0:00:34 > 0:00:38I went for a drink with Linda, that's all.
0:00:38 > 0:00:41It wasn't a date, it wasn't even a dinner, it was just a drink.
0:00:43 > 0:00:45Just the two of you. On your own.
0:00:47 > 0:00:49You can cut out the raised eyebrows.
0:00:49 > 0:00:52Nothing happened! We had a nice time, it was all very pleasant,
0:00:52 > 0:00:56she had two drinks to my one. I paid.
0:00:56 > 0:00:58Which makes it a date.
0:00:58 > 0:01:00- I pay for yours!- Steady.
0:01:03 > 0:01:07You don't think that she might think that we are...
0:01:07 > 0:01:10Listen, I would love to stop and chat but, you know?
0:01:16 > 0:01:17(WOMAN) That's it, no more.
0:01:17 > 0:01:19DOOR SLAMS
0:01:32 > 0:01:35Why do you think she says those things about you?
0:01:35 > 0:01:38Nothing to do with you.
0:01:38 > 0:01:41You shouldn't be drinking that. Granddad, please!
0:01:41 > 0:01:44You're a child, a stupid child!
0:01:44 > 0:01:47Every day in my house after school, which I never asked for.
0:01:47 > 0:01:49Granddad, stop!
0:01:49 > 0:01:52I've brought up my kids, I'm done with being that man,
0:01:52 > 0:01:56she looks after you, it's not my problem.
0:01:56 > 0:02:00You're not my problem!
0:02:01 > 0:02:02What?!
0:02:07 > 0:02:09DOOR SLAMS
0:02:31 > 0:02:34(DIXIE) We should go, it's Linda's leaving do.
0:02:34 > 0:02:36I don't think I can handle the hangover.
0:02:36 > 0:02:38Jeff. It's a few pints in the pub!
0:02:38 > 0:02:41You are joking, it's Linda! She's demob happy and it's Linda!!
0:02:41 > 0:02:44- Go on, it'll be a laugh.- 'Emergency call to 14 Charman Drive...'
0:02:44 > 0:02:48- I'll buy the bacon butties in the morning! - '..female patient, collapsed,
0:02:48 > 0:02:52- 'possible alcohol overdose.' - Yeah, 3006 to Control. Received that and on our way over.
0:02:52 > 0:02:55Come on, 15 minutes is up.
0:02:58 > 0:03:00I could do with the rest of the afternoon,
0:03:00 > 0:03:03I've got to write the statement about the baby who nearly died.
0:03:03 > 0:03:06Has someone made a complaint? Surely it's just a formality?
0:03:06 > 0:03:09- You want to do it for me? - I could but it'll cost you.
0:03:09 > 0:03:11And I'm guessing that won't come cheap!
0:03:11 > 0:03:12You know me so well!
0:03:14 > 0:03:18Um, Linda, the patient in cubicle three, what was his last BP reading?
0:03:18 > 0:03:20150 over 90.
0:03:20 > 0:03:22Well, recommend...
0:03:22 > 0:03:25Yes, a labetalol infusion. I know, you told me.
0:03:26 > 0:03:28You're one of those women, aren't you?
0:03:28 > 0:03:32Ordering your boyfriend's food while he's gone to the toilet!
0:03:34 > 0:03:36Aren't you my boyfriend?
0:03:39 > 0:03:41I know I'm leaving,
0:03:41 > 0:03:46but a long-distance relationship can work for the right person.
0:03:46 > 0:03:48Linda, we had a really nice time, but...
0:03:48 > 0:03:52Relax! I'm joking, it wasn't exactly the night of our lives
0:03:52 > 0:03:54and you talk a lot about work.
0:03:54 > 0:03:56Well, I'm sorry I don't read Heat Magazine.
0:03:56 > 0:03:59Maybe you should. Maybe it might teach you something!
0:03:59 > 0:04:02- Have you booked tomorrow off? - Is it going to be that big a night?
0:04:02 > 0:04:05Girl's got to go out in style! It's going to be huge.
0:04:05 > 0:04:06- PHONE RINGS - I'll see what I can do.
0:04:06 > 0:04:09The board are getting jumpy about a complaint we've had.
0:04:09 > 0:04:12They're chasing me for statements so I might be a little late.
0:04:12 > 0:04:14All right, no excuses!
0:04:14 > 0:04:17Quickly, please. She is down the end of the garden.
0:04:17 > 0:04:19OK, do you know what happened?
0:04:19 > 0:04:21My parents were supposed to be looking after her,
0:04:21 > 0:04:23I came to pick her up and found her slumped in here.
0:04:23 > 0:04:26- OK, is there any medical issue we should know about?- No.
0:04:26 > 0:04:29- What's her name, love?- Ria.
0:04:29 > 0:04:33Ria. Can you hear me? I'm Jeff, I'm a paramedic.
0:04:33 > 0:04:34Ria.
0:04:35 > 0:04:37Booze, mate.
0:04:39 > 0:04:40Oh, no! Dad's cider.
0:04:40 > 0:04:43Yeah, that's what I can smell, cider. Ria, come on, darling.
0:04:43 > 0:04:45Have you been drinking the cider?
0:04:46 > 0:04:48Good girl, we'll get this over your arm.
0:04:48 > 0:04:51We'll take her in and get her looked at, all right.
0:04:51 > 0:04:53I don't know if you remember but it's Mike's play later on,
0:04:53 > 0:04:55I was hoping to get away.
0:04:55 > 0:04:57OK, well help me with this one and then get off.
0:04:57 > 0:04:58What's the play?
0:04:58 > 0:05:01- I don't know but he's being a grumpy camel.- Shakespeare, then?
0:05:01 > 0:05:03You'd think so, the amount of rehearsing.
0:05:03 > 0:05:05I wouldn't mind, but he's only got one line.
0:05:05 > 0:05:07- Which is? - "Hello. I'm a grumpy camel."
0:05:07 > 0:05:09- Hiya, Tess. - OK, through to HTC, please.
0:05:09 > 0:05:11This is Ria Jones, she is 12 years old.
0:05:11 > 0:05:12Found collapsed, intoxicated.
0:05:12 > 0:05:15She's been drinking her grandfather's home brew.
0:05:15 > 0:05:18GCS 13, no other symptoms or injuries. A few achy muscles though.
0:05:18 > 0:05:21Can you come with me to reception while they assess her?
0:05:21 > 0:05:23- Sick, feel sick.- OK. It's all right.
0:05:23 > 0:05:25Give your details to Claire then you can see her very soon.
0:05:25 > 0:05:27Cheers, mate, see you later.
0:05:29 > 0:05:32Right, I'm just going to sit you up now, lovely, all right?
0:05:32 > 0:05:35Try and relax. Here you go.
0:05:35 > 0:05:36So what do you reckon?
0:05:36 > 0:05:37Strong reaction to alcohol!
0:05:37 > 0:05:39You the expert on that, are you?
0:05:39 > 0:05:41I've had my moments!
0:05:42 > 0:05:44SHE VOMITS
0:05:44 > 0:05:46All right.
0:05:47 > 0:05:48What's that?
0:05:48 > 0:05:50Are you all right?
0:05:50 > 0:05:52Can you smell that? That's chemical.
0:05:52 > 0:05:54Avoid contact with your skin as a precaution,
0:05:54 > 0:05:57and double bag your scrubs.
0:05:57 > 0:05:58You what?
0:06:07 > 0:06:09Zoe, I think we need to isolate a patient,
0:06:09 > 0:06:11possible toxic chemical ingestion.
0:06:11 > 0:06:12Hang on a second.
0:06:12 > 0:06:15Charlie, we've got a 12-year-old girl who's ingested
0:06:15 > 0:06:18an unknown noxious substance, she'd also drunk some alcohol
0:06:18 > 0:06:20which has masked the smell of the chemical.
0:06:20 > 0:06:21Her mum is over there.
0:06:21 > 0:06:24Can you have a word and see if she knows what it could be?
0:06:24 > 0:06:25- Sure. Mrs...?- Jones.
