

All right, let's be clear. You guys remain outside this building.

No photos in reception.

Follow those guidelines, and we'll all get on famously.

Nicole? Hi, I don't know if you remember me, but...

Dr Hanna, yes, of course.

Would you like me to show you somewhere to wait before your meeting?

No. Look, I've had a phone call from my mum.

-My baby sister's collapsed.

-And she's come here?

-Yeah.

-What's her name?

-Milly Clancy.

Louise, have we admitted a Milly Clancy?

She's just been transferred to CDU - cubicle 5.

Oh, very good. And can you let security know that I want the entrance cleared for emergencies.

Could you follow me, please?

It's just this way.

Hey, Milly.

Thank God you're here!

Mum, don't. Hiya.

Mum, why's she here? Look at her. She looks fine.

I don't really know.

Well, where's the doctor?

Look, have you even asked what's wrong with her yet?

I'll go and find that out for you.

Thanks.

Possible blackout. GCS was 13 at the scene,

minor head injury with minimal bruising.

Not bad for a 20 foot fall down some steps.

-Could have been a lot worse, thanks.

-A lot worse? You didn't see her fall!

Mate, you need to calm down and you need someone to look at your hand.

-You can't make me leave her.

-He's got a cut on his hand that hasn't been looked at for a few days.

-OK, why don't you come with me?

-Danny!

-Don't worry, you can see him as soon as the doctor's checked you over.

-One, two, three.

-Yep.

I'm not leaving, Jodes.

Listen, you can't do anything for her at the moment so don't start pushing, all right?

Let's get you booked in and I'll have a look at your hand. Come on.

3006 to Control, received that. We're on our way, over.

BP's 118 over 65.

Happy with that. Pupils are equal and reactive.

The light, get it out of my face.

He needs to check your eyes.

I've got a headache.

Did that come on after the fall?

Yeah. I don't know.

And what about your fingers?

Can you wiggle your fingers for me?

That's good, and your toes?

I know you must be frightened.

Is there anyone we can call for you, your mum, maybe?

No. I don't want you to call her. You can't call her.

Don't worry, we won't.

I'm satisfied that your neck's OK, so we can remove the collar.

-I'm aching.

-What, your neck?

Everywhere.

Well, you did take quite a tumble, young lady.

The loss of consciousness

and reduced GCS at the scene concerns me.

-So I'd like a CT scan for reassurance, please.

-OK.

As soon as the result of the scan comes back,

-let me know, please, Linda.

-OK.

-Thanks.

-Tom.

-Mmm.

-Milly Clancy, the five-year-old with a febrile convulsion.

Suspected. Yeah, her temperature's barely registering a fever.

It's completely normal now.

Well, a febrile convulsion is about how quickly it spikes,

not how high the temperature goes.

I know, but the description isn't classic.

Now, that could be just because the mother's being a bit vague - I don't know.

But I'll wait and see what the bloods tell me.

OK, but you should know there's a bit of a PR situation around this.

The mother's eldest daughter's just arrived.

Right, yep, she's been trying to call her.

Yeah, she's Nicole Clancy - engaged to Jay Kemble.

No pressure to be nice, then!

No nicer than usual. Anything changes...

Yeah, yeah, of course.

Quick - it's my husband!

-OK. This way?

-Yeah.

Oh, hello again, Brian!

How are you feeling? Can you talk?

Can you describe the pain for me?

Tight pressure...around the chest.

What, like this morning?

All right.

I'm just going to pop this on for you.

Nice deep breaths for me, that's it.

I'm still looking for signs of an infection.

But she has come back with higher than usual sodium levels.

What does that mean?

Dehydration, most probably - but high levels of sodium can cause seizures.

So how's she been over the last few days? Excessive sweating?

Diarrhoea, vomiting?

-I don't know...no.

-So up until this morning's episode she's been quite healthy,

doing her normal routine of eating and drinking?

Surely this is just like the fits she's had before. We've been told

to keep her cool when she's got a temperature.

-Mum, you should have done that!

-I understand this can be an emotional time.

-You have no idea.

It doesn't seem like there was anything your mother could have done

to prevent the seizure.

Milly doesn't have, or didn't have, an obvious fever.

Well, then, what caused the fit?

That's what we're trying to figure out.

Did she even have one?

Nicole!

What? Is that what this is?

The spotlight was off you for five minutes!

She did collapse, I promise you.

