0:00:34 > 0:00:37MUSIC: "We Are Young" by Fun
0:00:47 > 0:00:49PHONE VIBRATES
0:01:06 > 0:01:07BELL RINGS
0:01:11 > 0:01:12Excuse me.
0:01:14 > 0:01:16Excuse me. Sorry.
0:01:19 > 0:01:21SIREN WAILS
0:01:21 > 0:01:22- Oi!- Sorry!
0:01:22 > 0:01:24Watch where you're going, you mug!
0:01:34 > 0:01:37- Mind your back, please, lovely! - Oops.- Thank you.
0:01:39 > 0:01:41Don't let the staff see you.
0:01:41 > 0:01:44- They can refuse you stuff if they know you're a smoker.- Oh, thank you.
0:01:44 > 0:01:47- Robyn!- Excuse me...
0:01:47 > 0:01:49I thought I'd get here early.
0:01:50 > 0:01:51- Hey!- Hey.
0:01:51 > 0:01:54- About time!- Can you get out of the way there, please?
0:01:54 > 0:01:56And watch where you're going next time, young man,
0:01:56 > 0:01:59otherwise it's going to be you I'm bringing in.
0:01:59 > 0:02:00James?
0:02:00 > 0:02:03- I'm Jamie now.- Yeah. I knew you'd been placed here.
0:02:03 > 0:02:06- I meant to get in touch... - Dad said he'd rung...
0:02:06 > 0:02:08This is Robyn and Ally, on final placement too.
0:02:08 > 0:02:10- This is my uncle, Jeff. - Can you do us a favour, girls?
0:02:10 > 0:02:14Can you grab these bags for me, please? Jamie?
0:02:14 > 0:02:15Take that, mate.
0:02:15 > 0:02:18OK, Mrs Morris, let's have you in, sweetheart.
0:02:21 > 0:02:22Where's Aoife?
0:02:22 > 0:02:24- I don't have her number.- Mrs Morris.
0:02:24 > 0:02:27- Happy New Year, Mrs Morris. - Cause of the collapse is unclear.
0:02:27 > 0:02:30- BM at the scene 2.5. - I'd love to date a doctor.
0:02:30 > 0:02:31You are so unoriginal.
0:02:31 > 0:02:33I know, it's my USP.
0:02:33 > 0:02:36That's why people like me, though. I'm not a challenge.
0:02:36 > 0:02:40Excuse me. We're looking for Senior Sister Tess Bateman?
0:02:40 > 0:02:41She should be in Resus.
0:02:41 > 0:02:44Can we have Mrs Morris's bags, please?
0:02:44 > 0:02:45Yeah, I've got them!
0:02:46 > 0:02:47Resus?
0:02:49 > 0:02:50That way.
0:02:51 > 0:02:53Come on, then.
0:02:56 > 0:03:00Is there anyone you'd like us to call, Mr Timms? We're just waiting.
0:03:00 > 0:03:01I can't wait to get in there.
0:03:01 > 0:03:03I'm dreading it.
0:03:07 > 0:03:09- Can I help you?- Excuse me.
0:03:09 > 0:03:11- Nice hair.- Thank you.
0:03:11 > 0:03:13We're looking for the Senior Nurse, Tess Bateman.
0:03:13 > 0:03:15We're supposed to be inducted this morning.
0:03:15 > 0:03:18- I'm Tess.- Hi. Robyn Miller.
0:03:18 > 0:03:20PHONE RINGS I'll be right back.
0:03:23 > 0:03:26- Oh, my God, that's so embarrassing. - TESS: Emergency Department.
0:03:26 > 0:03:28I saw her outside this morning. I thought she was a patient.
0:03:28 > 0:03:30She's got my lighter!
0:03:30 > 0:03:32Thank you. Zoe.
0:03:32 > 0:03:37Big RTC. Number of serious casualties unconfirmed at present.
0:03:37 > 0:03:40- ZOE:- OK, let's get Mr Timms up to the cardiac cath lab.
0:03:40 > 0:03:42Let them know we need to clear some space.
0:03:42 > 0:03:44And Tess, we need some more doctors
0:03:44 > 0:03:46so put a red call out and let theatre and X-ray know.
0:03:46 > 0:03:48Excuse me.
0:03:51 > 0:03:533006 to control, received that.
0:03:53 > 0:03:56- We're heading to the ambulance now, over.- What's going on?
0:03:56 > 0:03:59It's a big pile-up. Police are all over it apparently.
0:03:59 > 0:04:02I've found it on Twitter - a school bus or something.
0:04:02 > 0:04:03What's the hash tag?
0:04:05 > 0:04:08Louise, I want a briefing in admin with all Resus staff in two minutes.
0:04:08 > 0:04:10Will you put a call out?
0:04:10 > 0:04:11Right. The staffroom's just there.
0:04:11 > 0:04:14Be back, ready for briefing in two minutes.
0:04:15 > 0:04:18Sorry! Sorry I'm late.
0:04:18 > 0:04:21I took my boyfriend to the airport. I left loads of time, just...
0:04:21 > 0:04:22Who are you?
0:04:22 > 0:04:25Aoife O'Reilly. I'm on placement with these guys.
0:04:25 > 0:04:27Perhaps I could speak with Tess...
0:04:29 > 0:04:32- ..Bateman?- I'm Tess Bateman, the Senior Nurse.
0:04:32 > 0:04:36I am really sorry. I ran all the way, I tried my best...
0:04:36 > 0:04:37This is your best?
0:04:37 > 0:04:39'Resus team to admin, directly please.'
0:04:39 > 0:04:41Go through to the staff room with the others.
0:04:41 > 0:04:44And that needs to come off. You can't work with it on.
0:04:44 > 0:04:45It's your choice. Quickly!
0:04:47 > 0:04:51MUSIC: "I Gotta Feeling" by The Black-Eyed Peas
0:04:54 > 0:04:56# And do it, and do it, and do it
0:04:56 > 0:04:59# Cos I got a feeling
0:05:00 > 0:05:04# That tonight's going to be a good night
0:05:04 > 0:05:08# That tonight's going to be a good night... #
0:05:08 > 0:05:10Happy New year.
0:05:10 > 0:05:12But I didn't get you anything.
0:05:12 > 0:05:14We can share it.
0:05:17 > 0:05:19You free tonight?
0:05:19 > 0:05:22Um...
0:05:22 > 0:05:23Maybe.
0:05:23 > 0:05:25So you'll Let me know.
0:05:27 > 0:05:29They are so perfect.
0:05:36 > 0:05:37OK, everyone, I've got an update.
0:05:37 > 0:05:40There's been a coach crash on the Holby Ring Road.
0:05:40 > 0:05:43There's about 30 kids and their teachers on board.
0:05:43 > 0:05:45So we're dealing with walking wounded, entrapments,
0:05:45 > 0:05:49serious casualties and possible fatalities. You know the score.
