The Morning After Casualty

THEY LAUGH AND GIGGLE

Look at the state of that.

Makes you wonder who their parents are.

Half of them are parents.

Heads up on the right, Mike.

SIREN WAILS

TYRES SCREECH

Those were the days. Pub, club, A & E.

Don't forget the kebab. You coming out tomorrow?

Nah. I've got a book on the go.

I'm joking. We are fully fledged nurses. Course I'm coming out.

Eh, what are you doing?

Come on, there is still a load of people in here who need triaging.

You've got to step it up, you're not little helpers any more.

You've bagsied bad cop?

Yeah, too right. I'm sick of being nice.

HE LAUGHS

SIREN WAILS

Oi, come here!

Come here.

I should nick you just for making me run at my age.

SCUFFLING

Quiet. Still.

PRISONER SCREAMS

It's my baby.

Right, can I take your name, please?

Thompson. Mrs Claire Thompson. Her name's Tanya.

-Address?

-8 Frampton Road.

What seems to be wrong with her?

She's got a high temperature and a rash.

We've checked her symptoms on the net.

-It doesn't seem to be that serious.

-You're not a doctor, you don't know.

Take a seat. I'll get someone to you as soon as I can.

-How long will that be?

-You're top of the list.

Is there anywhere else we can wait?

I warned you it'd be like this.

THEY JEER

What's up with you, still got a sore head?

You left us for dead the other night, mate.

I can't pull those all-nighters any more.

You're getting old.

Getting old and getting a gut.

Watch out.

SHE SCREAMS

Mike? Mike?

HE SCREAMS

Hey.

What happened? Didn't you see her?

HE CRIES OUT

Oh, mate. You still stink of booze!

Is she all right?

She'll live.

Now listen to me, can you feel your fingers and your toes?

Yeah.

-You weren't driving.

-Don't be stupid.

-I'm going to get you out of here.

-Ow, don't. Don't move me.

You'll thank me for this, I promise you.

Easy, easy, easy.

Tanya Thompson.

That's us.

Would you like to come with me?

How long has she had a temperature?

Since early this evening. I took it just before we came out.

It's 39.5.

Right, OK, if you would like to pop her on the bed for me.

Let's get that baby grow off. Have you noticed a rash?

There, on her cheek.

Her cheeks are a bit red, that could be her temperature.

Anywhere else?

Not that I can see.

Let's have a look.

Seems clear. Let's put this in her ear.

39.2. Have you given her any paracetamol or anything?

I didn't like to before the doctor had seen her.

That's what I said we should do.

I work in a GP's surgery.

We had a case of meningitis two weeks ago.

Tanya hasn't been anywhere near there.

Look, do you want to go and pick up Luke from Mum's and go home?

-What?

-It's obvious you don't want to be here.

I'll be outside if you need me.

We'll give her ibuprofen, see if that helps.

Sorry. She hasn't been sleeping very well. I'm exhausted.

Spitting image of you.

Have you got kids?

Nephew and a niece.

Best of both worlds. All the fun, none of the responsibility.

You're kidding! The trouble those two have caused me.

Price you pay for loving them.

Yeah, I miss them.

I'm sorry.

No, I've just not seen them for a while. That's all.

The cheeks blanch nicely, so I don't think it's anything too bad,

but I'll get a doctor to check her over.

Thanks. And really, I am sorry.

No need. I'm just being soppy.

You shouldn't have done that.

I'd take a spinal injury over prison any day.

I'm OK, mate. It's him.

What's his name?

Mike.

How did you get him out here?

He was in the back with a suspect. I dragged him out. I was driving.

Yeah, I know. I thought I could smell petrol.

Didn't want him burning to death.

OK, all right, Mike. Can you tell me what happened, mate?

Door caved in. I think I've broken my leg.

Yeah, OK, I'd say you have.

Carry on holding his head for me, will you?

I'm going to grab a board. I will be right back.

You're going to be all right, mate. It's going to be all right.

Was she hit by the car?

I don't think so.

What's her name?

Ella.

Right, and do you know how old is she?

19.