The paramedic's report confirmed that.

I don't trust your paramedics, right. And I don't trust you.

I'm sorry, Mum, this has happened too many times.

OK, Brian.

Is he on any medication for his heart?

Beta-blockers for his blood pressure.

OK, and does he take them?

Not always. They made him less angry, which was good...

but there were side effects that he don't like.

OK, and did he complain of chest pains this morning -

-or was it the chase that kicked them off?

-The chase?

Yeah. He chased some shoplifters.

-We treated him for chest pains earlier.

-Well, he didn't tell me.

He's so...oh!

Oh, no. Don't pull the labour trick on me now.

Hey, it's all right. It's OK, love, we'll get it sorted. OK?

You ready to transfer?

-Are you all right to come with us?

-Yeah.

-Come on, then.

Hiya.

Sorry, I don't think we've been introduced.

Nicole asked me along today to help.

This is really difficult for her. So just to be clear,

she thought it would be better if I talked about the nature of her complaint.

OK. That makes sense to me.

So the complaint that she wishes to raise

is towards the Ambulance Trust and the care Jay received at the scene.

Well, the paramedics who attended the accident are both very experienced.

And having spoken to them,

they're really very sorry for what's happened to Jay.

So, is that an admission of liability?

It's two professionals expressing their sympathy...

sorry, who did you say you were again?

I'm Anna Clifford - I represent Jay Kemble

and Nicole Clancy on their legal matters.

I didn't realise this had become a legal matter.

It hasn't, yet. However sympathetic your paramedics may be,

it doesn't excuse the fact that Nicole and Jay believe

that they failed to treat his injuries in accordance with standard procedure.

I'm sorry they think that... I'm sorry you think that.

And personally, I am extremely sorry for what happened to Jay.

For a young man in his profession...

it must be especially difficult.

But having been through the statements of the paramedics

and having spoken to them,

I really feel they did everything they could to help him.

We have an independent witness who says that

when the paramedics arrived and assessed Jay's injuries,

the female paramedic turned her back and walked away.

Jay was the highest priority casualty,

and was abandoned for some time

when he should have been immobilised immediately.

Both statements clearly state that Jay Kemble refused to be treated.

No, he didn't! Jay didn't refuse!

Why would he, eh?

Why would anyone? They're lying! Do you hear me?

That is an absolute lie.

Try not to worry. We just want to make sure you're OK.

I don't feel right.

How do you feel?

My neck hurts, my muscles ache - I feel funny inside...

I'll speak to a doctor when we're done.

-Are you sure there's not someone we can call for you?

-No.

-You're about to go viral, mate!

-What?

-I've seen the footage.

I'm never going to drink again!

Right, young man. I just wanted to let you know that I'm going to put a temporary dressing on that.

Then the doctor's going to have a look at it for you, all right?

Then can I see Jodie?

When she's ready, yeah.

Listen, are you two sleeping rough again tonight?

-Don't know.

-Look, whatever you're running away from,

there's usually a way back, especially at this time of year.

You don't know nothing.

What about your parents?

All right, what about her parents?

They've got to be missing her, haven't they?

Yeah, well, I can't phone them. I'll lose her.

In my opinion, it might be worth the risk.

I've been going over the descriptions you gave of the seizures.

They sound like absent seizures,

which can be common in young children with epilepsy.

Oh, my God.

Now, I know that can be a scary word but don't worry,

it can be a very manageable condition that varies greatly in severity.

My poor baby.

Look, Marcia, it's quite common

for children to grow out of these types of seizures,

but if they increase in frequency,

we might need to discuss medication to control them.

I don't understand. Nicole - where's Nicole?

-I want Nicole.

-OK. Don't worry, I'll go find her.

Zoe. Zoe, that PR situation you talking about is, um...

Oh, no. Louise, can you get security on standby again, please?

Following a complaints meeting with the Ambulance Trust

and their failure to provide satisfactory answers as to why

Jay Kemble was denied treatment at the scene of the accident,

we have been left with no choice

but to issue legal proceedings against them.

And with regards to the family matter that brings Nicole to Holby City Hospital today,

she asks that you kindly respect her privacy.

OK, folks, you've had your statement.

Stay away from the entrance, people are working here.

You!

CLAMOUR OF VOICES

This is Brian Abel. He's had acute chest pain since this morning.

His BP's 160 over 93.

He's had two puffs of GTM, oxygen en route, 300mg of aspirin.