0:05:49 > 0:05:53- Sam, you're with me in Resus. Tom, you're overseeing cubicles.- Yeah.
0:05:53 > 0:05:55OK, guys. Normal induction is now out of the window
0:05:55 > 0:05:59so I now want you to assist your mentors in whatever they ask.
0:05:59 > 0:06:01Stick with them.
0:06:01 > 0:06:05You must be Jamie? You're with Lloyd.
0:06:05 > 0:06:08- You're...- Robyn Miller.
0:06:08 > 0:06:10With Linda.
0:06:10 > 0:06:12Aoife, you're with Fletch.
0:06:12 > 0:06:14Keep in touch!
0:06:14 > 0:06:17And you're with Charlie. OK. Let's go.
0:06:17 > 0:06:19- Right, Ally.- Yeah.- Charlie!
0:06:19 > 0:06:22- Can we get some help over here, please?- Yeah. Ready?
0:06:29 > 0:06:31Right. Just take a deep breath.
0:06:31 > 0:06:33- Can we get her over, please, ladies and gents?- Get a piece.
0:06:33 > 0:06:35Nice and gently. OK, on three.
0:06:35 > 0:06:37One, two, three.
0:06:37 > 0:06:38Pulse is 110,
0:06:38 > 0:06:42resps are 28, BP's 110 over 70,
0:06:42 > 0:06:46sats are 95. I've given her ten of morphine and 750 of saline.
0:06:46 > 0:06:50- OK, thanks, Dixie.- Can you just look after this for me, please?
0:06:50 > 0:06:52How many units do you want cross-matched?
0:06:52 > 0:06:54I want eight cross-matched first.
0:06:54 > 0:06:55Let's start with O neg while we're waiting
0:06:55 > 0:06:58and we'll need some tranexamic acid as well, please.
0:06:58 > 0:07:00Charlie, what's that?
0:07:00 > 0:07:02That's a procoagulant. It stops the bleeding.
0:07:02 > 0:07:05I'm also not happy with her airway or her GCS.
0:07:05 > 0:07:08OK, can you intubate, Sam? Can we bleep the orthopods?
0:07:11 > 0:07:14Not just a window to the soul,
0:07:14 > 0:07:15a window to the brain.
0:07:15 > 0:07:17Pupils equal and reactive.
0:07:17 > 0:07:22OK, let's keep pushing the bloods, please, and we'll need a CT scan.
0:07:22 > 0:07:25We're now going to sedate her and put her on a ventilator.
0:07:26 > 0:07:28Where's me tea?
0:07:28 > 0:07:30Two sugars and a biscuit.
0:07:30 > 0:07:34- NEWSREADER: - The group is actually made up
0:07:34 > 0:07:36of approximately 30 teenagers and some adults.
0:07:36 > 0:07:40The injured are being taken to Holby's Emergency Department
0:07:40 > 0:07:43and we are being told that the coach driver himself
0:07:43 > 0:07:45is refusing to leave the scene.
0:07:45 > 0:07:47Imagine that on your conscience.
0:07:47 > 0:07:50- They were around ten minutes from their destination...- Jamie!
0:07:50 > 0:07:51Catch you later.
0:07:55 > 0:07:58This is Ella Amson, 15 years old.
0:07:58 > 0:08:01Trapped in the coach for 45 minutes with a suspected fractured leg.
0:08:01 > 0:08:04She was conscious and alert the whole time.
0:08:04 > 0:08:07However, during the course of extrication,
0:08:07 > 0:08:09she suffered a blunt trauma to the back of her head
0:08:09 > 0:08:11which rendered her unconscious.
0:08:11 > 0:08:13We intubated when we got her out.
0:08:13 > 0:08:16She went into cardiac arrest, so we shocked her twice on the way in.
0:08:16 > 0:08:20She's had two of adrenaline, 300 of Amiodarone and constant CPR.
0:08:20 > 0:08:23- LLOYD:- Do you want me to take over? - No, I'm fine, mate, thanks.
0:08:23 > 0:08:25Can I help?
0:08:26 > 0:08:29OK, Jamie, we're going to transfer. Copy me exactly.
0:08:29 > 0:08:32OK, everybody ready? On my count. One, two, three.
0:08:34 > 0:08:36Get the defib. What's her name?
0:08:36 > 0:08:38- Ella Amson.- That's Zoe Hanna.
0:08:38 > 0:08:40Clinical lead. Brilliant.
0:08:40 > 0:08:42Someone put a catheter in. Have ITU called back with a bed?
0:08:42 > 0:08:45- Not yet. I'll update the police on her condition.- Shall I bag these?
0:08:45 > 0:08:49- We'll need the anaesthetist to stay with her in the CT.- Excuse me?
0:08:49 > 0:08:50Let's get her down there fast.
0:08:50 > 0:08:54- Her leg - it was trapped, that was all.- Hold off, Jeff.
0:08:54 > 0:08:56MONITOR PINGS
0:08:56 > 0:08:57She's in VF.
0:08:57 > 0:08:59OK, stand back. Charging.
0:09:01 > 0:09:03Shocking.
0:09:03 > 0:09:05ALARM CONTINUES
0:09:05 > 0:09:07OK, continue CPR.
0:09:09 > 0:09:11Continue CPR for two minutes.
0:09:16 > 0:09:18This is Daniel Heaton.
0:09:18 > 0:09:21He was initially confused with a GCS of 14, now 15.
0:09:21 > 0:09:24He's refused spinal care. His airway's clear,
0:09:24 > 0:09:27but he's hyperventilating with a respiratory rate of 33.
0:09:27 > 0:09:29He's got altered sensation in his hands and feet.
0:09:29 > 0:09:31He's vomited three times en route.
0:09:31 > 0:09:33- Daniel!- Wait, Mum. Hang on.
0:09:33 > 0:09:36Reece, it's me. You OK, Reece?
0:09:36 > 0:09:37Reece?
0:09:37 > 0:09:38Quick.
0:09:38 > 0:09:40What's the matter with his hands?
0:09:40 > 0:09:42Reece. Reece?
0:09:42 > 0:09:44They couldn't get him out.
0:09:44 > 0:09:46He was next to me.
0:09:46 > 0:09:48- The battery's dead.- I'm sure the nurse will recharge it for you.
0:09:48 > 0:09:51- You can borrow mine. I don't mind. - Paramedics are there.
0:09:51 > 0:09:54The fire brigade's cutting him out. He's in good hands, sweetheart.
0:09:54 > 0:09:55HE VOMITS
0:09:55 > 0:09:57Robyn, can you get a receiver?
0:09:57 > 0:09:59OK, just breathe.
0:10:03 > 0:10:05Have you been drinking, Daniel?
0:10:05 > 0:10:07I'm sorry. I couldn't find one!
0:10:07 > 0:10:10Answer the nurse, Daniel. Have you been drinking?
0:10:10 > 0:10:13We used to smuggle cider after netball. Backseat.