Ella, Ella, can you hear me, darling?

Do you know if she has been drinking?

Mmm.

Do you know how much?

SHE MOANS

Right, darling, let's get you sorted out

and we'll take you to the hospital, eh?

SAM: Don't you love Saturday nights?

All those years of training to deal with a guy who's caught

himself in his zip.

Well, I've just picked up a patient with temporal arteritis.

I don't do high-fives.

HE SLAPS HER

Now, that's unprofessional.

What, you mean I'm on top of my game?

HE SLAPS HER

Can you step away from the bed, please?

THEY LAUGH

Let go of me, please.

Look, have a bit of respect, lads, it's a hospital.

Jamie...

There's no point trying to get into a philosophical debate with them. They're bladdered.

Shall I call Security?

Watch.

No more than two round the bed.

Sort it out or you'll all go home. Thank you.

Loud and clear, no big words.

Yeah, but that's not our job.

It's not all about medicine.

It's about making the place feel safe as well.

RTC coming in. Four casualties. Two males, two females.

Go on, then, chop chop.

You are going to come with us, though, right?

Yeah, of course. Once I've cleared up the backlog you've built up.

You are going to keep an eye on them, right?

Of course I am.

Hi, Ash, this is PC Mike Stanley.

Passenger involved in an RTC. Car versus scaffolding.

-Straight through.

-Wasn't KO'd.

GCS has been 14 throughout, he's got a fractured right tib and fib,

BP's 115 systolic, pulse 95, SATS of 97%.

He's had 5 of morphine and a litre of saline.

He was out of the car when we got there, actually.

Think there was risk of fire so was pulled out by his mate Owen.

Yeah, I want to be with him, yeah.

OK, when we are ready, lift. And one, two and lift.

-Nearly there.

-Looks like you got off lightly.

You're telling me. Especially when you see the state of the car.

All of the right side was caved in.

-I need to stay with Mike.

-You'll be within touching distance.

I don't need to be that close!

OK, Mike, I am just going to grab that off you, mate.

So baby's had a temperature since when?

6.00 this evening. And a rash.

Her cheeks are a bit red.

The rash blanches under pressure. BP's normal.

I gave her some ibuprofen

and her temperature's down from 39.5 to 39.

Good. That's moving in the right direction.

Let's have a look at her.

It's all right, sweetie. Mummy's here.

She's certainly a bit hot, but she's interacting nicely.

Any rash elsewhere on her body?

I couldn't see anything.

No. Her skin looks clear.

Is she wheezing a bit, perhaps?

Have you noticed her coughing?

No. What's wrong?

Just a very faint rattle. It could be a slight chest infection.

But her heartbeat's perfectly normal.

Have you notice any other symptoms -

vomiting, diarrhoea, persistent crying?

-How many wet nappies today?

-Three.

That's your job, is it?

She has a raised temperature

and it's likely a slight chest infection.

She's not presenting any other symptoms,

so I think you can stop worrying about it being anything serious.

-I told you it was nothing.

-She's got an infection!

Let's do some urine.

Give her 120mg of paracetamol to back up the ibuprofen

-and let's try her on some water.

-What about a blood test?

Claire...

Try not to worry. I'll come and check on her again in half an hour.

-And if he says she's OK, we're going.

-Thank you.

Right, this is Ella. Her friend says she's 19 years old.

In four years' time maybe.

That's what I thought. I think she might be drunk.

She was one of the pedestrians involved in the RTC.

There's no obvious external injuries but it's unclear

whether the car hit her.

She was unconscious at the scene and has been unrousable throughout.

Her BP's 110/60.

Ella, Ella, can you hear me?

It's all down here.

Thanks, Jeff. Can we titrate another 10 of morphine, please?

See if that sorts out the pain.

-I can't move my leg.

-But you can feel your legs?

Yeah. Too bloody right!

One, two, three.

That's all good.

It looks like you've broken your tibia and fibula,

both the bones in your lower leg.

Once the morphine kicks in and you feel a bit more comfortable,

we'll take you for an X-ray. See what the damage is.

Can I get another BP, please?