0:06:25 > 0:06:29Tess, yes. There should be some glasses and face masks in there,
0:06:29 > 0:06:30put them on in case she vomits again.
0:06:30 > 0:06:33I'll send someone in to assess her as soon as I can.
0:06:33 > 0:06:35Continue with the fluids - high-concentration O2
0:06:35 > 0:06:38and we'll need bloods and a full tox screen.
0:06:38 > 0:06:40Mrs Jones, hiya, I'm Charge Nurse Fairhead.
0:06:40 > 0:06:43I don't understand what's happening. Why can't I see her?
0:06:43 > 0:06:46Well, hopefully you'll be able to soon. From her symptoms,
0:06:46 > 0:06:49it seems your daughter has ingested something toxic.
0:06:49 > 0:06:51I wondered whether you might be able to help us
0:06:51 > 0:06:53find out what that is.
0:06:53 > 0:06:55Toxic, what are you talking about?
0:06:55 > 0:06:57Nicola, how is she?
0:06:57 > 0:07:00Why weren't you there? How could this have happened?
0:07:00 > 0:07:02I'm so sorry, I only left her for a moment!
0:07:02 > 0:07:04You shouldn't have left her at all, not with him!
0:07:04 > 0:07:07He's given her something, I know he has.
0:07:07 > 0:07:10Sorry, could we carry on this conversation in the office?
0:07:10 > 0:07:13And I will give you an update on Ria's situation.
0:07:15 > 0:07:19And her breathing is becoming more laboured. Thanks.
0:07:22 > 0:07:25Did she say how long the fresh scrubs were going to be?
0:07:27 > 0:07:30Ria, are you OK?
0:07:34 > 0:07:35What?
0:07:35 > 0:07:37Kisses?
0:07:37 > 0:07:38They were a present, all right!
0:07:38 > 0:07:40I don't want to know.
0:07:43 > 0:07:44SHE COUGHS, VOMITS
0:07:46 > 0:07:47Here you go, sweetheart.
0:07:50 > 0:07:51I want a blood gas ASAP.
0:07:51 > 0:07:53How long ago did she ingest the substance?
0:07:53 > 0:07:55One hour, two at the most.
0:07:55 > 0:07:58And can you give these to Fletch, he got caught in the splash zone.
0:08:00 > 0:08:02He brews his own cider.
0:08:02 > 0:08:04And that's the only thing you could see she'd drunk?
0:08:04 > 0:08:07It makes David sick all the time.
0:08:07 > 0:08:08As in violently ill?
0:08:08 > 0:08:10Hangover stuff.
0:08:10 > 0:08:14You knew things were that bad and you left her in the house!
0:08:15 > 0:08:19I couldn't stay, I'm sorry. I couldn't stay.
0:08:23 > 0:08:24Kisses?
0:08:24 > 0:08:27Let's just save the jokes until later, eh! Thank you.
0:08:27 > 0:08:29She's maintaining a decent airway but she's tachycardic
0:08:29 > 0:08:32and has just had a small hematemesis.
0:08:32 > 0:08:33I'm concerned about her airway.
0:08:33 > 0:08:35There's widespread creps in both lungs.
0:08:35 > 0:08:37And she is steadily dropping her SATS.
0:08:37 > 0:08:40- Any muscle fasciculation?- Yes. - Dyspnoea?
0:08:40 > 0:08:41Her wheezing is getting worse.
0:08:41 > 0:08:45Constricted pupils, extreme salivation and lacrimation.
0:08:46 > 0:08:48Organophosphorus poisoning?
0:08:48 > 0:08:50Let's transfer her to Resus. There is a free bed now.
0:08:50 > 0:08:53She might vomit en-route. We're in a dependency room, we should do it here.
0:08:53 > 0:08:54Why take the risk?
0:08:54 > 0:08:57We don't know what she's taken, we'd have to decontaminate.
0:08:57 > 0:08:59- Fletch, you decent? - Yes, as I'll ever be.
0:08:59 > 0:09:040.02 milligram per kg body weight of atropine given as an IV bolus.
0:09:05 > 0:09:07You OK?
0:09:07 > 0:09:09Yeah.
0:09:21 > 0:09:22TEENAGERS LAUGH
0:09:26 > 0:09:29Whoa, check her out. Look at the body on that.
0:09:37 > 0:09:40So you'll give me your number, yeah? Hey, I'm talking to you.
0:09:40 > 0:09:42Don't try and walk away when I'm talking to you.
0:09:42 > 0:09:45Where you going? You going to the bus stop?
0:09:45 > 0:09:48We was going to go to the bus stop. You may as well wait with us.
0:09:48 > 0:09:50Don't you want to wait with us? With me?
0:09:50 > 0:09:53Lads, lads, come on. I think she'd prefer it if you left her alone!
0:09:53 > 0:09:56- Was I asking you?- I'm just saying, she only wants to get home.
0:09:56 > 0:09:59- With me, if she's lucky! - Are you all right, love?
0:09:59 > 0:10:00Just go.
0:10:00 > 0:10:01What is that? Are you blocking me?
0:10:01 > 0:10:03You want her for yourself, is that it?
0:10:03 > 0:10:05What is it? You her dad or something?
0:10:05 > 0:10:06Did I say we were done here?
0:10:06 > 0:10:08What's her BP?
0:10:08 > 0:10:1070 over 50, rapidly dropping.
0:10:10 > 0:10:11Respiratory rate?
0:10:11 > 0:10:12Also dropping.
0:10:14 > 0:10:15Why's the air-con off?
0:10:15 > 0:10:17The spread of fumes.
0:10:18 > 0:10:19Did Zoe order that?
0:10:19 > 0:10:22No, I did. A precaution, I suppose!
0:10:22 > 0:10:25It's too hot in here.
0:10:25 > 0:10:26MACHINE BEEPS
0:10:26 > 0:10:30What have we got? Tom?
0:10:30 > 0:10:33She's more tachycardic and throwing off the odd VE.
0:10:36 > 0:10:38You hiding in there? Come on.
0:10:38 > 0:10:41Get away, get away or I'll call the police!
0:10:48 > 0:10:50ENGINE STARTS
0:10:55 > 0:10:56THEY LAUGH
0:10:56 > 0:10:58Oi, no. Leave it alone.
0:11:01 > 0:11:02Get away.
0:11:06 > 0:11:08TYRES SCREECH
0:11:08 > 0:11:10CRASHING
0:11:10 > 0:11:11Stop the van! Let me out.
0:11:12 > 0:11:14Stop the van. I'm warning you!
0:11:16 > 0:11:18This ain't safe.
0:11:22 > 0:11:25Let me out, please.
0:11:30 > 0:11:32Please stop the van!
0:11:40 > 0:11:42She's fitting. She's in respiratory arrest.
0:11:42 > 0:11:45- We should have gone to Resus. - Let's start bagging ventilation.
0:11:45 > 0:11:47Let's secure her airway and set up for a RSI.
0:11:47 > 0:11:50- I need ketamine and SUX please, Fletch.- Yep.
0:11:56 > 0:11:59- You OK to run this? - Yeah, I'm good.
0:12:02 > 0:12:04Zoe. She has gone into respiratory arrest.
0:12:04 > 0:12:05Put Tom on.
0:12:05 > 0:12:07- Tom. I got Zoe for you.- Yeah.
0:12:12 > 0:12:15- Got it?- Yeah.
0:12:15 > 0:12:18Tom. This is sounding like organophosphorus poisoning,
0:12:18 > 0:12:19Has she been given the atropine?
0:12:19 > 0:12:21Yeah. Intravenously at ten-minute intervals.
0:12:21 > 0:12:24Was there any improvement in her symptoms
0:12:24 > 0:12:26before the respiratory arrest?
0:12:29 > 0:12:31Tom, speak to me.
0:12:31 > 0:12:33- Not that I could see. - Right, I'm coming through.
0:12:35 > 0:12:37- OK, you ready, Tom?- Yep.
0:12:41 > 0:12:45Cricoid on. Ketamine going in.
0:12:53 > 0:12:55SUX going in.
0:12:58 > 0:12:59In.
0:12:59 > 0:13:01OK, we are ready.