0:10:15 > 0:10:18- Everybody does it, don't they?- Not when they're the head of year's son.
0:10:18 > 0:10:20Please, Mum. You're stressing.
0:10:20 > 0:10:22There's more important stuff going on.
0:10:22 > 0:10:24Alcohol is against school rules!
0:10:24 > 0:10:26I know that. Don't tell me.
0:10:26 > 0:10:28Tell Steve.
0:10:37 > 0:10:40OK, that's two minutes. Let's do a pulse check.
0:10:42 > 0:10:43There's a trace.
0:10:43 > 0:10:45Sinus tachy.
0:10:47 > 0:10:50We've got a carotid output there. Well done, Jeff.
0:10:50 > 0:10:54Well done, everyone. Let's get a BP, bloods, ABG and a portable chest.
0:10:54 > 0:10:55- Yeah, I got it.- Good girl.
0:10:57 > 0:10:58Hang on.
0:11:01 > 0:11:02Pupils are unequal.
0:11:02 > 0:11:05- Can I have some mannitol on standby? - I thought we'd just got her back?
0:11:05 > 0:11:08- And let's get an urgent CT scan. - We got her heart back
0:11:08 > 0:11:11but they're seeing signs of her brain shutting down.
0:11:13 > 0:11:18OK, there's a large boggy haematoma over the occiput.
0:11:18 > 0:11:20I'm not sure if that's blood.
0:11:22 > 0:11:24No, it's brain tissue.
0:11:24 > 0:11:26Call the theatre. Can't you get a neurosurgeon?
0:11:26 > 0:11:29- She's got a catastrophic head injury.- Do a CT!
0:11:29 > 0:11:31- You haven't done a CT. - Come and have a look, Jeff.
0:11:31 > 0:11:33What's she doing?
0:11:33 > 0:11:36Indicating the signs for severe brain damage.
0:11:36 > 0:11:39- Panda Eyes, CSF, Battle's Sign.- I don't understand. She was conscious.
0:11:39 > 0:11:42- Rhinorrhoea.- She was concerned about her friend.- So that's it?
0:11:42 > 0:11:46- You did all you could. We have to wait for the neurosurgeons. - We went out for a fractured leg.
0:11:46 > 0:11:49- It's not looking good. - Excuse me, I found this.
0:11:49 > 0:11:51OK. We've got a donor card. How old is she?
0:11:51 > 0:11:5315.
0:11:53 > 0:11:56Right, we'll need parental consent. Give that to Charlie.
0:11:56 > 0:11:59Charlie, can you contact the transplant co-ordinator?
0:11:59 > 0:12:01Well done. That was a good find.
0:12:06 > 0:12:08Well done.
0:12:08 > 0:12:10So, what happened to your arm, them?
0:12:10 > 0:12:12Broke it. First day.
0:12:12 > 0:12:16First day? What, so no skiing at all?
0:12:16 > 0:12:17A break?
0:12:17 > 0:12:20Wouldn't that need a plaster?
0:12:20 > 0:12:21Um...
0:12:21 > 0:12:26Good diagnostic skills, but bedside manner - little bit confrontational.
0:12:26 > 0:12:29Right, can you wiggle your fingers for me?
0:12:29 > 0:12:31OK, squeeze my hand.
0:12:32 > 0:12:35- Yeah, they're all right. Let's have a look.- Please don't.
0:12:35 > 0:12:38- Got to do our job.- Hey, Daniel. You OK? Have you seen Joe?
0:12:38 > 0:12:41He was with Reece. They can't get him out.
0:12:47 > 0:12:50That is brand new.
0:12:51 > 0:12:54- You pulled a sickie to get that done.- It's nice.
0:12:54 > 0:13:00Robyn, he needs to go to his own cubicle for a full ATLS assessment.
0:13:00 > 0:13:02OK, come on, let's go and get your phone charged.
0:13:02 > 0:13:04That's well drawn.
0:13:04 > 0:13:06You got any tattoos?
0:13:06 > 0:13:09That's for me to know and you to wonder.
0:13:09 > 0:13:10You have, haven't you?
0:13:10 > 0:13:13What is it, where is it and can I have a look at it?
0:13:13 > 0:13:15She doesn't look the type.
0:13:15 > 0:13:17Guess she was a '60s chick, though.
0:13:17 > 0:13:18She's not that old!
0:13:23 > 0:13:27QUIET GROANING
0:13:32 > 0:13:34Hey. You OK?
0:13:35 > 0:13:37- RADIO:- Holby Control to 3006.
0:13:37 > 0:13:41Back-up needed back at the Ring Road RTC.
0:13:41 > 0:13:443006 to Holby Control, received that and on our way, over.
0:13:56 > 0:13:58Just one of those days, you know.
0:14:03 > 0:14:06She was the same age as my John.
0:14:06 > 0:14:09I was with him last weekend.
0:14:09 > 0:14:11He thought it was wicked, us working together.
0:14:11 > 0:14:14We should all go out for a drink. He'd love to see you.
0:14:14 > 0:14:16Look, at work, we are just professionals, OK?
0:14:16 > 0:14:19I'm a paramedic. You're just a student nurse.
0:14:19 > 0:14:21- That's it, nothing more, you understand?- Yeah, sure.
0:14:21 > 0:14:25I just don't want anyone knowing anything about my personal life!
0:14:26 > 0:14:28Jamie?
0:14:28 > 0:14:30You his mentor, yeah?
0:14:30 > 0:14:33Teach him some discretion, will you?
0:14:38 > 0:14:40Breathe.
0:14:40 > 0:14:42Please breathe. Please breathe.
0:14:42 > 0:14:4643S. Date of birth is the third of the first, '98.
0:14:48 > 0:14:50OK, thanks. We'll be standing by.
0:14:54 > 0:14:58That was the UK Transplant Service.
0:14:58 > 0:15:01They need her blood group if we get consent.
0:15:01 > 0:15:03There's no evidence patient's state is drug induced.
0:15:03 > 0:15:05They need to do all these tests
0:15:05 > 0:15:09to make absolutely certain she's brain dead
0:15:09 > 0:15:12- before we can push on with the retrieval.- OK, let's do a log roll.
0:15:12 > 0:15:14This actually very rarely happens in the ED.
0:15:16 > 0:15:18One, two, three.
0:15:28 > 0:15:30I'm sorry. I'm really sorry. I...
0:15:30 > 0:15:31It's OK. Take a break.
0:15:31 > 0:15:34- I'll be fine. I'm OK.- Look...
0:15:34 > 0:15:37I'll see you back in ten minutes.
0:15:37 > 0:15:39OK, back down.
0:15:39 > 0:15:40One, two...
0:15:40 > 0:15:45Emergency services are still working to free the last injured teenagers
0:15:45 > 0:15:49who are still in the coach that crashed earlier today.
0:15:49 > 0:15:53You can see pictures of the scene, see emergency services at work.