It's quite an impressive battle scar you've got here.

The villain that did that got ten years.

Which means five.

BP's 110/70.

You shouldn't be wandering round

until you have we've checked you over.

Yeah, I'm fine.

Listen, the accident investigation team'll want to take statements.

Any idea when he'll be up for that?

Not until we have confirmation of his injuries.

No rush. Longer the better, frankly.

I mean, they're a right miserable bunch.

Jamie, can you make sure Mr Daniels

-is as well as he thinks he is, please.

-Sure.

OK, quickly, everyone. We need to roll her, she is going to be sick.

Have we all got some? On three. One, two, three.

SHE VOMITS

OK, down. Right.

I went through a whole year without that happening.

Can someone get Zoe, please? Now.

Yeah.

-Stop it!

-What?

Looking at me with that expression.

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

It's like a mixture between pity and pain.

Here you go. OK.

Stop it.

OK, look, Zoe, I've been offered another job.

What?

What are you doing walking around covered in puke?

Dr Ashford needs you in Resus.

OK. Like now.

Her GCS is still technically 10 but there's no evidence of trauma

and she reeks of alcohol.

I'm giving her a litre of dextrose saline.

I want her fully assessed and a head CT.

I'm sure she is just extremely drunk.

It smells like a brewery in here.

We've got this.

Excuse me?

< I want someone to tell me what's going on!

It sounds like they could use you over there.

Sorry about that.

Could you go and help Dr Nicholls, please?

Yeah.

I couldn't live with myself if I missed anything,

and I know you won't.

It's my daughter.

OK.

I want someone to get me a mirror.

We're trying to protect your neck so you really shouldn't move.

-What's her name?

-Angie Taylor. She's 19.

She was the other pedestrian,

the one knocked down by the police car.

-Took the hit for your friend.

-She's not my friend.

She's got a deep facial laceration. Not KO'd. GCS 15 throughout.

No neck pain and obs are fine. Pulse 78.

Resp's 20, BP's 120/80 and temperature's 36.5.

It feels like one side of my face is hanging off.

Are you in any pain?

Of course I'm in pain!

I just want to know if it looks as bad as it feels.

-What pain relief has she had?

-10 of morphine.

OK, well, let's give her another 5. Listen to me, Angie.

The wound to your face isn't going to kill you.

Right now we need to prioritise making sure you haven't

sustained any more serious injuries.

We are going to give you some morphine, take the pain away,

but I really need you to stay calm for me.

I'm sorry. I'm just scared.

Thank you.

Sorry to hassle you

but I've got to teach a classroom of rowdy 12-year-olds in a few hours.

-Has there been any change?

-No. And there won't be.

We spend a lot of time in emergency departments.

Every cough and stomach bug has to be investigated.

The GP can't be trusted any more, apparently.

Your wife's quite anxious, isn't she?

This is your second child, right?

Was she like this with your first?

Technically speaking, I only have one child.

I'm not Tanya's biological father.

-Is your wife...?

-Yes. She's Tanya's mother.

Hand on heart, it makes no difference to me.

I was there at the birth. I do the night-time feeds.

-I change the nappies.

-Your wife's more concerned about Tanya?

Right. OK, let's go and check Tanya over.

How's she doing?

Just the same.

-Her cheeks are still a bit red.

-And she still feels hot to me.

Her temperature's 37.8.

Good. Almost back to normal.

I can't see any reason why you shouldn't take her home.

Shouldn't we wait a bit longer?

It's been a long night

and this place, it's only going to get more hectic.

I think you'd all benefit from a good night's sleep.

Keep giving her the ibuprofen and the paracetamol, and if her temperature goes up again,

you can always bring her back in here.

-I think we're done.

-You think we should stay, don't you?

No, not at all.

Dr Kent deals with babies all the time so...

If you want to stay, that's fine.

You know what they need? A decade of therapy.

Just straightforward medical stuff for the rest of the shift,

thank you very much.

Left these behind.

Please tell me he didn't hear that.

I don't think she's unconscious. I don't even think she's asleep.