0:13:01 > 0:13:02BP's 60 over 40.
0:13:06 > 0:13:09Tom. Tom, are you OK?
0:13:09 > 0:13:10Yes.
0:13:10 > 0:13:13The cyanosis is worsening.
0:13:13 > 0:13:15Tom, we've got to get on with it.
0:13:17 > 0:13:21OK, pause procedure, I'll take over bagging ventilation.
0:13:21 > 0:13:23Excuse me. Thank you.
0:13:23 > 0:13:26Let's start again. Suction please, Fletch, and a seven-tube.
0:13:32 > 0:13:34Tom.
0:13:36 > 0:13:38HE PANTS
0:13:45 > 0:13:47HE GROANS
0:13:47 > 0:13:49SIREN WAILS
0:14:10 > 0:14:12- Hello, mate. - SCREAMING FROM TRUCK
0:14:12 > 0:14:15I'm Dixie, I'm a paramedic. Can you tell me your name?
0:14:15 > 0:14:17- There is another one in there. - Do you want to deal with it?
0:14:17 > 0:14:20That's a pretty nasty cut you have got.
0:14:20 > 0:14:21You are going to be all right.
0:14:21 > 0:14:24Let's do something about that bleeding, eh!
0:14:26 > 0:14:27HE SCREAMS
0:14:27 > 0:14:29Help me, please. Help me!
0:14:29 > 0:14:32OK. Where does it hurt, mate?
0:14:32 > 0:14:35I can't feel my arm, I can't move it.
0:14:35 > 0:14:37I need to move some of this stuff. Bear with me.
0:14:41 > 0:14:43I need some help here.
0:14:43 > 0:14:463006 to Holby Control, request fire service
0:14:46 > 0:14:48and second ambulance at Westbroke Avenue. Over.
0:14:48 > 0:14:51'This is Holby Control, request acknowledged.'
0:14:51 > 0:14:54Keep her oxygen levels up and maintain the atropine.
0:14:54 > 0:14:56I will get her attached to the ventilator.
0:14:56 > 0:14:59Good, the priority is to get her moved up to ITU.
0:14:59 > 0:15:00I'll chase for a bed ASAP.
0:15:00 > 0:15:03But if there is any delay, I'll try and arrange an anaesthetic
0:15:03 > 0:15:05and paeds review down here. Can we get a chest X-ray?
0:15:05 > 0:15:07OK, can the family see her?
0:15:07 > 0:15:09We still don't know what she ingested,
0:15:09 > 0:15:11so it's best to get this place decontaminated first.
0:15:11 > 0:15:13Oh right, that'd be my job, would it?
0:15:13 > 0:15:16You've been in close contact, why put the cleaners at risk?
0:15:16 > 0:15:19We're being abandoned in the danger zone?! Typical management.
0:15:19 > 0:15:22Nursing's a vocation, you do it for the love of helping, remember!
0:15:22 > 0:15:25I got covered in chemical vomit, I'm sure she's trying to figure out
0:15:25 > 0:15:27a way to invalidate my insurance claim!
0:15:27 > 0:15:29Nah, she's looking for ways to hold you responsible!
0:15:29 > 0:15:32Charming! Blame the contaminated ones!
0:15:34 > 0:15:36Sam. What happened to Tom?
0:15:36 > 0:15:38His glasses misted up. It was hot in there.
0:15:39 > 0:15:41That shouldn't happen.
0:15:41 > 0:15:44Standard issue equipment, no air-con, go figure.
0:15:56 > 0:15:57You got an explanation?
0:15:57 > 0:15:59The room was too small. We should have moved through to Resus.
0:15:59 > 0:16:01So claustrophobia now, is that it?
0:16:01 > 0:16:05Course not. I was hot, I got dizzy.
0:16:05 > 0:16:09Tom. You froze. It looked like you had a panic attack.
0:16:09 > 0:16:11Tess and Fletch might keep this to themselves.
0:16:11 > 0:16:13But I've had to just lie to Zoe.
0:16:13 > 0:16:16Some crap about your glasses misting up.
0:16:16 > 0:16:18Tom, what is it? You can tell me.
0:16:19 > 0:16:22I haven't been sleeping, that's all.
0:16:22 > 0:16:25It's just...that baby I'm writing the statement about.
0:16:25 > 0:16:28That's just a formality, you did nothing wrong.
0:16:28 > 0:16:34I came close. Normally I'm fine. I don't know why.
0:16:34 > 0:16:37I lie awake thinking about what could have happened.
0:16:37 > 0:16:40Well, if you need to speak to someone, talk it out.
0:16:40 > 0:16:45No, it's just stress. It came at the worst possible moment.
0:16:45 > 0:16:48I've got to write a statement in response to the complaint,
0:16:48 > 0:16:52I've got a meeting with the Trust, however informal they say it is...
0:16:52 > 0:16:54Tom. Just come here.
0:16:58 > 0:17:00It's OK.
0:17:00 > 0:17:02Is this the first panic attack you've had?
0:17:03 > 0:17:07Yeah. And the last.
0:17:07 > 0:17:08I've got to go.
0:17:10 > 0:17:13Won't be long now, mate.
0:17:13 > 0:17:15We have to make sure that this stuff is stable.
0:17:15 > 0:17:18So it doesn't come down on you when we get you out.
0:17:18 > 0:17:21I want my mum. I'm cold.
0:17:21 > 0:17:24It's all right. Someone will call her for you, OK?
0:17:24 > 0:17:26I never asked you your name, son.
0:17:26 > 0:17:27Scott.
0:17:27 > 0:17:30Scott. Wrap this round you. How old are you, mate?
0:17:30 > 0:17:3214.
0:17:32 > 0:17:3514. Blimey, I bet you'll have no problem
0:17:35 > 0:17:38when you want to start getting in pubs and all that.
0:17:38 > 0:17:39I was always proper young looking
0:17:39 > 0:17:42when I was a kid, you know, bit of a short arse.
0:17:42 > 0:17:44I used to get asked for my ID all the time.
0:17:44 > 0:17:48Bit embarrassing, really, especially when you were with a young lady.
0:17:48 > 0:17:52Then I went bald, get into a pub no problem.
0:17:52 > 0:17:54I just can't pull a bird for love nor money.
0:17:57 > 0:17:59Am I going to die?
0:17:59 > 0:18:03No, son, not today. Not if I can help it.
0:18:04 > 0:18:06Charlie, any word on the grandfather yet?
0:18:06 > 0:18:08No, nothing, he's not answering his phone.
0:18:08 > 0:18:10Neighbour says he hasn't been near the place.
0:18:10 > 0:18:12The police found this bottle at the scene.
0:18:12 > 0:18:14They think it most likely contained the chemical
0:18:14 > 0:18:17- she swallowed in addition to the cider.- I see, right.
0:18:17 > 0:18:19They want to send it to the labs for analysis,
0:18:19 > 0:18:21but we know that is going to take ages.
0:18:21 > 0:18:23Can you talk to the family, see if it jogs their memory.
0:18:23 > 0:18:24OK. Yes, I will.
0:18:24 > 0:18:27I heard the crash, But I didn't know he was in there.
0:18:27 > 0:18:30Don't worry about that now, we need to look at your head.
0:18:30 > 0:18:32Is he going to be OK? No-one's telling me anything.
0:18:32 > 0:18:34We don't know any more than you right now.
0:18:34 > 0:18:36If I'd known he was in there, I would have...
0:18:36 > 0:18:39What if he doesn't make it through? I need to know what's going on.
0:18:39 > 0:18:40Please, just try and relax.
0:18:42 > 0:18:44Right, they are going to jack up the load.
0:18:44 > 0:18:46The problem is the source of the bleed is where his arm's trapped.
0:18:46 > 0:18:48So it could be stemming a major bleed.
0:18:48 > 0:18:51Exactly. I can move his head and I've checked his neck,
0:18:51 > 0:18:54- so I don't think it's his C-spine. - How's his BP?
0:18:54 > 0:18:55Stable but he's tachy.
0:18:55 > 0:18:58I don't know what's going on internally, obviously.