0:15:53 > 0:15:55We've had confirmation through now
0:15:55 > 0:15:59that they are actually all from Wyvern West Academy
0:15:59 > 0:16:01- and we understand...- Aoife.
0:16:01 > 0:16:04Ally. We may need some extra hands here if you're free.
0:16:04 > 0:16:05(It's the driver.)
0:16:05 > 0:16:09At least two of the passengers, we believe, are critically ill.
0:16:13 > 0:16:15This is Steve. He was the driver of the coach.
0:16:15 > 0:16:18He's got a dislocated right shoulder and severe neck pains.
0:16:18 > 0:16:21His GCS was 15, BP 140 over 60 and pulse 100.
0:16:21 > 0:16:24He refused all spinal treatment and he wouldn't leave his bus
0:16:24 > 0:16:26until everyone else had been taken care of.
0:16:26 > 0:16:29- Gave him a bit of entonox. - We're here, Steve. Get you sorted.
0:16:29 > 0:16:32This is Joe. He has laceration and bruising to his face.
0:16:32 > 0:16:35Aoife, can you take Joe through to cubicles with the other students?
0:16:35 > 0:16:37- I'm actually a teacher. Well, student teacher.- Sorry.
0:16:37 > 0:16:39I'm a student nurse. Follow me.
0:16:39 > 0:16:41Steve! Oh my God, Steve.
0:16:41 > 0:16:44- Can you step back, please? We need to go...- This is my husband.
0:16:44 > 0:16:46I don't want to be here.
0:16:46 > 0:16:49Reece Allan is still on the coach. I should be back out there.
0:16:49 > 0:16:51- This is yours, Lloyd.- Thanks, Tess.
0:16:51 > 0:16:53Hello, Steve, My name is Dr Sam Nicholls.
0:16:53 > 0:16:56We're going to transfer you to the bed to assess your injuries.
0:16:56 > 0:16:58Jump up on there for us, mate,
0:16:58 > 0:17:01in your own time, please. Nice and slowly.
0:17:01 > 0:17:02STEVE GROANS IN PAIN
0:17:02 > 0:17:04I'm all right.
0:17:04 > 0:17:08- Try and encourage him to hold it himself using his good hand, OK?- OK.
0:17:08 > 0:17:10Steve, if you'd like to breathe into this?
0:17:10 > 0:17:12I've already done a breath test!
0:17:12 > 0:17:15- I would never drink and drive. - Steve...- Have some respect! Please!
0:17:15 > 0:17:19This isn't a breathalyser, Steve. It's more entonox. Gas and air, OK?
0:17:19 > 0:17:21- It's pain relief.- Sorry.
0:17:21 > 0:17:24- Sorry. I didn't mean to... - OK, Steve, you have to realise
0:17:24 > 0:17:26everyone here is trying to help you, OK?
0:17:26 > 0:17:29You have a dislocated shoulder. The quicker we get you settled,
0:17:29 > 0:17:32- the quicker we can sort that out for you, OK?- OK.
0:17:32 > 0:17:34Right, let's get that shoulder X-rayed, we need a CT
0:17:34 > 0:17:37to make sure there's no neck injury before we do an MUA.
0:17:37 > 0:17:39Get a line in, please, and a drip bag up.
0:17:42 > 0:17:43What happened?
0:17:45 > 0:17:47I don't know.
0:17:47 > 0:17:49I don't know.
0:17:49 > 0:17:53Guess she wanted something a bit different. Bit of rough?
0:17:53 > 0:17:54None of our business.
0:17:54 > 0:17:56- Just chill out, man. Come on, chat.- Hey.
0:17:56 > 0:17:58We do medicine, not chat.
0:17:58 > 0:18:00And we don't "chill".
0:18:00 > 0:18:02On shift means on constant alert.
0:18:04 > 0:18:07That's going to be some black eye.
0:18:07 > 0:18:09Here. This is Reece.
0:18:09 > 0:18:11That one.
0:18:11 > 0:18:13He's cute.
0:18:13 > 0:18:16- Who's that?- My stepdad.
0:18:16 > 0:18:18Is that legit?
0:18:18 > 0:18:20We couldn't get served at the bar.
0:18:20 > 0:18:22He's cool. But...
0:18:22 > 0:18:24Tries too hard?
0:18:24 > 0:18:25My stepdad does the same.
0:18:25 > 0:18:28Useful, though, sometimes.
0:18:28 > 0:18:31- What's happening? What's going on with my hands?- Linda!
0:18:31 > 0:18:33You all right?
0:18:33 > 0:18:36- All right, have a look at this. Know what this is?- No.
0:18:36 > 0:18:38It's a carpopedal spasm.
0:18:38 > 0:18:43It's usually a side effect of anxiety or a reaction to drugs.
0:18:43 > 0:18:46Sir, what's happening? How's Reece?
0:18:46 > 0:18:51They were still cutting him out when I left. I came in with Steve.
0:18:51 > 0:18:56- That's Reece's, isn't it? Want me to give it to his dad?- It's OK.
0:18:56 > 0:18:57It's got my stuff too.
0:18:59 > 0:19:03Time of brain stem death - 13:29.
0:19:05 > 0:19:08The mother's here.
0:19:08 > 0:19:11She's been informed of the severity of the head injury.
0:19:11 > 0:19:16She's in the relatives' room awaiting news.
0:19:16 > 0:19:18- Shall I do it? I'll do it.- Thanks.
0:19:20 > 0:19:23Right, Ally, do you want to fetch her from the relatives' room
0:19:23 > 0:19:24and bring her to my office?
0:19:24 > 0:19:26Me? How do I? What am I meant to...?
0:19:26 > 0:19:29You don't. That's my job.
0:19:29 > 0:19:31And if she asks?
0:19:31 > 0:19:34You simply say you don't know. It's a very delicate situation.
0:19:34 > 0:19:36Just bring her to me.
0:19:36 > 0:19:37PHONE RINGS
0:19:40 > 0:19:42Holby ED.
0:19:42 > 0:19:46- OK, thanks, Ally.- Charlie, should I take these through?
0:19:48 > 0:19:49Yeah. OK, I've got that.
0:19:53 > 0:19:55Can you do me a favour? Give this to Steve.
0:19:55 > 0:19:57He said I could count on him.
0:19:57 > 0:19:58What is it?
0:19:59 > 0:20:03Stuff. Boys' stuff.
0:20:03 > 0:20:04Dirty magazines!
0:20:04 > 0:20:07Please. I don't want Mum upset.
0:20:08 > 0:20:10All right.
0:20:16 > 0:20:17It is quite an unusual injury.
0:20:17 > 0:20:21What's happened is the top of the arm has pushed back, pushing
0:20:21 > 0:20:24the shoulder out and it's pressing against the scapula.
0:20:24 > 0:20:25Which is why he is in so much pain.
0:20:25 > 0:20:28Excuse me. I've got a message for Steve from Daniel. Can I?