-She wouldn't play act. She's not like that.

-Well...

Head CT and X-ray results.

Radiologist couldn't see anything out of the ordinary.

It all seems pretty good to me. Ella, can you hear me?

Your dad is here and he's worried about you.

He needs to know you're OK. You need to speak to him.

Ella!

Dad?

-Do you know where you are, baby?

-No...

-What happened?

-I think someone put something in my drink.

-Do you know who?

-Don't know. I was at a club.

-A night club?

My mate got me free tickets. I don't feel very well.

Can we get the collar and the head blocks off, please?

I hope I'm not speaking out of turn here

but Ella does smell very strongly of alcohol. Still.

Obviously, she's had a drink

but there's something else going on here. It's not like her.

You are one very lucky man.

That's seat belts for you.

If Mike hadn't been trying to restrain the guy in the back,

-he would have been fine too.

-Yeah. But you were in the driving seat.

And you heard what the paramedic said...

How many road accidents have you attended?

Obviously we deal with the aftermath.

Can you follow the pen for me, please?

Sure. Believe you me,

we see some weird, wonderful and damn right unfair outcomes.

Cars mashed beyond recognition

but everybody walks out alive.

Some cars with barely a scratch on them but there's fatalities.

That was my point. You're very lucky.

Only kidding. All right, fella? What's the damage?

I reckon getting through airport security's going to be

a bit of an issue.

He's fractured his tibia and fibula.

It's a nasty injury and there's quite a bit of displacement.

Surgery?

I'm afraid so.

Dad? I want to go home.

Excuse me.

So how are you feeling?

Just give us a minute, mate.

It's his daughter!

Those girls practically fell under the car.

If it had been the average Joe behind the wheel,

both of those girls would be dead.

Nah. I didn't react in time.

Mike, hold your nerve,

because if you don't, both of us are going down.

I left my rucksack in the back of the car.

It's got my phone in it.

I'll track it down.

I can't even visit people in hospital.

I hate the smell, all the equipment.

Being stuck on a bed with a whole bunch of strangers

prodding at you - it's just like my biggest nightmare.

I know. It's horrible but...

They're doing their best for you but it probably doesn't feel like it.

-I was meant to be going to the cinema.

-What happened?

Ella told me they were looking for promo girls at the club.

Is that what you do?

I did a season in Malia.

Good news. Your X-rays have come back and you're all clear.

Can you get me out of this thing?

Absolutely. Then we'll move you to cubicles.

Angie, how much have you had to drink tonight?

A couple of vodkas.

Bottles or measures?

She was going for an interview.

At 10.00 at night? In a club? What about your friend?

Was she going for an interview too?

She's not really a friend. We just waitress together.

Did you tell the paramedics she was 19?

She's all right, isn't she?

She'll live. Do you know how much Ella had to drink?

I've got no idea. I just found her slumped in the corner.

I was trying to get her home.

We were crossing the road. She was like a dead weight.

That's when the police car hit me.

Right. OK, let's get her into the cubicle.

Can I get some gloves, please, Robyn?

Right, let's take a look at the damage.

Thank you.

Take a corner each and peel the bandage off nice and slowly.

OK.

Yeah.

Oh, no. No...it's bad. It's really bad, isn't it?

No, Angie. It'll look a whole lot better once I've cleaned it up.

SHE SOBS

Could you close that curtain for me!

No.

-Dad, would you just give me a break?

-We need to keep an eye on you.

You were lying in there unconscious half an hour ago.

And I am all right now!

Where's your mother?

She went away for the weekend.

Did you tell her you were staying with me?

How many times do we have to have this conversation?

You're not going to call her, are you?

No, but you can't keep doing that.

Dad, would you just sort me out? Please!

Why's she getting the VIP treatment?

It's his daughter.

Well, that's a vote of confidence.

I'm not good enough to treat his relatives.

I think he was just a bit embarrassed.

I don't think he was embarrassed.

Apparently all her clothes are still wet from lying on the pavement.

Well, if she needs some clothes, there's always the tramp box.

Yeah, right. A friend's bringing some in.