0:18:58 > 0:19:00OK, shall we get on with this?
0:19:02 > 0:19:04OK, Scott. We are going to move you in a minute.
0:19:04 > 0:19:07When we do, there will be a rush of blood to your nerve endings,
0:19:07 > 0:19:10which means you could have a bit of pain. You understand?
0:19:10 > 0:19:14The important thing is to stay as calm as you possibly can.
0:19:14 > 0:19:16OK, then let's do this, yeah?
0:19:16 > 0:19:18OK - inflate.
0:19:18 > 0:19:19Inflate.
0:19:20 > 0:19:22HE SCREAMS
0:19:22 > 0:19:23Whoa, whoa, whoa. I got a bleep!
0:19:26 > 0:19:29OK, mate, don't worry.
0:19:29 > 0:19:31I will get you out.
0:19:31 > 0:19:34OK, let's get this collar off.
0:19:38 > 0:19:41OK, can you look to the left for me and to the right?
0:19:41 > 0:19:45That's all good. OK, I am going to sit you up,
0:19:45 > 0:19:47take a look at your wound.
0:19:50 > 0:19:52Yep, that's still bleeding slightly.
0:19:52 > 0:19:55We'll get you a fresh dressing, get the wound cleaned up
0:19:55 > 0:19:57and then it needs suturing.
0:19:57 > 0:19:59All right. Let's get this cleaned up.
0:20:11 > 0:20:13Are you OK?
0:20:13 > 0:20:15It was outside my father's house.
0:20:17 > 0:20:21Those kids...they made his life hell.
0:20:21 > 0:20:23They can't hurt you now.
0:20:23 > 0:20:26They were just kids! Kids!
0:20:27 > 0:20:30Doesn't matter how old they were.
0:20:30 > 0:20:36I tried. They were hassling this young girl, I tried.
0:20:39 > 0:20:41I could see him looking down on me.
0:20:41 > 0:20:43Disappointed.
0:20:45 > 0:20:46I let him down.
0:20:49 > 0:20:52- Would you like some water? - Yes, please.
0:20:57 > 0:20:58Here you go.
0:20:58 > 0:21:00Thank you.
0:21:03 > 0:21:07You stood up to them. Not many people would have done that.
0:21:09 > 0:21:10Thanks.
0:21:13 > 0:21:14- Charlie.- Yeah.
0:21:14 > 0:21:17The paramedics have picked up a man close to where they found Ria.
0:21:17 > 0:21:19He's also presenting with similar symptoms.
0:21:19 > 0:21:21He's dizzy, drunk, vomiting.
0:21:21 > 0:21:24Plus he has a persistent nose bleed. It could be our missing grandfather.
0:21:24 > 0:21:26You are thinking chemical poisoning?
0:21:26 > 0:21:29We'll it's hard to tell. I'm sending Tom in to assess.
0:21:29 > 0:21:32Did the family know what was inside that bottle?
0:21:32 > 0:21:33No, no idea.
0:21:33 > 0:21:37- Well, maybe we should ask this guy. Maybe he knows.- Sure.
0:21:37 > 0:21:40The driver of the van is all patched up and ready for you to assess.
0:21:40 > 0:21:42Is he being quite lucid? Any signs of concussion?
0:21:42 > 0:21:45Emotionally, he's all over the place.
0:21:45 > 0:21:48He was cleaning out his dad's house before the kids attacked him.
0:21:48 > 0:21:50Just the facts, Linda, not his life story!
0:21:50 > 0:21:54Heartless as well as boring. No wonder you're divorced.
0:21:54 > 0:21:57Nice. Nice!
0:21:57 > 0:21:59Medically, his GCS is still 14.
0:21:59 > 0:22:03Thank you. I'll see him as soon as I can.
0:22:03 > 0:22:05The other lad from the van accident is on his way in.
0:22:05 > 0:22:08He's crushed his arm but we don't know the full extent of the damage.
0:22:08 > 0:22:11But what sort of childhood did he have?
0:22:11 > 0:22:12You know, in case it's relevant!
0:22:14 > 0:22:15I'm clearly missing an in-joke.
0:22:15 > 0:22:17And by the sounds of it, not a very good one!
0:22:17 > 0:22:19He's due any minute now.
0:22:19 > 0:22:20Do you think you're funny?
0:22:20 > 0:22:22A little.
0:22:22 > 0:22:26You better watch it, I might un-invite you to my leaving drinks!
0:22:26 > 0:22:29Professional focus now, Linda! We've got a serious injury coming in.
0:22:29 > 0:22:33You go robbing from the back of a van, you deserve all you get.
0:22:36 > 0:22:38Straight to cubicles.
0:22:39 > 0:22:42David, I'm sorry. I'm so sorry. I did this to you.
0:22:42 > 0:22:44What has Ria taken, Dad? She drank something in your shed.
0:22:44 > 0:22:47Excuse me. Give us a moment with David.
0:22:47 > 0:22:48Ria? What's happened to Ria?
0:22:50 > 0:22:52Nice and easy. Thank you very much.
0:22:52 > 0:22:55We are just going to raise the bed up. Thanks, Charlie.
0:22:55 > 0:22:57OK, lay back down gently.
0:22:57 > 0:23:01What's happened to Ria? What's happened to her?
0:23:01 > 0:23:05Right, David, it's really important that you listen to me.
0:23:05 > 0:23:09We need to know what you've been drinking and what made you vomit.
0:23:11 > 0:23:14You're granddaughter has been admitted with chemical poisoning.
0:23:14 > 0:23:17We suspect she has been drinking what's in this bottle.
0:23:17 > 0:23:18Do you remember what was in it?
0:23:18 > 0:23:20BP's 120 over 80.
0:23:20 > 0:23:22- My head's pounding. - The ECG is normal.
0:23:25 > 0:23:29Did you get hit in the face? Is that why your nose is bleeding?
0:23:30 > 0:23:34And I see Elaine said sorry. Did she do this to you?
0:23:36 > 0:23:38Did you have an argument, is that it?
0:23:40 > 0:23:42And did little Ria see the argument?
0:23:42 > 0:23:48Elaine left, I took it out on little Ri...Ria.
0:23:48 > 0:23:50And she drank some cider.
0:23:50 > 0:23:53And then she drank whatever was in this bottle.
0:23:54 > 0:23:57Do you remember what you kept in here?
0:23:57 > 0:24:02A spray, for the trees, pesticide.
0:24:02 > 0:24:05I got it from a bloke down the pub, he's got his own farm.
0:24:05 > 0:24:09Can you remember what the pesticide was called?
0:24:09 > 0:24:13I don't know. Ma...mathoxo...
0:24:13 > 0:24:14Malathion?
0:24:14 > 0:24:18Yeah, I think so. Is little Ri...Ri...?
0:24:18 > 0:24:22She's in a critical condition, I'm afraid, but she is stable.
0:24:22 > 0:24:24David, this is really important,
0:24:24 > 0:24:28can you tell me, did you drink any of this?
0:24:28 > 0:24:31No. No.
0:24:34 > 0:24:37Hi, Ash. This is Scott Lambert, 14 years old. Involved in an RTC.
0:24:37 > 0:24:40He was caught under some heavy cabinets in the back of a van
0:24:40 > 0:24:41for about 20 minutes.
0:24:41 > 0:24:44Badly displaced compound fracture of the right radius and ulna
0:24:44 > 0:24:46and exposed bone.
0:24:46 > 0:24:50GCS 15 throughout. BP 96/60, pulse 100, SATS of 98%.
0:24:50 > 0:24:53He's had 2.5 of morphine and 100mls of saline.
0:24:53 > 0:24:54Thanks, Jeff.
0:24:54 > 0:24:56I'm Linda and this is Dr Ashford,
0:24:56 > 0:24:59we're going to get you through to Resus, OK?
0:24:59 > 0:25:02Steady and lift. Thanks, Jeff.
0:25:04 > 0:25:07He did this to me! He knew I was in there.
0:25:07 > 0:25:09All right, calm down. Airway's obviously clear.
0:25:09 > 0:25:12I want him done, I want him done for what he did.