0:20:28 > 0:20:31- Yes, we have finished here. - Thank you. How is he doing?
0:20:31 > 0:20:34Good. You've got a very lively son!
0:20:35 > 0:20:39You're joking me. How did that happen? Look at the gap.
0:20:39 > 0:20:41That's a rare and interesting dislocation.
0:20:41 > 0:20:45Excuse me, Mr Green, I've got a message from your stepson, Daniel.
0:20:45 > 0:20:47He says you always said he could count on you.
0:20:47 > 0:20:50Father to son. And could you hold on to this?
0:20:53 > 0:20:56No, not this time. Tell him he's on his own.
0:20:58 > 0:21:02OK, so, Steve, the good news is there is no cervical fracture.
0:21:02 > 0:21:06So we will be able to reduce it. OK, come with me.
0:21:06 > 0:21:07Thanks, Lloyd.
0:21:15 > 0:21:18- What's happened? - I've messed up. Big time.
0:21:20 > 0:21:22- You turned up. Thank you. - What have you done?
0:21:22 > 0:21:24I got the text, but I can't stay. You OK?
0:21:29 > 0:21:31These are legal highs.
0:21:31 > 0:21:33My mate got GML over the internet packaged like this.
0:21:33 > 0:21:35I thought it was dirty magazines.
0:21:35 > 0:21:36What?
0:21:36 > 0:21:39It's Daniel's. His mum's the teacher.
0:21:39 > 0:21:41- You're a drugs mule! - It's not funny.
0:21:41 > 0:21:45Tell your mentor. I've got to go. Sorry.
0:21:45 > 0:21:46What's her problem?
0:21:47 > 0:21:50Just give them back to the kid. It's his business.
0:21:50 > 0:21:53You can't now you know what they are. Just come clean.
0:21:53 > 0:21:57TV: We are getting reports through that there is one pupil
0:21:57 > 0:22:00still trapped in the wreckage.
0:22:00 > 0:22:01Sorry.
0:22:12 > 0:22:14Excuse me.
0:22:14 > 0:22:19Erm...I'm looking for the mother of Ella...
0:22:19 > 0:22:20Mrs Malin. I'm Ellie's mother.
0:22:20 > 0:22:22If you follow me,
0:22:22 > 0:22:25the Charge Nurse will be able to update you on your daughter.
0:22:25 > 0:22:26Can I see her, please?
0:22:27 > 0:22:30Erm...the Charge Nurse would like to speak to you first.
0:22:32 > 0:22:35Is she OK? Please just tell me.
0:22:35 > 0:22:37Please. Just follow me.
0:22:38 > 0:22:40Would you like some support?
0:22:43 > 0:22:45It's OK. I'm OK.
0:22:58 > 0:23:01- Where've you been? - Toilet. I was desperate.
0:23:01 > 0:23:06He's had a bit of an accident. Needs a change. Thanks.
0:23:07 > 0:23:12I'm concerned about his behaviour. He's confused, has vomited again.
0:23:12 > 0:23:17Let's push another litre of saline through. Rebalance his electrolytes.
0:23:17 > 0:23:22OK, CT's negative and no history of drink or drugs.
0:23:22 > 0:23:23He says you're on your own.
0:23:23 > 0:23:27Robyn, when got a minute can you go and get Daniel's mum for me?
0:23:27 > 0:23:29Thanks.
0:23:29 > 0:23:32- I'm done if they find them on me. - I could lose my job.
0:23:32 > 0:23:34Just bin it? Please.
0:23:34 > 0:23:35Robyn?
0:23:35 > 0:23:38Please. It'll kill Mum if they find out.
0:23:38 > 0:23:40I'm sorry.
0:23:44 > 0:23:47What you're signing here is a conscious sedation form
0:23:47 > 0:23:51so we can pop your arm back into place without putting you under. OK? Thank you.
0:23:51 > 0:23:53Is that the coach driver?
0:23:53 > 0:23:56- On behalf of the parents, we've got some questions.- Later, sir.
0:23:56 > 0:23:59My daughter says he provided them with alcohol.
0:23:59 > 0:24:03- Did you know they were drinking on the back of the coach?- No.
0:24:04 > 0:24:07I had better go and talk to them.
0:24:07 > 0:24:09OK, drugs in.
0:24:09 > 0:24:12- Lloyd, could you get on the other side for me, please?- Mmm.
0:24:12 > 0:24:14- OK, you got it, Jamie?- Yep.
0:24:14 > 0:24:17OK, I need you to breathe nice and steady for me, OK, Steve?
0:24:17 > 0:24:18That's it.
0:24:18 > 0:24:21HE MOANS IN PAIN
0:24:21 > 0:24:25OK, guys, let's go.
0:24:25 > 0:24:30- It's like a tug of war. - It's a modified Kocher's procedure.
0:24:30 > 0:24:31Aaarrgghh!
0:24:31 > 0:24:34OK, there we go. Well done, Steve.
0:24:34 > 0:24:35Good job, guys.
0:24:35 > 0:24:37Daniel!
0:24:37 > 0:24:41Daniel, what are you doing? Come on, let's get you back to bed.
0:24:41 > 0:24:46Is that an offer? Holly? I need to use your phone again.
0:24:48 > 0:24:50- Holly? - I was just showing him my tattoo.
0:24:51 > 0:24:54- What's happening? What's he doing? - What shall I do?
0:24:54 > 0:24:56OK, Aoife, get that trolley, it's got a portable suction on it.
0:24:56 > 0:25:00Can you get a receiver for the teacher, give him some support?
0:25:00 > 0:25:02Thank you.
0:25:05 > 0:25:07Right, should we get him to Resus? He's not coming out of it.
0:25:07 > 0:25:12- No, I think you should treat him here. He's going to need lorazepam. - Could you get Tom?
0:25:12 > 0:25:14Daniel? Oh my God, what's happening to him?
0:25:14 > 0:25:16OK, Mum, just give us a second.
0:25:16 > 0:25:19- Robyn, can you look after Daniel's mum?- Yeah.
0:25:19 > 0:25:21Did you tell them about the drugs?
0:25:23 > 0:25:26It's all right, all right, he's in safe hands.
0:25:35 > 0:25:39- This is the Charge Nurse. - Charlie.
0:25:42 > 0:25:43I'm sorry.
0:25:57 > 0:25:58Tell me.
0:26:02 > 0:26:04We did everything we could...
0:26:10 > 0:26:14..but your daughter has a very severe head injury.
0:26:14 > 0:26:21A series of special tests were carried out by the intensive care team
0:26:21 > 0:26:24and I'm afraid they showed no brain activity at all.
0:26:26 > 0:26:31This means there is no possibility of her recovering. I'm very sorry.
0:26:34 > 0:26:36Will she die?
0:26:36 > 0:26:40I'm afraid she will not survive this level of injury.