It's 2.30 in the morning!

They'll drop them off on their way to work.

-Hang on, is Ella's staying in?

-Obviously, for obs.

Looks like someone's got Daddy well trained.

Doesn't it just.

LOUD SOBBING

Who's that?

Your mate. You might want to pop in and see how she's doing.

Seeing as it all happened when she was looking after you.

You can't drop a bombshell on me and then say, "Oh, it's nothing!"

I said I've been offered a job. I didn't say I'd accepted it.

I didn't even know you were looking for a job.

I did it when Denise and the kids moved to Liverpool.

When did that happen? When did they go back?

A few months ago.

And you never thought to tell me about it?

I know, I'm sorry.

Anyway, it's like, they've got their lives, I've got mine, so...

-And they are your life. Well, they are a big part of it.

-Yeah.

So are you going back to Liverpool?

Zoe, I don't know. I don't know.

Zoe, have you seen Ella's blood alcohol results?

No!

She was four times over the drink-drive limit.

Four times! Does Ash know this?

-Yeah.

-He kept that quiet.

I want a mirror.

There's no point looking in a mirror,

because it won't look like this for much longer.

I want a mirror!

I can take a picture and you can look at it later.

Oh, my God.

When I said pop in, I meant at an appropriate moment.

I look like something from a horror film, don't I?

It won't look like this once I've finished!

What about the promo work?

-It's really not helping.

-There was no promo work.

But the manager said....

No, he didn't.

I sat in that office for an hour, like an idiot.

And when he finally turned up, he didn't have the first clue

what I was talking about. Face it, Ella.

-You just wanted me to get you and your mates through the door.

-Listen to me, Angie.

Your career options would be a lot more limited

if you'd broken your spine or suffered a brain injury,

both of which could have happened tonight.

-You have been very, very lucky.

-Well, I don't feel lucky.

Well, maybe you should take a step back.

Would you like a great big scar across your face?

We've got a window of opportunity before the anaesthetic wears off

to get this done. So if you would be so kind...

-Don't!

-Excuse me?

You obviously think I'm some worthless drunken bint

so just don't bother.

I'm going to go and get my dad.

Ella, that really isn't necessary.

What is your problem?

Would you rather I wasn't here?

BABY GURGLES

-Am I in your way?

-You have woken the baby.

You know what the doctor thought? That it's psychological.

Misplaced guilt or something. That's why you panic about her.

He said that?

Not in so many words but that was the general gist.

Well, if that's the case, Lawrence,

-maybe you'd like to do something about it.

-What?

Stop punishing me.

What are you talking about?

You tell me that it's water under the bridge, that I'm forgiven,

but everything you do says differently.

I'm not the one who is taking out my neurosis on the kids.

You just can't help yourself, can you?

Let me out!

Are you just going to sit there?

No.

I'm serious. Why would anyone want kids?

-Deep breaths.

-When did teenage girls become such nightmares?

Because you were all sweetness and light at that age?

I split my time between Duke of Edinburgh and Army Cadets.

Wow. I bet everyone wanted to be in your gang(!)

Obviously Ella feels responsible for what happened to Angie.

Yes. I get that.

-And she's keen to make things right, as best as it can be.

-How?

Have you referred Angie to Plastics?

-No.

-Could you?

If Sam thought she needed to be referred to Plastics,

she would have done it already.

Martin, we've pulled out all the stops for your daughter as it is.

And I really appreciate it.

I understand you want to keep her in until she's...sober.

Until I know she's OK.

-But I can't have her dictating how we run the department.

-What?

I think you should go

and have a little chat with her about responsibility

because at the moment, she seems to think you've got that covered.

Sam. Angie Taylor - what's going on?

She's clearly got a problem with me. She is refusing treatment.

I don't mean to tread on any toes.

Angie is petrified, she needs reassurance.

Robyn, if you want to go in there and try

and talk her round, that's fine by me.

From you. You're the one that's fixing her face.

Her injuries might not be life threatening

but that scar on her face is going to change her life,

even if it's just the way she feels about herself.

I just don't think that's been acknowledged.