0:25:12 > 0:25:14Just try and keep calm.
0:25:14 > 0:25:15Can we clear C-spine, please?
0:25:15 > 0:25:18Get X-rays done so we can remove the collar.
0:25:18 > 0:25:24IV lines, oxygen and IV analgesia - 2.5mg of morphine, antibiotics.
0:25:24 > 0:25:27- And can someone do bloods, please. - Yep.
0:25:27 > 0:25:30I can't feel my hand, why can't I feel my hand?
0:25:30 > 0:25:33- Is it your whole hand?- Fingers, I can't feel my fingers at all.
0:25:33 > 0:25:34OK, let me see.
0:25:39 > 0:25:42The right radius has definitely gone, ulna exposed.
0:25:42 > 0:25:45Let's get some views on that as soon as possible.
0:25:45 > 0:25:48He's killed my arm, hasn't he? That bloke's killed my arm.
0:25:49 > 0:25:52They rang me and told me he was here. So I want to see him.
0:25:52 > 0:25:53You can see him.
0:25:53 > 0:25:56I just need to speak to a nurse and find out where he is.
0:25:56 > 0:25:57Oi, be careful.
0:25:57 > 0:25:59Do you want to wait outside in the cold?
0:25:59 > 0:26:01Then pack that in, you little munchkin.
0:26:01 > 0:26:03Linda, you're dealing with Scott Lambert, right?
0:26:03 > 0:26:05This is his mother, she wants to see him.
0:26:05 > 0:26:06You can't stop me seeing my son!
0:26:06 > 0:26:09No, no one's going to do that. If you'd like to take a seat,
0:26:09 > 0:26:11I can talk you through what's happening.
0:26:14 > 0:26:17We've identified the chemical and we know there's no further
0:26:17 > 0:26:20risk of contamination, so you can see her in a minute.
0:26:20 > 0:26:23She ingested Malathion pesticide, so you can take the masks off.
0:26:23 > 0:26:27Let's start on IV Pralidoxime at 30mg per kg body weight
0:26:27 > 0:26:29given slowly to back up the atropine.
0:26:29 > 0:26:31The chest film shows some consolidation.
0:26:31 > 0:26:33So we're looking at an early inhalation pneumonia.
0:26:33 > 0:26:35She also has raised CK levels on the blood.
0:26:35 > 0:26:37ETA on the transfer?
0:26:37 > 0:26:39Not quick enough. I'm going to chase it up now.
0:26:41 > 0:26:42Is she going to be all right?
0:26:42 > 0:26:45What's happened to Ria is very serious.
0:26:45 > 0:26:47And she is not out of the woods yet.
0:26:47 > 0:26:49She had a respiratory arrest and she may also have damaged
0:26:49 > 0:26:52her airway oesophagus and maybe her stomach.
0:26:52 > 0:26:54I won't forgive him for this, he should never have left her.
0:26:54 > 0:26:56Well, to have caused this much damage,
0:26:56 > 0:26:59Ria will have swallowed quite a large quantity.
0:26:59 > 0:27:02So it wasn't an accident? Did she do this on purpose?
0:27:02 > 0:27:05I wouldn't like to speculate but in my opinion
0:27:05 > 0:27:07she may well need psychological AND physical rehabilitation.
0:27:07 > 0:27:09Just lots of support
0:27:10 > 0:27:11David. Is he OK?
0:27:11 > 0:27:13He's being treated for his minor injures now.
0:27:13 > 0:27:18- Can I see him? - Mum! I need you, Ria needs you.
0:27:19 > 0:27:22You can see him. Excuse me.
0:27:31 > 0:27:33Charlie. Have you seen Zoe?
0:27:33 > 0:27:35You sure you don't mean Linda?
0:27:35 > 0:27:37I want a second opinion on this X-ray.
0:27:37 > 0:27:39It's the young lad who got trapped in the van.
0:27:39 > 0:27:41Scott Lambert.
0:27:41 > 0:27:44He's got compound fractures to his right radius and ulna,
0:27:44 > 0:27:46with serious neurovascular compromise.
0:27:46 > 0:27:49If we don't reduce the fracture here he could lose his arm.
0:27:49 > 0:27:52I was hoping Zoe was around to help me pull it.
0:27:52 > 0:27:55Right, well, if I see her, I'll tell her to come and find you.
0:27:55 > 0:27:56We are talking about Zoe?
0:27:56 > 0:27:59Unless you want us to be talking about someone else.
0:27:59 > 0:28:01Zoe will do just fine, thank you very much.
0:28:03 > 0:28:06Whoa! Calm down, boys! It's not a playground.
0:28:06 > 0:28:10I'd take all the sweets out of the vending machines, if I were you.
0:28:10 > 0:28:14Right, you lot! I have asked you enough times. Up against that wall.
0:28:14 > 0:28:15Oldest there! Youngest one there!
0:28:15 > 0:28:18I am not going to ask you again, come on.
0:28:18 > 0:28:22Oi! What's happening to the other bloke, the driver?
0:28:22 > 0:28:25- He's recovering from a nasty cut. - Is he being arrested?
0:28:25 > 0:28:26What for?
0:28:26 > 0:28:30Scott's mates have been texting me, said it was dangerous driving.
0:28:30 > 0:28:31Look! Have a look at this!
0:28:35 > 0:28:39Did they tell you what they did to him? How scared he was?
0:28:39 > 0:28:41I don't business, love the guys a nutter,
0:28:41 > 0:28:44he knew my Scotty was in the back, did it on purpose.
0:28:44 > 0:28:47Right, well, I just need to worry about getting him better.
0:28:47 > 0:28:49We're good to go. Is that his mum?
0:28:49 > 0:28:52Yep. She's just got three lively kids with her.
0:28:52 > 0:28:56Right, pack it in! I am not going to ask you again!
0:28:58 > 0:29:02This is silly, I'm all right. She whacked me and I deserved it.
0:29:02 > 0:29:06From your loss of blood, it looks like more than a whack.
0:29:06 > 0:29:07Well, I more than deserved it.
0:29:07 > 0:29:09Just look this way for me, please.
0:29:12 > 0:29:13And the other way.
0:29:17 > 0:29:19Have you had any other symptoms recently?
0:29:19 > 0:29:26A cold that she calls man-flu, aching muscles she calls laziness.
0:29:26 > 0:29:30OK, I'm going to send you off for a CT to rule out any haemorrhaging
0:29:30 > 0:29:32and take some bloods to rule out any clotting.
0:29:32 > 0:29:35It's stopped now. I'll be all right.
0:29:35 > 0:29:37Whoa.
0:29:39 > 0:29:42OK, how much have you drunk today, mate?
0:29:42 > 0:29:44Four, five pints.
0:29:44 > 0:29:47I'm a little concerned about your alcohol intake.
0:29:47 > 0:29:50And would you mind having a chat to Charlie, he's our senior nurse.
0:29:50 > 0:29:52No, no, I'm fine.
0:29:52 > 0:29:56It's just that you are obviously not happy with the way things are right now.
0:29:56 > 0:29:58And your family are very concerned.
0:30:00 > 0:30:02I think it would be a good idea.
0:30:07 > 0:30:10He's your patient, but a scan just feels unnecessary.
0:30:10 > 0:30:12- He's got a reduced GCS. - Or he is just drunk?
0:30:12 > 0:30:15He's had headaches recently, blurred vision.
0:30:15 > 0:30:16It just feels over-cautious.
0:30:16 > 0:30:18- Like I'm panicking? - I didn't say that.
0:30:18 > 0:30:21If you want to send him for a scan just to be on the safe side.
0:30:21 > 0:30:22It's not a precaution.
0:30:22 > 0:30:25It's a hunch that something else is causing the bleeding.
0:30:25 > 0:30:27I want to rule out a haemorrhage and do further tests.
0:30:27 > 0:30:30- I can't back you on a hunch. - On the facts I've given you?
0:30:30 > 0:30:32I'd release him. Tell him to be nice to his wife.
0:30:32 > 0:30:35How's that statement? I want to read it before the meeting.