0:26:42 > 0:26:44She is on a ventilator at the moment
0:26:44 > 0:26:47because she cannot breathe for herself.
0:26:48 > 0:26:50There's no hope?
0:26:52 > 0:26:54There is no possibility of any recovery.
0:26:57 > 0:27:01Were you aware that your daughter carried a donor card?
0:27:04 > 0:27:06No.
0:27:06 > 0:27:08I didn't know. No.
0:27:11 > 0:27:14I just want to see her, please!
0:27:14 > 0:27:18Can I see her, please?
0:27:18 > 0:27:20Yes, of course you can.
0:27:25 > 0:27:27Vicky? Vicky?
0:27:27 > 0:27:30Stop, stop. What's happening?
0:27:30 > 0:27:35He's been taking something and he's had a bad reaction or he's OD'd or something.
0:27:35 > 0:27:37Where are these drugs, Robyn?
0:27:37 > 0:27:40Well, after you wouldn't take them, I looked, and once I knew what they were,
0:27:40 > 0:27:44- I didn't want anything to do with them.- What's she talking about?
0:27:44 > 0:27:47They were in a bag. A backpack. I think it was Reece's.
0:27:58 > 0:28:00These were full when I gave them back to him.
0:28:02 > 0:28:05Wayne, can you take these through to Resus to Tom?
0:28:05 > 0:28:08Tell him we think this is what Daniel ingested.
0:28:08 > 0:28:11- OK, sure.- Why did he think Steve would hide them?
0:28:11 > 0:28:14We need to have the full picture to be able to treat Daniel.
0:28:15 > 0:28:19Is there anything he has confided in you that we should know about?
0:28:21 > 0:28:24He had a quite close bond with you, didn't he?
0:28:24 > 0:28:26And you helped with the party.
0:28:26 > 0:28:30What party? What party?
0:28:31 > 0:28:34I bought in a few drinks for a last night gathering, that's all.
0:28:34 > 0:28:35You what?!
0:28:38 > 0:28:40Did you know the kids had drugs on them?
0:28:41 > 0:28:45I knew Daniel was experimenting. I gave him a warning.
0:28:45 > 0:28:48But I didn't know the kids had drugs on the trip.
0:28:48 > 0:28:50Why didn't you tell me?!
0:28:50 > 0:28:52He trusted me not to.
0:28:53 > 0:28:55- Take me to my son.- OK.
0:28:59 > 0:29:03No. I've been defending you to the parents.
0:29:03 > 0:29:06You want to do something for me, you'll go and talk to them.
0:29:09 > 0:29:12- Let's get you back to your cubicle. - Where are the parents?
0:29:12 > 0:29:16Now's not the time - we need to get you back to X-ray so they can check your shoulder...
0:29:16 > 0:29:18Ellie Malin's in theatre. Can you take me up?
0:29:18 > 0:29:20I know her mother. I'd like to offer my support.
0:29:20 > 0:29:23- You don't have to.- I do.
0:29:33 > 0:29:35Would you like us to come in?
0:29:40 > 0:29:42Oh, God!
0:29:52 > 0:29:55This... This is not my daughter.
0:29:58 > 0:30:06This is her best friend. This is Ella. Ella Amson.
0:30:08 > 0:30:11Tests all clear. How's he doing?
0:30:11 > 0:30:14He's still tachycardic and he's got a raised temperature.
0:30:14 > 0:30:16How long has this been here?
0:30:20 > 0:30:23- I hadn't noticed that before. - Mind if I have a look, Joe?
0:30:26 > 0:30:28Looks like we've found the cause of the infection.
0:30:28 > 0:30:31- That's the same as Holly's. - That's the point, ain't it?
0:30:35 > 0:30:37But you're her teacher.
0:30:37 > 0:30:40Can you get me a swab, please? Just there.
0:30:42 > 0:30:44Excuse me.
0:30:44 > 0:30:48Aoife? Aoife? Where are you doing?
0:30:48 > 0:30:50He's abusing his position.
0:30:50 > 0:30:51I know. And we will point that out to him.
0:30:51 > 0:30:53But first we need to treat him.
0:30:53 > 0:30:57Now, you can either help me or you can go and explain yourself to Sister Bateman.
0:31:05 > 0:31:07Right, can I have the swab and some saline, please?
0:31:09 > 0:31:15Even if Holly isn't a minor, as her teacher,
0:31:15 > 0:31:18having a relationship with her is still illegal.
0:31:18 > 0:31:20She's leaving school next year.
0:31:20 > 0:31:23You could lose your job and go to prison.
0:31:23 > 0:31:25I know what it looks like, but I love her.
0:31:27 > 0:31:29So what are you still doing in the job?
0:31:31 > 0:31:34Don't you think you should do the right thing and quit?
0:31:43 > 0:31:47It was a mistake. There were so many parents in there.
0:31:47 > 0:31:49They all came at me.
0:31:49 > 0:31:52No-one ever taught us how to talk to parents who are waiting to
0:31:52 > 0:31:55find out if their kids are dead.
0:31:55 > 0:31:56So what happened?
0:31:56 > 0:32:00This mum saw the bag of effects. She saw the brown hoodie.
0:32:00 > 0:32:03The one that Ella had been wearing.
0:32:03 > 0:32:07But she said, "It's Ellie's. "It's Ellie's."
0:32:07 > 0:32:10And you were confused.
0:32:12 > 0:32:15They were friends. They'd swapped tops.
0:32:20 > 0:32:22OK, can we get this bed ready, please?
0:32:22 > 0:32:25We've got the last student coming through.
0:32:25 > 0:32:27Right, where did you get this from?
0:32:27 > 0:32:29My friend got it.
0:32:29 > 0:32:31There's no smell. Looks like "coma in a bottle".
0:32:31 > 0:32:35Yes, GML's not dissimilar to ecstasy, plus very nasty side effects.
0:32:35 > 0:32:37Let's get it tested by the police, please.
0:32:37 > 0:32:40PHONE VIBRATES Who is it?
0:32:40 > 0:32:43Reece. Seems to be delayed coming through.
0:32:43 > 0:32:46Let's see.
0:32:48 > 0:32:50He's going to be OK.
0:32:53 > 0:32:55You ready?
0:33:05 > 0:33:12Mrs Amson, Mrs Malin. I'm so sorry for the mix-up.
0:33:14 > 0:33:16I don't know what to say.
0:33:16 > 0:33:20This is actually Ally's first day in the Emergency Department.
0:33:20 > 0:33:23I should not have delegated to her.
0:33:23 > 0:33:26That was a misjudgement on my part.
0:33:27 > 0:33:28I'm so sorry.
0:33:30 > 0:33:35Darling. It's OK. Don't beat yourself up, yeah?
0:33:38 > 0:33:40I told her about the donor card.
0:33:40 > 0:33:44She doesn't want to go through with it.
0:33:44 > 0:33:45Right.
0:33:45 > 0:33:46She was 15 three days ago.