Robyn, I'm sure Sam has done everything she can

to put the patient's mind at ease.

I think you've been a bit throw away.

-That's not helpful, Robyn.

-I'm sorry. I don't mean to be rude.

Why don't you go back to Angie? There's her file.

Nothing like being told how to do your job by a nurse

who's only been qualified for all of six hours.

Especially when they're right.

Is this it?

I'm just going to check your blood pressure, OK.

-Do you want me to get your phone?

-No, I'll get it.

CLATTERING

What is that?

We'll get this cleared up and I'll go and find Dr Ashford.

Hey.

THERMOMETER BEEPS

Come on sweetie. Come on. Oh, it's OK.

It's OK, it's OK.

There you go.

Oh, God.

OK. It's OK.

Lawrence, where are you?

See? You wouldn't want some ham-fisted bloke doing this, would you?

Right now I wouldn't care if somebody came at me with a staple gun.

-Complete the Frankenstein look.

-You don't mean that, Ange.

You need someone who is steady handed, perfectionist,

a particular eye for detail...

You're making me sound like a mad woman, Robyn.

OK. Are you sure the local anaesthetic's still working?

Not as much, but I just want it done.

You're being really brave

and, more importantly, you're being really still.

It's looking pretty damn good.

Yeah, right.

There's a very expensive cream that I can get for you.

How expensive?

It costs the NHS a fortune.

But you'll be able to get it for the price of a prescription.

You apply it twice a day and it may reduce the size of the scar.

I'm still going to be disfigured?

Disfigured is a pretty strong word.

But if you're asking me whether the scar will go completely,

I'd have to say no.

Right. If you'd like to look in the mirror, now is the time.

Is that it? Is that what everyone was freaking out about?

An hour ago, it looked like something out of a butcher's window.

We should have taken that photo.

What did I say? It wouldn't look like that once I'd finished!

I didn't believe you.

Cheers, mate.

Oh...I don't really...

My pleasure.

I'm her father. What happened?

I need to get her into the ambulance, sir.

-Where have you been?

-Just tell me what happened!

Her temperature's up. The rash is everywhere.

Have you been drinking?

Get a taxi when you've sobered up.

SIREN WAILS

She's having difficulty breathing. She's in respiratory arrest.

Call ahead and let them know.

Oh, please, no. She's going to die, isn't she?

You need to stay calm. For her.

Dr Ashford, Mike Stanley - he's been vomiting

and there seems to be altered blood in it.

When did this happen?

-It was about ten minutes ago.

-OK.

-Also, you know the accident?

-Do you know what the damage was to the passenger side?

-Jeff didn't mention anything. Why?

It just feels like their injuries are the wrong way round.

Sounds like you're entering dangerous territory, Jamie.

They're the police.

Excuse me.

I don't know what it's doing there but could you deal with it, please?

Oh, yeah. Sorry.

Re-admission of female infant.

Temperature 40, non-blanching rash on face, arms and torso.

300 milligrams of benzylpenicillin given at the scene.

Floppy and barely rousable.

She went into respiratory arrest on the way in.

-Re-admission from when?

-Earlier this evening, I believe.

-What's happened?

-It's sounding like meningococcal sepsis.

-That's not possible.

-You said she was fine.

She was.

Believe me, I've seen enough puke to last me a lifetime

but I've never seen anything like that.

-Like coffee grounds?

-Yeah.

Has it happened before?

You never said anything.

That's because we don't talk.

We sit in a car next to each other for hours on end.

That's not talking.

Have you seen anyone about it?

It sounds like it's coming from an old bleed, hence its appearance.

And your blood pressure's normal. Have you got any stomach pain?

For how long?

Can't remember.

You don't seem overly concerned about it, mate.

If something like that came out of my mouth,

I'd been screaming the house down.

I'm going to talk to your anaesthetist

because if you're vomiting and suffering from nausea,

that's going to be a concern for them.

In the meantime, I'll talk to the Gastro team.

Are they going to bring the sandwiches?

They'll sort out an endoscopy. See what's happening in your gut.

I'll be back in a sec.

