0:00:02 > 0:00:03Fletch, is everything OK?
0:00:03 > 0:00:06I just need to get my head down for a few hours, that's all.
0:00:06 > 0:00:08- She's got hives. - Has she taken something?
0:00:08 > 0:00:11We think she has taken some ketamine and had an allergic reaction.
0:00:11 > 0:00:14So, your dad on his way, then? You haven't told him, have you?
0:00:14 > 0:00:16Why were you calling my dad? Why did you want to see him?
0:00:16 > 0:00:19- About the maths lesson. - He doesn't teach you.
0:00:19 > 0:00:20The truth, Ella.
0:00:20 > 0:00:21We are in a relationship.
0:00:21 > 0:00:24I am going to speak to your mother, arrange for you to come
0:00:24 > 0:00:27- and stay with me for a while. - Fine, if that's what you want.
0:01:05 > 0:01:06Do I look all right?
0:01:06 > 0:01:11- Not bad. - Thanks a lot. You got the rings?
0:01:11 > 0:01:13What rings?
0:01:13 > 0:01:14Best man, aren't I?
0:01:14 > 0:01:17CLASSICAL MUSIC PLAYS
0:01:21 > 0:01:23Relax. You'll be fine.
0:01:35 > 0:01:39Entering into marriage takes real bravery and strength.
0:01:40 > 0:01:44Andrew and Amanda have chosen to make their solemn promise
0:01:44 > 0:01:47in front of you, their friends and families.
0:01:49 > 0:01:54Are you, Andrew, free lawfully to marry Amanda?
0:01:54 > 0:01:55I am.
0:01:57 > 0:02:00Are you, Amanda, free lawfully to marry Andrew?
0:02:02 > 0:02:05Yeah...
0:02:05 > 0:02:07Can you just give us a minute?
0:02:07 > 0:02:09GUESTS MUTTER
0:02:17 > 0:02:20I hear you two are off on a girlie day out?
0:02:20 > 0:02:23As if. We're giving a talk at St James' on the challenges
0:02:23 > 0:02:25facing a Major Trauma Centre.
0:02:25 > 0:02:28- I have no doubt you will be giving it between the eyes.- Both barrels.
0:02:28 > 0:02:33- Fletch is in charge this afternoon, any problems, they're all his.- OK.
0:02:33 > 0:02:36Imagine, a whole day without female interference.
0:02:36 > 0:02:38Think again.
0:02:38 > 0:02:41- We see you as one of us, Louise. - Charmed, I'm sure.
0:02:41 > 0:02:43Hey, the cats are away.
0:02:43 > 0:02:46May I propose the very first ever ED Olympic games?
0:02:46 > 0:02:49Sorry, I am getting my eyelids pierced.
0:02:49 > 0:02:51OK, I will put you down for a no.
0:02:52 > 0:02:54I can't go through with this without telling you.
0:02:54 > 0:02:56It's a bit late for cold feet.
0:02:56 > 0:02:57I still want to get married, but...
0:02:57 > 0:02:59This better be good.
0:03:00 > 0:03:05Years ago, before we moved in together, I had a sort of...fling.
0:03:06 > 0:03:08When we were we going out?
0:03:08 > 0:03:10Couldn't even call it a relationship.
0:03:10 > 0:03:11I only saw him a few times.
0:03:11 > 0:03:13- Did you love him?- No.
0:03:15 > 0:03:17So, it was ages ago. What does it matter?
0:03:19 > 0:03:20It's about Paddy.
0:03:21 > 0:03:22He might not be...
0:03:24 > 0:03:26I can't be sure he's yours.
0:03:31 > 0:03:34CLASSICAL MUSIC PLAYS
0:03:34 > 0:03:36Are you sure?
0:03:36 > 0:03:37Andrew?
0:03:42 > 0:03:44All right, Dad?
0:03:49 > 0:03:52I, Andrew, take you, Amanda...
0:03:53 > 0:03:56I, Andrew, take you, Amanda...
0:03:56 > 0:03:58To be my wedded wife.
0:03:58 > 0:04:00To be my wedded wife.
0:04:00 > 0:04:02I, Amanda, take you, Andrew...
0:04:04 > 0:04:07I, Amanda, take you, Andrew...