0:33:49 > 0:33:51We weren't with her on her last birthday.
0:33:53 > 0:33:59I respect your reservations and it is your choice
0:33:59 > 0:34:04but can I just say we believe it was your daughter's wish to be a donor?
0:34:16 > 0:34:19Could you just give me a few moments alone with her?
0:34:23 > 0:34:26Shall we go and see what they've got in the vending machine?
0:34:31 > 0:34:33Is all that for Reece?
0:34:36 > 0:34:38Resus. OK. Thank you.
0:34:42 > 0:34:45Tom, don't worry, he's not coming in after all.
0:34:45 > 0:34:50He is! He just sent me a message. He said he was on his way.
0:34:54 > 0:34:56I'm so sorry, Daniel.
0:35:08 > 0:35:12- There he is.- What happened? Tell us. - Can you let the patient through, please?
0:35:12 > 0:35:18It's all over the internet! What are you doing driving after partying all night with the kids?
0:35:18 > 0:35:19You OK?
0:35:23 > 0:35:29- They lost the kid trapped in the coach.- Reece Allan?
0:35:29 > 0:35:31He didn't make it.
0:35:39 > 0:35:46- What would you like?- "I have joined the NHS Organ Donor Register
0:35:46 > 0:35:51"as I want to donate my organs
0:35:51 > 0:35:56"and/or tissue for transplantation after my death."
0:35:56 > 0:36:00- Come on, pick.- That, please.
0:36:00 > 0:36:03What's an organ?
0:36:03 > 0:36:07Erm...the heart or the lungs or the liver.
0:36:07 > 0:36:14- The bits that make our bodies work. - What does do-nate mean?
0:36:14 > 0:36:20Donate? It means give away. I have a card like this.
0:36:20 > 0:36:25It means that you want to share healthy parts of yourself, like your heart,
0:36:25 > 0:36:27with other people when you die.
0:36:27 > 0:36:34- Yeah, but doesn't your heart die if you die?- Not always. It depends on how you die.
0:36:34 > 0:36:37Lots of very ill people need new hearts.
0:36:37 > 0:36:39But there aren't that many to give out.
0:36:53 > 0:36:55I can't. I'm sorry.
0:36:57 > 0:37:03That's absolutely fine, Mrs Amson. We completely understand and respect your feelings.
0:37:03 > 0:37:05It's a big ask.
0:37:05 > 0:37:08I'll call the transplant co-ordinator.
0:37:08 > 0:37:14Can I have a card like this, Mum? Mum! Can I have one too? Like Ella.
0:37:14 > 0:37:18- How did she get that?- I don't know. - Shall I take that for you?
0:37:18 > 0:37:23I want to be like Ella. I want to share my heart too.
0:37:23 > 0:37:24Come here.
0:37:37 > 0:37:39I've changed my mind.
0:37:39 > 0:37:44I would like to go with Ella's wishes after all.
0:37:44 > 0:37:47Thank you. Thank you very much.
0:37:58 > 0:38:02- TV:- As the operation moves from rescue to investigation, serious questions will need to be answered.
0:38:02 > 0:38:04Stop, stop.
0:38:04 > 0:38:09Crucial information will be sought from the coach driver to uncover how
0:38:09 > 0:38:13this tragedy occurred in what seemed like normal driving conditions.
0:38:13 > 0:38:17As you've been hearing, two of the teenage passengers on board have died,
0:38:17 > 0:38:20whilst at least one other remains in a critical condition.
0:38:20 > 0:38:24I had a bad night before the journey.
0:38:24 > 0:38:26Unsettled.
0:38:26 > 0:38:28I woke nervy.
0:38:33 > 0:38:36Do you think I shouldn't have driven?
0:38:36 > 0:38:39It could have happened to anyone.
0:38:39 > 0:38:42- We should go. - Just give me a minute.
0:38:43 > 0:38:46I'll go check how Eleanor Malin's doing.
0:38:46 > 0:38:49On you go, son. I'm fine. I'll be there in a minute.
0:39:05 > 0:39:07Is your hand OK?
0:39:07 > 0:39:09How long can this drug affect you for?
0:39:09 > 0:39:11Not long. A few hours.
0:39:11 > 0:39:12How about after-effects?
0:39:14 > 0:39:18You might feel a bit shaky, loss of concentration,
0:39:18 > 0:39:20co-ordination might suffer.
0:39:20 > 0:39:22How about if you'd never taken them before?
0:39:22 > 0:39:23Depends on the individual.
0:39:25 > 0:39:27Why, Daniel? What is it?
0:39:30 > 0:39:32Have you taken something else?
0:39:32 > 0:39:34It's Steve.
0:39:34 > 0:39:36- What's he done? - It wasn't him.
0:39:36 > 0:39:38- What did you do? - At the party...
0:39:38 > 0:39:40He got drunk?
0:39:40 > 0:39:42It was meant to be a bit of fun.
0:39:43 > 0:39:46You spiked his drink?
0:39:47 > 0:39:52- It might it might have affected his driving. It might have...- I know!
0:39:57 > 0:39:59Tell them.
0:40:07 > 0:40:11Jamie. The police want Steve downstairs when he can.
0:40:11 > 0:40:13- Why?- The kids spiked his drink.
0:40:13 > 0:40:16There could be a direct causational link between that and the accident.
0:40:16 > 0:40:17What?!
0:40:23 > 0:40:24Where is he?
0:40:26 > 0:40:27I left him right here.
0:40:30 > 0:40:31Please. No.
0:40:44 > 0:40:46Quick. Can't get down that way.
0:40:48 > 0:40:52Body fallen from the fourth floor. Possibly nearly 40 feet.
0:40:52 > 0:40:53Near Oncology.
0:40:53 > 0:40:55Yeah. Come on.
0:40:59 > 0:41:01Hello?
0:41:01 > 0:41:05Hello, can you hear me? I'm Lloyd. I'm a nurse in the hospital.
0:41:05 > 0:41:07Steve. Steve? What happened?
0:41:08 > 0:41:11OK, I'm going to need a trolley and some O2.
0:41:11 > 0:41:12Did you see this man fall?
0:41:12 > 0:41:14No. But I was the last person with him...
0:41:14 > 0:41:15OK, Lloyd, can you check his airway?
0:41:15 > 0:41:17I'm going to need a portable suction over here.
0:41:17 > 0:41:21This is Steve, the coach driver. I relocated his shoulder earlier.
0:41:21 > 0:41:24OK Steve, Steve. Can you hear me?
0:41:24 > 0:41:25You try and speak to him, OK?
0:41:25 > 0:41:28Steve, Steve, it's me. The nurse who took you upstairs.
0:41:28 > 0:41:30STEVE GROANS IN PAIN
0:41:30 > 0:41:31COUGHING
0:41:31 > 0:41:35You stay with him, he clearly recognises you.
0:41:35 > 0:41:39Lloyd, when we get inside, O neg, crossmatch eight units, because we'll need loads of it, OK?