He's sweating like a pig and he's got the shakes...

We both know why that is.

Yeah, cos you're in shock. After the accident.

Can we get someone from PICU down here, please?

Keep ventilating and let's set up for an RSI.

Let's get some access. I need 10mg of ketamine and 10 of sux.

-What's happening?

-We'll send her to sleep so we can breathe for her.

-Is it meningitis?

It's a non-blanching rash, so we'll treat her for that, yes.

Let's get a line in.

I need plenty of fluid boluses. 20ml per kilo.

I don't want you anywhere near my child.

I don't want anyone else in here. Can you step outside?

-She's my daughter.

-We're doing everything we can to look after her.

-Now you are!

-Lawrence.

-Tom, it might be easier if you weren't here.

-What?!

I've got this. Just get him out of here.

Just go.

I shouldn't have opened his bag.

The booze was pouring out of the bottom of it.

What if he just bought it?

What, to have at home with his tea? I don't think so.

They're police, Robyn.

And they ran over a teenage girl! You've got to tell someone.

-I'm going to have to talk to him directly.

-Why?

-It's not like it's a clinical thing.

-Well, then go to Lloyd.

You heard what Fletch said.

We can't keep running to them the whole time.

-This is different.

-Is it?

Think's he is God's gift to fatherhood.

Well, you know what they say, if it looks too good to be true...

If you judged everyone by their kids, we'd all be stuffed.

I'm not judging the child per se. It's the relationship.

Yeah, and if you judge every parent by the relationship

they have with their child, we'd still all be stuffed.

I hear that but I still think we've discovered Dr Ashford's blind spot.

I'll reserve judgment.

Has Linda spoken to you?

No, but those words always send a shiver down my spine.

-Why? What's she done?

-I think she is leaving us.

BP's only 61 over 30.

Vasodilatation.

That's the sepsis taking hold.

I saw her in triage at about midnight.

She had a rash on her cheeks but her body was clear.

So what did Tom say?

Minor respiratory infection.

Gave her paracetamol and her temperature came right down.

Did he give her a thorough examination?

Yes, head to toe. There was no sign.

He didn't take bloods, even though I asked him to.

There was no indication at the time that bloods were needed.

But if he had taken bloods, it would have shown up, wouldn't it?

There's was no reason for Dr Kent to do them.

That's not what I asked.

You made a clinical decision after one throwaway conversation.

-No, I didn't.

-You had us down as neurotic from the start.

That's not fair. Tanya was not presenting any of the symptoms.

Just have the decency to admit you were at fault.

I can't do that because it's not true.

You just keep telling yourself that, yeah?

-I know you're upset.

-I heard what you said.

It's not going to do you any good taking it out on me.

-What do you mean by that?

-I mean this conversation is over.

What, until after she's dead?

Look, I'm not accusing anyone of anything.

I'm just asking a question.

That's good. I'm going to cut you some slack.

You're young, you've made a mistake. Let's draw a line under it.

That bag recovered from your car. He said it was his.

He made a mistake.

Tell him.

Tell him!

Don't tell me you didn't know. All that jokey banter.

Mike's been on another big night out.

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

Yes, you do.

Look at me!

You look the way you always look.

I can't sleep at night unless I've downed half a litre of vodka.

And I can't function during the day unless I can have a top up.

How long have you been drinking like this?

Since something like that happens to you.

You're just waiting for it to happen again.

Do you realise what you've just done?

They say you have to hit bottom, right?

Well, tonight I did.

Well, that may be. But you are NOT going to take me with you!

So you were driving the car?

Yeah.

She said five minutes. I can't stand this. I can't.

KNOCK ON DOOR

They're moving Tanya to PICU now.

Once she is all settled in, you will be able to go and see her.

How is she?

She's beginning to stabilise but she's still very poorly.

I'm afraid it's still just a question of wait and see.

Someone will come and fetch you shortly.

We'll get through this. We just have to be strong.

I told you she was ill.

Don't eat everything in the fridge.

Don't stay up all morning on the computer

and don't even think about inviting any of your friends around.