0:04:07 > 0:04:09To be my wedded husband.
0:04:09 > 0:04:11To be my wedded husband.
0:04:24 > 0:04:28I give you this ring, as a token of our love and marriage...
0:04:30 > 0:04:35I give you this ring, as a token of our love and marriage...
0:04:35 > 0:04:38As a symbol of all that we share...
0:04:38 > 0:04:40As a symbol of all that we share...
0:04:40 > 0:04:43And in recognition of our life together.
0:04:43 > 0:04:45And in recognition of our life together.
0:04:53 > 0:04:54EXCITED CHATTER
0:04:54 > 0:04:59Here he is, here he is. Let's see what you have got.
0:04:59 > 0:05:02Here you go. Here you go.
0:05:02 > 0:05:04CROWD SHOUTS ENCOURAGEMENT
0:05:12 > 0:05:14And I am invincible!
0:05:25 > 0:05:26Hurry up, Dad.
0:05:33 > 0:05:36All right, all right, let's get this party started.
0:05:36 > 0:05:38CROWD CHEERS
0:05:38 > 0:05:40I thought you two were going to bottle out at the altar.
0:05:40 > 0:05:42It was never in doubt.
0:05:42 > 0:05:43Better late than never, eh?
0:05:45 > 0:05:48If you're planning a speech, you might want to go easy on that stuff.
0:05:51 > 0:05:53Hey.
0:05:53 > 0:05:55The hotel said to be there for 12.
0:05:55 > 0:05:59There's no hurry. I want to remember every minute of this day.
0:05:59 > 0:06:01Should we call a cab?
0:06:01 > 0:06:04I need the car in the morning. Let's drop it home on the way.
0:06:04 > 0:06:08Let's have one of the happy family. Get in there, Paddy.
0:06:10 > 0:06:11You OK?
0:06:11 > 0:06:14I'm the luckiest man in the world!
0:06:14 > 0:06:16CROWD: Aw!
0:06:19 > 0:06:20OK, love, mind how you go.
0:06:27 > 0:06:28Thanks a lot.
0:06:29 > 0:06:30Thanks for nothing.
0:06:31 > 0:06:34HORNS BEEP
0:06:34 > 0:06:36INDICATOR TICKS
0:06:46 > 0:06:49PHONE RINGS
0:06:49 > 0:06:52'Hello, 5-1, can you take a run out to the airport?'
0:06:52 > 0:06:53No. I better not.
0:06:53 > 0:06:55I'm going be late for my day job as it is.
0:06:57 > 0:06:58'You on again tonight?'
0:06:58 > 0:06:59Um...
0:07:01 > 0:07:04Yes, go on, then. If you've got the work, I got the wheels.
0:07:04 > 0:07:07We don't have to stay long, everyone knows it's low-key -
0:07:07 > 0:07:09soon as the meal's over we can go home.
0:07:09 > 0:07:14It's our wedding day. We're doing it right - speeches, cake, the works.
0:07:14 > 0:07:16I helped him write the jokes.
0:07:22 > 0:07:24I forgot the music.
0:07:26 > 0:07:28I'll do it. You watch the road.
0:07:28 > 0:07:30I made a CD specially.
0:07:33 > 0:07:34It's a surprise.
0:07:34 > 0:07:36TRUCK HORN BEEPS
0:07:36 > 0:07:37THEY SCREAM
0:07:48 > 0:07:50CAR HORNS BEEP
0:08:10 > 0:08:13Mind your backs. Let me through. I'm a medic.
0:08:13 > 0:08:14WOMAN SCREAMING
0:08:14 > 0:08:16I'm coming. You all right?
0:08:16 > 0:08:17I can't move.
0:08:17 > 0:08:21Right, OK, try not to worry, I'm a nurse. Let's see what we can do.
0:08:21 > 0:08:23You OK in the back?
0:08:23 > 0:08:25- My arm's stuck.- OK.
0:08:25 > 0:08:28Try and keep it as still as you can. All right, help's on the way.
0:08:28 > 0:08:30- Has anyone got a phone?- Yes.
0:08:31 > 0:08:33All right, OK.
0:08:33 > 0:08:36Dial 999, say you want an ambulance and the fire service, all right?