0:41:39 > 0:41:44- OK.- Right, come on, let's get him in. Pressure. Portable suction.
0:41:51 > 0:41:52STEVE WHEEZES IN PAIN
0:41:59 > 0:42:01Steve? Steve?
0:42:06 > 0:42:07Can I go in?
0:42:07 > 0:42:09No, let's just let the doctors do their job, eh?
0:42:09 > 0:42:11- Would you like to see your son?- No.
0:42:11 > 0:42:12Joe!
0:42:12 > 0:42:14SHE SOBS
0:42:14 > 0:42:17Did you hear about Reece?
0:42:18 > 0:42:19Holly?
0:42:19 > 0:42:21Inappropriate!
0:42:21 > 0:42:24Miss, sorry. I didn't...
0:42:24 > 0:42:27I'm sorry, Vicky, I think I should hand in my resignation.
0:42:37 > 0:42:39Let's get the O neg up.
0:42:39 > 0:42:41The femur's totally shattered. Looks like the tib
0:42:41 > 0:42:43and fib have both gone too.
0:42:43 > 0:42:45Right, he's losing a lot of blood even with the tourniquet on.
0:42:45 > 0:42:48OK, shall I get a pelvic sling just to be safe?
0:42:48 > 0:42:50Yes, please. Lloyd, can you loosen off the tourniquet?
0:42:50 > 0:42:53I want to have a look at the bleeding points first.
0:42:53 > 0:42:54Jamie, come on.
0:42:55 > 0:42:57OK.
0:42:57 > 0:42:59Whoa! Yeah, yeah, it's definitely the femoral.
0:42:59 > 0:43:01tourniquet back on, please, and tight!
0:43:01 > 0:43:05You all right? Right, let's stand by with a Doppler.
0:43:05 > 0:43:08- OK, Tom? - Yeah. You all right, Lloyd?
0:43:08 > 0:43:11He's lost his output and can't palpate a BP.
0:43:11 > 0:43:15- He's losing blood faster than we can get it in. - Can we tie off that vessel?
0:43:15 > 0:43:17Everything is such a mess in this wound.
0:43:17 > 0:43:19I can't even identify the end of the artery.
0:43:20 > 0:43:23He's losing pressure. I think he may arrest.
0:43:23 > 0:43:25OK, I'm not having this bloke bleed to death.
0:43:25 > 0:43:28I doubt the leg's viable, so let's get artery clips, please,
0:43:28 > 0:43:31and something to tie the vessel off with as well, please, Tess?
0:43:31 > 0:43:33- Tom, will you assist me?- Yep.
0:43:33 > 0:43:34Lloyd, can I have some light over here?
0:43:37 > 0:43:40Watch carefully, you may not see this again.
0:43:46 > 0:43:48KNOCK ON DOOR
0:43:48 > 0:43:49< Hello?
0:43:55 > 0:43:56Come in.
0:44:05 > 0:44:07OK, I'll show you what to do.
0:44:15 > 0:44:19It would be a good learning experience.
0:44:19 > 0:44:23Sometimes laying out a patient can be...
0:44:23 > 0:44:24peaceful...
0:44:25 > 0:44:26..it can give you closure.
0:44:31 > 0:44:35I'm sorry. I don't think I can.
0:44:38 > 0:44:41< Sister Bateman in ED here.
0:44:41 > 0:44:43< Can you crossmatch six units for Steve Green, thanks.
0:44:43 > 0:44:46I want to go in. I need to tell him what I did.
0:44:51 > 0:44:54Come on. Let's get you cleaned up.
0:44:57 > 0:44:59Yes, there. That should hold him until we get him up to theatre. >
0:45:03 > 0:45:05Excuse me, Daniel wants to come over.
0:45:05 > 0:45:08He wants to apologise about the drugs.
0:45:08 > 0:45:12Yeah, anything that might make him feel better can only be good thing at this stage.
0:45:12 > 0:45:15He has some very serious challenges to face.
0:45:29 > 0:45:31Her heart's gone to Birmingham.
0:45:32 > 0:45:36Her liver and lungs will be sent to Manchester.
0:45:36 > 0:45:38It's an amazing thing, isn't it?
0:45:56 > 0:45:58OK, thanks.
0:46:02 > 0:46:04Hey.
0:46:04 > 0:46:07No-one is holding you responsible for what happened, Jamie.
0:46:07 > 0:46:09You did nothing wrong.
0:46:19 > 0:46:22I think he could do with a bit of family support.
0:46:22 > 0:46:24All right, OK.
0:46:24 > 0:46:25Thanks, mate.
0:46:26 > 0:46:27Jamie.
0:46:31 > 0:46:32You all right?
0:46:35 > 0:46:36Hey, come on.
0:46:40 > 0:46:42I know.
0:46:44 > 0:46:46I know, son, you just got to let it out.
0:46:56 > 0:46:58Why did you want to be a nurse, Robyn?
0:46:58 > 0:47:00It's my avocation.
0:47:00 > 0:47:01Vocation?
0:47:02 > 0:47:03That's the one.
0:47:03 > 0:47:06If you'd come straight to me, things might have been different.
0:47:06 > 0:47:10It's not about patients liking you. It's about doing the right thing for them.
0:47:10 > 0:47:12Please, just give me another chance?
0:47:12 > 0:47:15No, I'm not sacking you. I'm telling you off.
0:47:15 > 0:47:17Because this cannot happen again.
0:47:17 > 0:47:20You know, you come to me, you ask questions and we talk.
0:47:20 > 0:47:22OK?
0:47:29 > 0:47:34- TV:- "Investigations are continuing into why the Wyvern Academy coach crashed."
0:47:34 > 0:47:35"Meanwhile, the school community is left mourning
0:47:35 > 0:47:38"and in shock at the tragic loss of two of its pupils."
0:47:38 > 0:47:41Come on. Onwards and upwards.
0:47:43 > 0:47:47MUSIC ON STEREO: "We Are Young" by Fun.
0:47:56 > 0:47:59We're going for a drink, if you'd like to join us?
0:47:59 > 0:48:04And the first round's on Charlie. He said well done for today.
0:48:04 > 0:48:05You did good.
0:48:05 > 0:48:08So the pub is just across the road, see you there in ten.
0:48:08 > 0:48:10- Yeah, we'll be there.- OK.
0:48:19 > 0:48:21Sorry I'm late.
0:48:22 > 0:48:24You're always late.
0:48:24 > 0:48:25WHISTLING
0:48:25 > 0:48:27< Wait for us then.
0:48:29 > 0:48:32I can't believe it starts all over again tomorrow.
0:48:32 > 0:48:34I can't believe this is my day job.
0:48:34 > 0:48:38Well, I feel exactly the same and I've been doing it for 30 years.
0:48:38 > 0:48:40Welcome to our world.
0:48:54 > 0:48:58Subtitles by Red Bee Media Ltd