You'll be all right.

-Don't go yet.

-OK.

And don't make any further comment without my instruction.

I hope you understand why I needed to take control of that situation.

-Yeah, cos you didn't want the bad press you deserve!

-Nicole!

Your complaint's with the Ambulance Trust, not with me.

Just take me to my sister, right?

I want to see how she's doing.

I've got that. You want to follow me?

Thank you.

Mum, what is it? What's wrong?

Come here.

It's all right.

OK, Mr Abel. Obviously you have acute chest pains,

but your ECG appears to be normal.

I told you.

But I'd like to run a troponin blood test

to look for signs of damage to the heart.

If that also comes back normal, then we'll observe you,

take some more heart tracings

and I'll do a further test at the end of the day.

-I have to sit here all day?

-We'll need to monitor you

and make sure that you haven't had a heart attack.

I thought the NHS were short of beds!

I'm sure we'll squeeze you in.

Jane? Jane, Jane!

Sam!

Thanks for the tip-off, by the way.

Did you know the press were waiting for us?

A tip-off? You heard yourself!

-You two stitched me up!

-Stitched you...? What are you talking about?

-You didn't have a problem with your statement?

-No!

-And he refused treatment, did he?

-Yeah.

Don't lie to me, Jeff.

They've got a third party witness saying Tamzin walked away!

Yeah, only because he told her to go!

Not according to Nicole!

I sat in the meeting. I saw how emotional she was.

Come on, she turns it on for the occasion.

You should have seen her in front of the press.

The stuff on the website, maybe, and carefully worded statements from her lawyers -

but her sense of injustice, that came from somewhere real.

Right, forget the job, forget the statements,

this is just you and me now. Did he refuse treatment at the scene?

Do you have pain anywhere else?

-Does this hurt?

-Is she OK?

-Can you just calm down and let us treat her, please.

How am I supposed to keep calm?

Did this happen today?

Somebody talk to me.

Brian, please...

Do you need me to clear?

It's not exactly helping.

We're going to take you over to the Clinical Decisions Unit.

I'd want to run this troponin test as soon as possible.

But my wife?

Dr Nicholls needs the space to treat her, doesn't she?

You can't do this.

Just go! I'm bleeding.

We're going to check the baby's heartbeat, OK?

What's happening?

Just try and keep calm. It will be fine.

Do you know why you could be bleeding?

I ran to help Brian. I might have hit myself on the stairs.

Did you fall down the stairs?

The banister - I fell into the banister.

Am I going to lose my baby because of that?

Just try and relax. We're going to locate the baby's heartbeat, OK?

I can't hear anything. Why can't I hear anything?

It's just because the baby's in a funny position, OK?

I've got a better chance if you can try and stay calm.

Jane? Jane, I want you to look at me. Nice, deep breaths.

OK? Nice and slow. That's it, just relax.

FOETAL HEARTBEAT FROM ULTRASOUND

Listen. Do you hear that? There you go.

That's great. Strong and steady,

which shows the baby's not in any distress.

You can let go now!

-I'm sorry.

-That's all right. Let's get you cleaned up.

You can't call it epilepsy if you haven't tested for it.

She's had four seizures without a specific cause. That's epilepsy.

Now, I've made a referral to a specialist.

They are going to be in contact with you by letter

regarding a specific date,

but if she has another episode in the meantime,

please bring her straight in.

I think I should also let you know I've made a referral to social services.

What?

I'm a little concerned about your ability to cope with Milly at the moment...

And I think you could do with a little bit of help.

-No, we're doing fine!

-They'll be in contact with you regarding an initial conversation...

Excuse me, are you not listening to me?

I said we're doing fine!

You're not going to take her away from us, do you hear me?

Us? We don't see you!

Mum, I have been looking after Jay all right.

He doesn't even see you!

I'm there every day!

For an hour at the most!

Guys, calm down.

All you care about is where the next interview is coming from -

who you can sell your sob story to.

No, it is nothing like that.

Did you call the press today? Is that why they're out there?

I do need someone to take her.

Mum! Please, look, you can't say that.

I've been ringing you, asking you to help me.

If this was all for Jay, I would understand.

But it's not - it's for you.

I don't even know who you are any more.

-When did she tell you she lied?

-What does it matter?

Was it before or after you wrote your statement?

-After.

-Well, you're going to have to tell them

that since writing your statement, you've found out the truth and you want to change it.