0:08:36 > 0:08:37All right, mate.
0:08:37 > 0:08:41OK, now listen to me. Try and relax. Take some deep breaths, all right?
0:08:41 > 0:08:43Nice and relaxed. We're going to get you out,
0:08:43 > 0:08:46everything's going to be OK. All right.
0:08:46 > 0:08:48PHONE RINGS
0:08:50 > 0:08:52Martin Ashford.
0:08:52 > 0:08:54'Dr Ashford, there's a serious RTC in your vicinity,
0:08:54 > 0:08:58'nurse on-site confirms entrapment, they need a BASICS doctor.'
0:08:58 > 0:09:01OK, e-mail the location, I'm on my way.
0:09:01 > 0:09:03Ella, I'm off to work.
0:09:03 > 0:09:05< Have a good day, Dad.
0:09:07 > 0:09:09Don't study too hard.
0:09:12 > 0:09:14You can come out now.
0:09:15 > 0:09:17THEY LAUGH
0:09:20 > 0:09:23SIRENS WAIL
0:09:26 > 0:09:28OK, you got his head? Do not move it.
0:09:31 > 0:09:33AMBULANCE BEEPS
0:09:35 > 0:09:36All right there, mate?
0:09:36 > 0:09:38Fletch, what are you doing here?
0:09:38 > 0:09:41You don't get enough of this sort of thing at work?
0:09:41 > 0:09:42Yes, tell me about it.
0:09:43 > 0:09:45Right, OK, the engine's shoved through,
0:09:45 > 0:09:47so the driver and the passenger are both trapped.
0:09:47 > 0:09:50Andrew, the driver, is worse off - he was briefly KO'd,
0:09:50 > 0:09:52but his GCS is now up to 14,
0:09:52 > 0:09:55he's complaining of chest pains and breathlessness. All right.
0:09:55 > 0:09:59Amanda, she's a bit groggy but has no obvious injury.
0:09:59 > 0:10:01And the kid in the back, his right arm's fractured and displaced.
0:10:01 > 0:10:04I'm a bit concerned about his radial circulation.
0:10:04 > 0:10:05OK, so what do we need, Mac?
0:10:05 > 0:10:08Here is the Entonox, and collar and spinal board, yeah?
0:10:08 > 0:10:11Lovely, thank you. Yeah, we'll need two more crews, OK.
0:10:11 > 0:10:13So get on to the ED for us, we need backup.
0:10:15 > 0:10:17All right, let's have a look.
0:10:17 > 0:10:20OK, young man, how are you doing? I am Jeff. I am a paramedic.
0:10:20 > 0:10:22I like your tie.
0:10:24 > 0:10:28Right, Andrew, you got some chest problems, yeah?
0:10:28 > 0:10:30I can't breathe.
0:10:30 > 0:10:32OK, we'll get some oxygen for you.
0:10:32 > 0:10:34Got his head clear.
0:10:36 > 0:10:40Andrew, do you have a history of heart conditions, do you know?
0:10:41 > 0:10:44No, come on, Andrew, you can't fall asleep.
0:10:44 > 0:10:46I need you conscious. Andrew.
0:10:47 > 0:10:49Have you been drinking?
0:10:49 > 0:10:50They just got married.
0:10:51 > 0:10:54Right, OK. Congratulations.
0:10:55 > 0:10:58Right, let's get ready to cannulate, Fletch.
0:10:58 > 0:11:01Connie, we've got an RTC coming in. Can you take a look?
0:11:01 > 0:11:02I knew it couldn't last.
0:11:05 > 0:11:07We can't leave till Ash gets here.
0:11:07 > 0:11:10Want to call St James' and tell them we've been held up?
0:11:10 > 0:11:11- Yes, OK.- Thank you.
0:11:11 > 0:11:16Right, Andrew, this is just morphine, mate. It's for the pain.
0:11:16 > 0:11:17Going in now.
0:11:18 > 0:11:21- Still as you can, mate, please. - Yeah, solid as a rock.
0:11:23 > 0:11:25How are you, Amanda?
0:11:25 > 0:11:27I've cramp in my legs. I don't feel well.