0:30:35 > 0:30:38- I'm on it.- Today, please. What's the latest on the grandfather?
0:30:38 > 0:30:40I'm a little worried about his GCS,
0:30:40 > 0:30:42so I'm sending him for a CT and doing bloods.
0:30:42 > 0:30:43OK, keep me posted.
0:30:43 > 0:30:46You know what you're doing, I'm sure you're right.
0:30:47 > 0:30:49Oh wow, that sounds great.
0:30:49 > 0:30:50(MOUTHS) Sorry.
0:30:50 > 0:30:52(MOUTHS) It's OK.
0:30:52 > 0:30:55I know, mate! I'm really sorry.
0:30:55 > 0:30:58I did try to come but there was a really sick girl at work,
0:30:58 > 0:31:00and she needed Daddy's help.
0:31:00 > 0:31:04How did it go, mate? Did you remember your line?
0:31:04 > 0:31:06Yep.
0:31:06 > 0:31:08"Hello, I'm a very grumpy camel."
0:31:08 > 0:31:10HE LAUGHS
0:31:10 > 0:31:12Sounds great, mate.
0:31:12 > 0:31:17Listen, is Mummy there? She's what? Too busy, is she!
0:31:17 > 0:31:23Yeah. OK. Love you, bye! They get bored, they hang up!
0:31:23 > 0:31:26The world might be a better place if grown ups did the same!
0:31:26 > 0:31:28Sorry you had to miss it.
0:31:28 > 0:31:31It's OK. I mean, he was all right about it.
0:31:31 > 0:31:35But you never really know what's they're bottling up, do you?
0:31:37 > 0:31:40Finally, transfer to ITU.
0:31:42 > 0:31:45OK, Scott. We've given you some Midazolam, which is a sedative,
0:31:45 > 0:31:47and morphine to block the pain,
0:31:47 > 0:31:49so as we manipulate the arm, you shouldn't feel a thing.
0:31:49 > 0:31:51It's OK, honey.
0:31:51 > 0:31:55I'm going to pull on his arm, gentle traction to ease it round.
0:31:55 > 0:31:56OK.
0:31:56 > 0:31:58OK, I've got it.
0:31:58 > 0:32:00Have you got any sensation in your fingers, Scott?
0:32:00 > 0:32:01No.
0:32:01 > 0:32:03Pulse?
0:32:03 > 0:32:04No radial pulse.
0:32:04 > 0:32:06No pulse! So what does that mean?
0:32:06 > 0:32:09He's lost the blood supply to his wrist.
0:32:09 > 0:32:11- You ready?- Yeah.
0:32:11 > 0:32:12HE MOANS LOUDLY
0:32:12 > 0:32:14What are you doing? You're hurting him!
0:32:14 > 0:32:15It's OK.
0:32:15 > 0:32:18I'm lengthening out the bone in order to manipulate it round.
0:32:18 > 0:32:19So we can slot it back.
0:32:19 > 0:32:21BONES CRACK
0:32:21 > 0:32:23What was that? Is that his bones?
0:32:23 > 0:32:24Maintain traction.
0:32:26 > 0:32:29OK, that's done it. Pulse?
0:32:29 > 0:32:31There we go, a healthy pulse
0:32:31 > 0:32:35Great. Let's get a saline pack and vac splint on that and then we will
0:32:35 > 0:32:39do another X-ray to recheck, if we're happy we'll put a backslab on.
0:32:39 > 0:32:42He will still need surgery to repair the internal breaks.
0:32:42 > 0:32:44Good job.
0:32:46 > 0:32:47(MOUTHS) What?
0:32:47 > 0:32:49- Saline pack.- Yep.
0:32:49 > 0:32:53You silly boy. How could that man do this to you?
0:32:53 > 0:32:55Because he was terrified.
0:32:56 > 0:32:58And you think he wasn't?!
0:32:58 > 0:32:59Linda!
0:32:59 > 0:33:04Don't worry, honey, we're going to get him. We're going to get him.
0:33:08 > 0:33:09I know it's her last day,
0:33:09 > 0:33:12but do you think Linda is getting too involved in this one?
0:33:12 > 0:33:14- I think she's got it under control. - Yeah?
0:33:14 > 0:33:16- PHONE RINGS - Tess, I'm coming through.
0:33:16 > 0:33:17What did the scans show?
0:33:21 > 0:33:22Wow.
0:33:22 > 0:33:25The radiologist is concerned that it might be a malignant growth
0:33:25 > 0:33:27in the paranasal sinuses.
0:33:27 > 0:33:30Causing the headaches, cold-like symptoms, the nose bleeds.
0:33:30 > 0:33:32I'll tell him we're concerned, refer him to ENT,
0:33:32 > 0:33:35but it's most likely the early stages of sinus cancer.
0:33:35 > 0:33:37What do I know? Good spot.
0:33:37 > 0:33:39Yeah, well, I could do without the next bit.
0:33:39 > 0:33:40Delivering the bad news?
0:33:40 > 0:33:43If I didn't have this statement to write,
0:33:43 > 0:33:47- and the meeting to prep for... - I'll do it, Just give me the notes.
0:33:47 > 0:33:49Tea and sympathy. I could do with the practice!
0:33:53 > 0:33:56Now she has been transferred, I should find David,
0:33:56 > 0:33:58tell him where we'll be.
0:33:58 > 0:33:59He's still your father.
0:33:59 > 0:34:03Darling, we love Ria so much, but looking after her everyday,
0:34:03 > 0:34:05with your dad like he is, it's too much.
0:34:05 > 0:34:07So what am I supposed to do?
0:34:07 > 0:34:09I don't know.
0:34:09 > 0:34:11I don't know how you can show your face.
0:34:11 > 0:34:13I-I wanted to see Ria.
0:34:13 > 0:34:16She doesn't need you. We don't need you.
0:34:16 > 0:34:19I don't want you anywhere near my daughter.
0:34:19 > 0:34:22And if you're going to defend him, the same goes for you as well.
0:34:26 > 0:34:31Dr Nicholls, Sam. I've been talking to my colleague, Dr Kent.
0:34:31 > 0:34:33And we have the results of your CT scan.
0:34:33 > 0:34:36I'd like to go through them with you.
0:34:36 > 0:34:38If that's OK. Now a good time?
0:34:38 > 0:34:39Follow me.
0:34:42 > 0:34:44Are the police here for the driver of the van?
0:34:44 > 0:34:47RTC, they're waiting for a police surgeon to do bloods.
0:34:47 > 0:34:50Has Scott's mum made an allegation against him?
0:34:50 > 0:34:52I didn't ask them, and they wouldn't tell me if I did.
0:34:52 > 0:34:53Playing the victim like that.
0:34:53 > 0:34:55It's in the hands of the police now, Linda.
0:34:55 > 0:34:57First they hassle him on the street
0:34:57 > 0:34:59and now they're throwing accusations at him.
0:34:59 > 0:35:02If he's in the clear, there's nothing to worry about.
0:35:02 > 0:35:04What is this? Team reasonable? You two a double act?
0:35:04 > 0:35:06- Is that a problem? - No, but it's a little dull.
0:35:06 > 0:35:08ZOE LAUGHS
0:35:08 > 0:35:11- Do you find that funny?- Yeah.
0:35:11 > 0:35:14You knew he was in the van, he was shouting and you did nothing.
0:35:14 > 0:35:16- They were stealing stuff. - You shouldn't be in here.
0:35:16 > 0:35:19- Did you see him take anything? - I need you to leave.
0:35:19 > 0:35:21I'm not going anywhere until he admits it.
0:35:21 > 0:35:22I need you to leave, now!
0:35:22 > 0:35:25- He said he looked you in the eye, begged you to stop.- Come on.
0:35:25 > 0:35:26You're going to pay.
0:35:30 > 0:35:32You know your son harassed a young woman on the street and
0:35:32 > 0:35:35- that man stepped in to help her. - He's 14.
0:35:35 > 0:35:37Old enough to scare the hell out of someone!
0:35:37 > 0:35:38They're all like that at his age.
0:35:38 > 0:35:41So you've never been called to the school because of a fight?