-It's too late now.

-I know it seems disloyal to Tamzin,

but you have to look out for yourself.

Look, she told me after, OK? I had the chance to change my statement and I didn't.

I didn't because I don't believe we caused his injuries.

Bloke was drunk. He was driving like an idiot.

It was a high-speed impact. They just they want a technicality cos they're after some compensation.

-Which you've now given them!

-I felt sorry for her.

Don't blame yourself. It's her mistake - she walked away.

No, mate, the mistake was lying, the cover-up.

-We're both as guilty of that.

-If you start talking like that, I can't do anything to protect you.

Maybe I don't want protecting.

What are you going to do?

I don't know.

I was just leaving.

Jay would still be walking if it hadn't been for you.

Nicole, I know you're looking for someone to blame

and I understand why you went to the press

and why you got the lawyers involved,

but you saw how aggressive he was - I couldn't treat him.

No, this wasn't his fault.

You told me yourself that he hit you, that he emotionally abused you.

You more than anybody should know what he's like.

Yeah, well, I put up with it.

I put up with that aggression and I stayed.

You know, maybe if I had walked away years ago,

I wouldn't be stuck with him now in that state that he's in,

just desperately clinging on

to anything that makes being with him bearable...

You know, my family hate me.

I put up with his abuse for years and I never walked away, not once!

But you did!

-No, I tried...

-No!

You had every chance to put that collar around his neck

that could have saved his legs.

No, I don't care how slim the chances were.

That could have made the difference. And you know that.

So no matter what you decide to put on your statement, you know that.

I've spoken to my mate. Said we can stay on his floor tonight.

It'll be nice and warm and that.

But I don't feel good.

Yeah, but you still want to come with me, don't you?

What are you saying, Jodes? It's just you and me, yeah?

Like we said.

You were supposed to be waiting in your cubicle.

Yeah, and I wanted to come and see her.

It's OK, Fletch.

Right, I'll leave you to it.

Hello, mate. I'm Tom.

It's probably best I take a look at your hand.

I'm not leaving her.

You don't have to - just take a seat on the bed.

All right, then, what have we got here? Let's take a look.

Yep - that's definitely infected.

Let me get Staff Nurse Fletcher to do a new dressing.

Are you allergic to penicillin?

-No.

-OK, then I'll get you a prescription for Flucloxacillin to stop it getting any worse.

-Be quick, cos we're going.

-OK, but from the look of your friend,

it doesn't look like you're going anywhere fast.

Well, aren't we the special patient? Two doctors looking after you.

I was treating the patient's hand.

And I was joking.

I'll get that prescription.

The results of the CT scans are very encouraging,

so I'm happy to discharge you.

Are you all right?

I don't feel good.

I can't see anything as a result of the fall

to show any ongoing concern.

Give her some morphine or something for the pain. Then we'll go.

For the pain or the resale value?

I ache all over.

You have a cold, so as far as I'm concerned, you're free to go.

Some cold and flu remedy may help with your symptoms.

If they persist, see your doctor.

Yeah, like that's going to happen.

Take care.

You OK?

Yeah, he's just discharged that patient.

So?

Well, he doesn't care enough.

Some would see that as an asset, not letting it get personal.

Bit of friendly advice - stay away from him, and don't get involved.

Your first troponin test came back and it's normal.

So can I go? See my wife?

With your history, the first test is encouraging

but I'm not fully reassured, so I would like to keep monitoring you.

Can't I be monitored next to her?

Well, she's having an x-ray on her wrist.

That's stupid, it's just a sprain or something.

What if I discharge myself?

You would have to sign a self-discharge form

but I'd caution against it...

Just get me the form.

Right.

Now, these are the details of the woman from social services -

she's going to be in touch.

And like I said, keep an eye on the little one

but try and get some rest yourself, OK?

Thank you.

OK.

Nicole, I've spoken to Dr Kent about the referrals.

If there's anything you want to discuss...?

No, thanks.

OK.

Right, time to go home.

Hey.

Look, Mum, forget about the press, and the interviews.

You were right. That was for me.

I was hoping that you and Milly would like to come home

and stay with me.

You see, I've got this big, empty house...

I can help you.

And you can help me with Jay.

I'm sorry.

It's all right.

It's all right.

It's going to be fine, Jodes.

-As soon as we get to my mate's, you can rest.

-Wait up!