You know what, Dad, you're getting really boring.

HE SIGHS

Taxi money.

Did you read her the riot act?

You have to choose your battles.

Sometimes it feels more like the local nick than a hospital.

-What's going on?

-He admitted to drink-driving.

-Who?

-Mike Stanley.

-The copper?

-Good job I didn't go in all guns blazing.

-Huh?

With Ella. If he was drinking on the job then it wasn't her fault.

-She wasn't hit by the police car.

-Yeah. But she was there.

That's the only reason she was brought in.

No, the only reason she was brought in

was because she was absolutely plastered.

It's good she was picked up, anything could have happened.

-That's a bit OTT.

-She could have choked on her own vomit!

Teenagers get drunk from time to time.

I know, and I have been in a few fixes in my time

but you saw the state she was in.

Wouldn't it be wonderful if we could all be as saintly as you?

Hang on, this isn't about me.

Don't you think Ella feels bad enough already?

No, I don't.

You were our hero, our poster boy.

Is that why you covered for me?

I didn't know you weren't coping.

I didn't know you were drinking on shift!

You didn't want to know.

I'm going to have a word with that nurse.

You're still in shock. You're not thinking straight.

It's over, Owen.

Give us a second, lads.

You think I'm going be stuck on a wing with nonces and snitches?

Cos that's where we're heading right now.

I said, give us a second, lads.

I told you not to move me.

You OK?

I know this is tough.

Everybody says you should stay together for the sake of the kids,

but living in a house where the atmosphere is so toxic...

None of this is your fault.

Maybe you'd like to tell my husband that.

I love my children so much.

Of course you do.

And if staying in the marriage is the best thing for them...

I'll do it.

Now is not the time to be making big decisions.

You just need to concentrate on Tanya.

But what do you think?

I'm sorry, I don't know your situation well enough

to give you advice.

Try not to be too self-sacrificing, eh?

The Paeds team think we might have caught her just in time.

-No thanks to me.

-I would have made the same diagnosis.

You know what really worries me?

The fact that the mother was so anxious made me

more convinced that I was right.

You hear about doctors thinking they know best,

but you never think that's going to be you.

Tom, snap out of it! You were unlucky. It happens.

I want a proper opportunity to explain myself.

Then you run the risk of looking like you're admitting negligence.

-Maybe I am.

-Now that's just self-indulgent.

Call it what you like.

I knew Zoe wouldn't be able to keep her mouth shut.

Yeah. Thanks for the warning.

They told me there'd be a second interview a few weeks ago,

then they just offered me the job.

So I'm sorry if you're angry with me.

I'm not angry. I'm gutted.

Come here.

Thank you.

-You know I have some leave owed.

-I knew that was coming too.

If I'm going to do this, I don't want a big hoo-ha, you know.

You're not getting away with it that lightly.

You are getting the full NHS sendoff.

She's doing well. They think she's going to be OK.

I'm sorry.

I'm so, so sorry.

We'll get through this.

I promise.

HE BREATHES UNSTEADILY

You all right, mate?

Yeah, I am fine.

HE PANTS

So, how did they get on?

Jamie got two policeman arrested,

and Robyn gave Dr Nicholls some handy tips about bedside manner.

Thought I told you to keep an eye on them!

-Everyone thinks they're the best thing since sliced bread.

-Really?

Really! Hey, look, I think we'd better watch our backs.

Right, you two, how are you going to celebrate?

-I think we are going clubbing.

-Nice.

Yeah, about that, I don't think I physically can.

Oh, thank you.

THEY LAUGH

-Well, you are going to need to build up some stamina.

-Why?

Because we've got a leaving party to organise.

-Is nothing a secret in this place?

-Of course it's not!

You can't leave - what am I going to do without you?

Exactly what you've done today!

And don't get the tissues out just yet.

You've got me for another week.

I think it's hugging time. Come on.

THEY LAUGH

Get away!

Aren't you my boyfriend?

You shouldn't have left her at all. Not with him.

Tom, speak to me.

It won't be long now, mate.

Am I going to die?

Tom, Tom, are you OK?

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