0:35:41 > 0:35:43Has he been driven home in a police car yet?
0:35:43 > 0:35:46Don't act like you know the first thing about my family.
0:35:46 > 0:35:50No, but I know about teenage boys, I see them in here all the time.
0:35:50 > 0:35:54And if you don't get a grip of your son, he's going to get worse.
0:35:56 > 0:35:57Nice one.
0:35:57 > 0:36:00I don't know why I let myself get so involved.
0:36:00 > 0:36:01That's what good nurses do.
0:36:01 > 0:36:04You can add patronising to your list as well.
0:36:06 > 0:36:09I would like to know what they've said to the police.
0:36:09 > 0:36:11Well, she's not going to tell you.
0:36:11 > 0:36:13No, but they might.
0:36:13 > 0:36:15Can tell it's your last day.
0:36:15 > 0:36:17And if we drive past a field of sheep,
0:36:17 > 0:36:18I tell him they're woolly pigs!
0:36:18 > 0:36:21That's cruel! What if he repeats it at school?!
0:36:21 > 0:36:25Sausages are pink bananas, broccoli are shrunken trees.
0:36:25 > 0:36:26And where does wind comes from?
0:36:26 > 0:36:28Wind farms?
0:36:28 > 0:36:29See, now you're getting it!
0:36:29 > 0:36:31SHE LAUGHS
0:36:31 > 0:36:34It means a lot to you, being a dad, doesn't it?
0:36:34 > 0:36:35Of course it does.
0:36:37 > 0:36:39But that is kind of all I am at home.
0:36:41 > 0:36:45- Parenting's a full time job. - Absolutely.
0:36:45 > 0:36:48But when your wife has stopped using your first name
0:36:48 > 0:36:50and only refers to you as Dad,
0:36:50 > 0:36:53you know you've got the balance wrong.
0:36:53 > 0:36:54It can't be that bad.
0:36:54 > 0:36:56You want to go there?
0:36:57 > 0:36:59Sorry to interrupt.
0:36:59 > 0:37:02Fletch, do you put a hashtag at the start of a tweet, or the end?
0:37:02 > 0:37:03Like I would know!
0:37:03 > 0:37:04Please, I need some advice.
0:37:06 > 0:37:07Go on.
0:37:08 > 0:37:10Thank you.
0:37:14 > 0:37:17- Go on then.- I need advice on how to stop three little brats
0:37:17 > 0:37:18from ripping up my reception.
0:37:18 > 0:37:21- And you need a hashtag for that? - I'm reaching out to my followers.
0:37:21 > 0:37:23I didn't know you did all that!
0:37:23 > 0:37:27How about, hashtag - someone needs to stop me whacking a kid!
0:37:27 > 0:37:30Have you tried just being nice to them?
0:37:30 > 0:37:32CHILDREN SHOUT, CHATTER
0:37:36 > 0:37:38It's OK. We'll fight this.
0:37:38 > 0:37:41It's quite often the case with men of your generation,
0:37:41 > 0:37:44the nagging pain or persistent symptom goes on unaddressed
0:37:44 > 0:37:47and is only discovered during an emergency admission,
0:37:47 > 0:37:50often when it's too late, but we've caught this early.
0:37:50 > 0:37:52I've been telling him to see a doctor.
0:37:52 > 0:37:54I never would have gone.
0:37:54 > 0:37:58With these early scans, and the description of your symptoms.
0:37:58 > 0:37:59I think we've been very lucky.
0:37:59 > 0:38:01So you can treat it?
0:38:01 > 0:38:03I'll refer you to ENT.
0:38:03 > 0:38:06But we've got a very good chance of beating this.
0:38:06 > 0:38:08Thank you, Doctor.
0:38:08 > 0:38:09I'll give you some time.
0:38:17 > 0:38:18What is it?
0:38:18 > 0:38:20The boys are saying he was aggressive towards them,
0:38:20 > 0:38:22driving like a nutter and he stank of booze.
0:38:22 > 0:38:26- A blood test will prove that. - Did he seem drunk to you?
0:38:26 > 0:38:29You said he was emotional, he was cleaning his dad's house.
0:38:29 > 0:38:31Maybe he had a drink to say goodbye.
0:38:31 > 0:38:33He's the victim in this, not that kid.
0:38:33 > 0:38:36- So what do you want to do? - Talk to him.
0:38:36 > 0:38:39Is there any medical reason the driver's still taking up a bed?
0:38:39 > 0:38:40His GCS is still 14,
0:38:40 > 0:38:43so I thought I would keep him in for obs for a bit longer.
0:38:43 > 0:38:45OK.
0:38:45 > 0:38:47You've got five minutes. OK.
0:38:52 > 0:38:54How's she doing?
0:38:59 > 0:39:01If she was so unhappy,
0:39:01 > 0:39:07if she knew how bad things were between my mum and dad,
0:39:07 > 0:39:09why didn't she talk to me?
0:39:11 > 0:39:14She's a kid. It's hard.
0:39:16 > 0:39:20Am I that bad a mother that she can't turn to me?
0:39:22 > 0:39:26I don't think you can't blame yourself for what happened.
0:39:26 > 0:39:28I blame him.
0:39:30 > 0:39:32I don't think you should do that either.
0:39:36 > 0:39:38Was he always a drinker?
0:39:42 > 0:39:47So when you were growing up, was he there for you?
0:39:53 > 0:39:57His drinking has become a problem, but the way I see it,
0:39:57 > 0:40:00he's doing exactly the same thing as Ria.
0:40:02 > 0:40:07He's so frustrated with where he is in life at the moment that
0:40:07 > 0:40:11rather than talking about it, or ask for help,
0:40:11 > 0:40:13he just reaches for a bottle of cider.
0:40:17 > 0:40:21I saw you sitting there, looking at your little girl,
0:40:21 > 0:40:25with your heart breaking because you wanted to help her so much.
0:40:27 > 0:40:30Do you think he feels any differently when he looks at you?
0:40:44 > 0:40:47Sam, the grandfather, Tom's hunch, that was good.
0:40:47 > 0:40:50- Something else was behind the nose bleed.- Good call.
0:40:50 > 0:40:52Any reason why you delivered the news?
0:40:52 > 0:40:54It's just he's busy writing out the report,
0:40:54 > 0:40:56the one you're so desperate for.
0:40:56 > 0:40:58Ah, right. Diazepam?
0:40:58 > 0:41:01For David. Tom's patient. He's struggling a bit.
0:41:01 > 0:41:04I'm referring him to a GP for depression as well as ENT
0:41:04 > 0:41:06to establish the nature of the lesion.
0:41:06 > 0:41:08- Tough day for that family.- Yeah.
0:41:22 > 0:41:26I'm sorry...for letting you down.
0:41:41 > 0:41:44I think you should be aware they've had the chance to
0:41:44 > 0:41:46get their story straight.
0:41:46 > 0:41:48Which is?
0:41:48 > 0:41:50You were drunk, driving recklessly
0:41:50 > 0:41:54and you turned the van deliberately to injure him.
0:41:54 > 0:41:56Had you been drinking?
0:41:56 > 0:41:57No.
0:41:59 > 0:42:04If you'd seen the look in his eyes, the threats he was making.
0:42:04 > 0:42:07In the van? You said you couldn't see him.
0:42:07 > 0:42:11I was so angry with him, with myself.
0:42:13 > 0:42:16I could see how young he was and yet I was still scared.
0:42:16 > 0:42:19I wanted to see him suffer.
0:42:21 > 0:42:24Do to him what he does to other people, make the little...
0:42:24 > 0:42:26Do you know when you tell the police that,
0:42:26 > 0:42:28they could do you for attempted murder.
0:42:28 > 0:42:30If that's what they want to call it.
0:42:56 > 0:42:58I can't focus.
0:42:58 > 0:43:00I know that it's stupid, I know I did nothing wrong.
0:43:00 > 0:43:03I know this meeting is lip service to the process.
0:43:03 > 0:43:04It's OK, Tom.