If you don't take this course of antibiotics,

that cut's going to go septic.

Cool.

Make sure you get it. Are you OK?

Yeah, fine.

The doctor said we can go, so...

Do you feel well enough to go?

Do you want me to take a look at you?

No, she won't - we're going to go.

I want my mum.

I'm sorry.

Listen, mate, I think she needs to be reassessed.

Danny!

It's OK. Come on, I'm going to find you a bed.

Adrian, could you do me a self-discharge form

for Brian Abel, please?

Yeah, no worries.

Dylan?

Yes?

Can I get your advice on these?

Is there nobody else?

I thought we were past all this. Surely we can work together.

Is that why you were drinking at the Christmas party?

What is this, an intervention?

I was drinking because it was a party.

I'm sorry. Give them to me.

Thank you.

Are you trying to wind Dominic up?

Of course not.

Would you kindly tell me why you're booking in my patient?

She was in reception with a fever, asking for help.

I'm reassessing her.

She came to you directly?

Does it matter?

Is this a deliberate and pathetic attempt to undermine me?

I'm doing my job. I need some assistance over here.

-Jodie, can you hear me? Jodie!

-She may be suffering an intracranial haemorrhage. We need another scan.

-She is my patient.

-Back off! I've got this.

Dr Kent! What happened?

When I examined her, there was no rash.

She's got a high fever, meningitis and a non-blanching, petechial rash.

She needs to go to resus now.

OK, let's go.

She needs two grams of cefotaxime now.

Jodie? Jodie? Can you hear me, Jodie?

Blood pressure is dropping.

Cefotaxime going in now.

Still dropping.

-Why was she discharged?

-I've just been checking my notes -

there were no discernible signs earlier

and the scans for the head injuries came back clear.

Please, take a look - tell me if you think I missed anything.

Tom's reaction suggests that I did, but I really can't see it.

She's been in our care all morning and nobody spotted meningitis?

Linda.

Her blood pressure and pulse is improving, so...

-Right. Tom?

-Stabilising.

That was fast work.

Thank you.

That outburst earlier.

Come and see me at the end of the day.

-You're kidding me!

-At the end of the day.

That's a very recent fracture.

These are hairline fractures that haven't healed properly - historic injuries.

A pattern of abuse? Repetitive injuries?

That's hard to prove.

Tom? Tom, is she OK?

Yeah. Zoe wants to see me.

About the way you spoke to Dominic?

Wasn't your finest professional moment.

Did I ask you?

If you need to follow him?

Why would I need to follow him?

It's fine.

Carry on.

Suffice to say, if she's not willing to make a complaint against her husband,

you're on dodgy ground.

-Police don't always need a statement.

-They need something. What proof have you got?

You've got bruising you can easily explain away,

plus a minor placental abruption, which could have any number of causes.

OK, so this isn't about a prosecution.

This is about getting her safe.

In which case you need her on board.

You can't make that decision for her, Sam.

And with her husband on the scene, it's going to difficult to convince her.

Well, her husband is in CDU.

He's just signed his self-discharge form, actually.

Great.

Hi, Louise. It's Sam. My patient, Jane Abel?

Could you do me a favour

and stop anyone from coming through to see her?

Especially her husband. Thanks.

That'll only work for so long.

You know, the biggest killer of unborn children is domestic violence.

She's one step away from adding to that statistic.

I have to try.

OK.

Her name is Jane Abel - she is my wife!

I have a right to know where she is.

I'm sorry, sir - she's not able to see visitors right now.

-I'm not a visitor, I'm her next of kin!

-If you wait in the family room,

I can speak to a nurse as soon as they become available.

I want to know what's happened to her.

Like I explained to you...

You can't stop me seeing her!

The family room is over there.

I'll wait right here - you pick up the phone and find out where she is.

You told the paramedic that your husband gets angrier

when he's not on medication for his blood pressure.

Is that what happened today? Did he do this to you?

I have to believe that he'll change before the baby's born.

I am in a position to help you.

I can't go to court - I can't send him to prison.

No-one's asking you to.

But you said help me. That's the police, right?

That's my way out?

Not the only way.

I can put you in touch with a domestic violence advocate.

They can get you set up in a women's refuge.

It will give you and your baby

the support you need until you can find permanent housing.

But he's here now. He won't let me go anywhere without him.

Well, look, I need to transfer you to obstetrics, OK,

and I have got an in-patient bed assigned to you.