0:43:04 > 0:43:06If I'm not thinking about the baby,
0:43:06 > 0:43:09I'm thinking about the poor girl in there with chemical poisoning
0:43:09 > 0:43:12or the grandfather in there with a tumour the size of a golf ball.
0:43:12 > 0:43:14Look, why don't you ask for some time off?
0:43:14 > 0:43:15I don't want to do that.
0:43:15 > 0:43:19No-one would say anything, you're a good doctor, you proved that today.
0:43:19 > 0:43:22I just need to sleep. To unwind.
0:43:23 > 0:43:25I think you should take these.
0:43:26 > 0:43:27Diazepam?
0:43:27 > 0:43:30I'm concerned about you, I think you should take one.
0:43:30 > 0:43:31If it gets you though the meeting,
0:43:31 > 0:43:33if it helps you write the statement,
0:43:33 > 0:43:36if it gets you through the day - it's a short term solution.
0:43:36 > 0:43:38What about the long term?
0:43:38 > 0:43:39You have me.
0:43:41 > 0:43:43OK.
0:43:51 > 0:43:53I'm sorry if my attitude wasn't very professional.
0:43:53 > 0:43:56I can see how scared you must have been in the back of the van.
0:43:56 > 0:43:58Thanks for what you did, you know, my arm and that.
0:43:58 > 0:44:01What you thanking her for? She only did her job.
0:44:01 > 0:44:02Mum!
0:44:02 > 0:44:04She would have blamed you for this if she could.
0:44:04 > 0:44:08Look, I've said I'm sorry. And your son did terrify Mr Kebble.
0:44:08 > 0:44:12What Scott did was kids' stuff, what he did was criminal.
0:44:12 > 0:44:14I hope they lock him up.
0:44:14 > 0:44:16All right. Take care.
0:44:17 > 0:44:19That was brave, apologising like that.
0:44:19 > 0:44:22I just hope it makes him think twice in the future.
0:44:22 > 0:44:24It's nice that you care. I'm going to miss you, Linda.
0:44:24 > 0:44:26Britney and Joe are lucky to have you.
0:44:26 > 0:44:28At the end of the day, they're my family.
0:44:28 > 0:44:31Linda. I'm not sure if I am going to be able to make tonight.
0:44:31 > 0:44:33- I am a bit tired, mate. - Fletch, don't you dare.
0:44:33 > 0:44:35HE LAUGHS
0:44:35 > 0:44:37- I'm not buying my own drinks though! - All right.
0:44:37 > 0:44:40Her passion for the job is incredible.
0:44:40 > 0:44:43Honestly, she really took my breath away today.
0:44:43 > 0:44:44She's quite a woman.
0:44:44 > 0:44:47Well you need to tell her how you feel, before she leaves.
0:44:47 > 0:44:48You're right, I will.
0:44:48 > 0:44:50So it's 8.00 tonight, yeah?
0:44:50 > 0:44:51Yeah. 8.00 it is.
0:44:51 > 0:44:54Linda, you are going to have to give me a minute.
0:44:54 > 0:44:58I've just got stuff I have to do first. OK.
0:44:58 > 0:44:59No problem.
0:45:02 > 0:45:05- You think she heard?- Absolutely. - You think she bought it?
0:45:05 > 0:45:06Without a doubt.
0:45:07 > 0:45:11That one's a rabbit, that's a lion.
0:45:11 > 0:45:16And this one is a lion eating the rabbit with blood and gore
0:45:16 > 0:45:18and everything. And they're all for me?
0:45:18 > 0:45:20Yes!
0:45:20 > 0:45:22- There you are, a natural mum! - Not a chance.
0:45:22 > 0:45:25- Drinks?- Yes, please!
0:45:28 > 0:45:30You stuck in here for the night?
0:45:30 > 0:45:32This pile of paperwork has no respect for the fact that
0:45:32 > 0:45:34we've been saving lives all afternoon.
0:45:34 > 0:45:36So I can't tempt you to come out for a drink to
0:45:36 > 0:45:39celebrate our decontamination and sending Linda off then?
0:45:39 > 0:45:41I'll give her my goodbyes in a minute.
0:45:41 > 0:45:43She's not going to let you get away with that!
0:45:43 > 0:45:46I really need to get this done.
0:45:46 > 0:45:48All right. Another night.
0:45:49 > 0:45:51Is that a good idea?
0:45:54 > 0:45:56Because of...?
0:45:57 > 0:45:58What happened.
0:46:01 > 0:46:02And what could happen?
0:46:09 > 0:46:11Would that be such a bad thing?
0:46:23 > 0:46:26No. We can't do this here.
0:46:27 > 0:46:29We can't do it at all.
0:46:34 > 0:46:37- Here you go.- Cheers, Charlie. - So is Tess not coming?
0:46:37 > 0:46:38No, she said she had a lot on!
0:46:38 > 0:46:40How did you let her get away with that?
0:46:40 > 0:46:43I didn't! Can you give her a call and tell her to get here now.
0:46:43 > 0:46:46I've just seen her, she was pretty manic.
0:46:46 > 0:46:48All right, but I'll be having a word.
0:46:48 > 0:46:51The statement was a fair and honest account of what happened,
0:46:51 > 0:46:53can we discuss this tomorrow please?
0:46:53 > 0:46:56Thank you. I promise you, that's the last work phone call tonight.
0:46:56 > 0:46:58I heard you and Ash talking.
0:46:58 > 0:47:00"Tell her how you feel before it's too late."
0:47:00 > 0:47:03- What sort of advice is that? - That was a private conversation.
0:47:03 > 0:47:06Zoe, I can't handle it if he gets all serious of me.
0:47:06 > 0:47:07It'll ruin my night.
0:47:07 > 0:47:10Can't me and you just go somewhere have a girlie night.
0:47:10 > 0:47:11Just me and you.
0:47:11 > 0:47:13Linda!
0:47:13 > 0:47:15Right, I am just going to be straight with him
0:47:15 > 0:47:17and tell him that it's not going to happen.
0:47:17 > 0:47:20I'm glad I caught you on your own. Have you got a minute?
0:47:20 > 0:47:23Yeah, look, Ash...I think you're great and that,
0:47:23 > 0:47:25and we have a laugh at work but I just...
0:47:26 > 0:47:27What?
0:47:27 > 0:47:28THEY LAUGH
0:47:28 > 0:47:31- What?!- I can't do this. - Do what?- You're useless.
0:47:31 > 0:47:33Oh, you cow.
0:47:33 > 0:47:34SHE LAUGHS What goes around...
0:47:34 > 0:47:36That's it, you are totally uninvited tonight.
0:47:36 > 0:47:38Come on! Let me buy you one drink!
0:47:38 > 0:47:40Yeah, all right. I want a bottle of champagne!
0:47:40 > 0:47:42- A bottle of champagne. - Yes, go on. A bottle.
0:47:42 > 0:47:44You heard the lady, a bottle of champagne.
0:47:44 > 0:47:48- Sorry, couldn't resist. - Look at you two! Quite the pair!
0:47:49 > 0:47:50What's that supposed to mean?
0:47:50 > 0:47:53I can see some chemistry bubbling away there!
0:47:53 > 0:47:55As if!
0:47:55 > 0:47:59Patronising, boring, talks about work all the time,
0:47:59 > 0:48:01he could be your perfect bloke!
0:48:01 > 0:48:04Right, enough of this. Cut the chat and drink your drink!
0:48:04 > 0:48:06I'm going to miss this!
0:48:12 > 0:48:15My little girl's not well.
0:48:15 > 0:48:17- You can't just stand here.- Wait!
0:48:17 > 0:48:19Let's do a runner!
0:48:19 > 0:48:21Oi you, wait there!
0:48:21 > 0:48:25Can't you just pull it out? I'll do it if you like!
0:48:25 > 0:48:26I want to see you, Tess.
0:48:26 > 0:48:29I know you got this RCM thing tonight.
0:48:29 > 0:48:31We would have the whole night together.
0:48:31 > 0:48:33We have run every test and I think we need to consider
0:48:33 > 0:48:35non-medical reasons for what is happening.
0:48:35 > 0:48:38- What is your evidence? - Something doesn't feel right.
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