Everyone in that ward will know of your situation.

Your anonymity would be guaranteed.

That might just give you the space and time

that you need to think about this.

But this decision has to come from you.

I'm not waiting any longer! I want to see someone in charge.

They would tell you exactly the same thing as me!

Tell me where she is.

Sir, I will call security!

Brian! What's going on?

Why aren't they letting me see her?

All right, just calm down for me.

-That's it. I've had enough!

-Brian.

-Jane!

-Jeff.

-Jane!

Get out of my way!

Jane!

Jane!

-Where is she? Where is she?

-Calm down.

You can't keep her away from me. Get off me.

Jeff, Brian...

-You can't do this to me. Get off!

-Just relax! Jeff! Stop!

-Brian! Brian! Can you hear me?

-There's no pulse. He's arrested.

-Can you get some help?

-Yes.

-Brian?

-Put him on a defib, please.

ALARM SOUNDS FROM MONITOR

He's in VF. Let's shock him. Clear!

MONITOR BEEPS REGULARLY

Get him down to resus and repeat the 12 lead ECG, please.

Get some lines in there. Porters, please.

You all right?

Yeah, yeah.

No, you're not. What's wrong?

I should have made you change your statement, you know.

and then I should have supported you through the fallout.

Who knows, maybe we could have both kept our jobs.

How do you mean? What are you saying?

You're a good person, Tamzin. You deserve a second chance.

You have got a great career ahead of you.

Jeff?

I saw you physically push him out of the way.

It was heat of the moment!

You should know better!

-So should he!

-I've spoken to Dominic and I've read through the notes.

He discharged a girl suffering from meningitis.

Yes, but the conclusive signs presented at a very late stage.

-So in my eyes, he did nothing wrong.

-Great.

So you take his side of the story before you've even heard mine.

I'm not taking sides. I've read a factual account of what happened.

The facts don't tell the whole story.

Tom, I'm not undermining what you did for that girl.

You went with your gut, you responded quickly - great.

But shouting at Dominic in front of patients and members of staff,

-it's not on.

-Oh, come on!

-You are holding a grudge from years ago.

So just wind your neck in,

or I'll have to put you on a verbal warning, OK?

-Where am I going?

-You're being transferred upstairs.

-Where's Danny?

-We haven't seen him since your collapse.

Just try and rest, OK?

-Jodie!

-Danny!

Mum.

You need her, yeah? I get that.

OK, after you.

Do I not even get a thank you for pulling you out of a hole today?

That's the way you see it, is it?

How else would you describe it?

I advised her to take some medication

-and come back if it got worse.

-After the way you treated her today,

you really think she would have come back?

I treated her calmly and professionally.

She could have ended up dead in a shop doorway somewhere.

That's melodramatic conjecture.

Are you really telling me that you suspected meningitis?

I was putting her on observation.

Yeah, because you wanted to wind me up

and felt sorry for a young girl living on the streets.

-She had a fever!

-It was a social concern, not a medical one.

That's rubbish.

We both missed the meningitis because at the time,

there were no obvious signs.

Now I'm man enough to admit that and move on,

but you're still slinging mud in all directions except your own.

Not once have you admitted even to yourself

that you let that girl down as well. Now, in my eyes,

that is the sign of a cowardly and incompetent doctor.

Tom, you OK? Tom, talk to me!

What happened to Tom?

I'd prefer not to comment.

Dylan, I need to know if there's a problem.

Hey, what's going on? What did she say?

Nothing. I asked to see her.

I know I walked away from Jay Kemble when he needed me.

I just didn't like his attitude. That's all it came down to.

I judged him, and I walked away.

What, and you told her that?

Yeah. I don't want you taking the blame for something I did, Jeff.

If this will help Nicole and her family

speed up the legal process, it's the least I can do.

I can get over this as a person...

..but I can't as a paramedic.

-You'll keep in touch, yeah?

-Yeah.

Take care of him, Dix.

She just dug you out of a hole.

I was prepared to hand my notice in, you know.

I was prepared to accept it.

-I let you down. I'm sorry.

-Just don't make a habit out of it, eh?

What the hell were you thinking?

That girl nearly died today because he's not a good enough doctor.

All he had to do was look in her eyes!

That's not the point. I told you to wind your neck in.

Assaulting a colleague is a disciplinary act. You've brought this all on yourself, Tom.

Go home. You're suspended.

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