0:11:27 > 0:11:30Right, when I can get you out, I will check you over, OK?
0:11:30 > 0:11:31I'm just going to give you some oxygen.
0:11:31 > 0:11:34- SHE BREATHES UNSTEADILY - Right, hold the fort, Mac, please.
0:11:35 > 0:11:37All right, Guv'nor. Welcome to the party.
0:11:37 > 0:11:40How could I resist? Have you checked the driver?
0:11:40 > 0:11:42Yes, the driver seems fine.
0:11:42 > 0:11:44You might want to check on their son, though.
0:11:44 > 0:11:46Little fella, back of the ambulance. Nice tie.
0:11:51 > 0:11:54OK, princess, this is going to help you breathe, OK?
0:11:54 > 0:11:58I am just going to pop that on you. Nice one.
0:11:58 > 0:12:00Hey, you his guardian angel?
0:12:00 > 0:12:03OK, Paddy, this is Ash, he is one of our doctors, OK?
0:12:03 > 0:12:04PADDY MOANS
0:12:04 > 0:12:06He's a super doctor, you are going to be fine.
0:12:06 > 0:12:09His breathing and airway are fine, but his pulse is up a bit to 110.
0:12:09 > 0:12:11OK. I'm going to give you something for the pain, OK?
0:12:11 > 0:12:15- No! Get off me! Let me go! - It's all right.
0:12:15 > 0:12:17- Mum, Dad, help me! - HE SCREAMS
0:12:17 > 0:12:19What's happening? What's the matter with him?
0:12:19 > 0:12:22I am sure he is fine. He is with a doctor, don't worry.
0:12:22 > 0:12:24All right, nice and still.
0:12:24 > 0:12:26There you are, nice and still, nice and still.
0:12:26 > 0:12:28I will find out for you.
0:12:28 > 0:12:31PADDY SCREAMS
0:12:31 > 0:12:33Looks like you've broken your arm, Paddy.
0:12:33 > 0:12:35I'll give him some ketamine to relax him.
0:12:35 > 0:12:38I'm going to have to pull the fracture.
0:12:38 > 0:12:40It's OK, Paddy. Everything is going to be all right.
0:12:40 > 0:12:42I just need you to take some nice deep breathes for me.
0:12:42 > 0:12:45We are going to make you better, promise.
0:12:47 > 0:12:49What's the matter?
0:12:49 > 0:12:52- I haven't got any. - You haven't got any ketamine?
0:13:00 > 0:13:02Go.
0:13:02 > 0:13:04Mine.
0:13:04 > 0:13:06THEY ROAR
0:13:08 > 0:13:10CROWD GASP
0:13:13 > 0:13:15PHONE BEEPS
0:13:16 > 0:13:18Guys, RTC coming in.
0:13:23 > 0:13:25OK, when we're ready. Call it in your own time, please.
0:13:25 > 0:13:27- I feel dizzy.- Here we go. OK.
0:13:29 > 0:13:30Stop, stop, stop.
0:13:30 > 0:13:32All right, go on.
0:13:33 > 0:13:36All right, we are there for you, mate.
0:13:36 > 0:13:40THEY TALK OVER EACH OTHER
0:13:40 > 0:13:43OK. Right, OK.
0:13:43 > 0:13:46Right, OK. I've got it. I've got it.
0:13:46 > 0:13:49- Is he OK?- I can't tell at the moment, all right?
0:13:49 > 0:13:52All right, all right, all right.
0:13:52 > 0:13:53Is she all right?
0:13:53 > 0:13:57Yeah, she is doing really well, she is doing really well.
0:13:57 > 0:14:00That's it. Two, three, up we go.
0:14:00 > 0:14:02Andrew! Andrew!
0:14:02 > 0:14:05- I need you to calm down. - Nice and easy, kid. Nice and easy.
0:14:07 > 0:14:10- Come on then, boys.- There we go. - You all right, Jeffery?
0:14:10 > 0:14:12OK, Fletch, I am dropping this on here, OK?
0:14:12 > 0:14:13PHONE RINGS
0:14:13 > 0:14:15- You got her head? - Yes, I've got it.
0:14:15 > 0:14:19- It's my phone. My phone.- You need to stay calm and I'll get it.
0:14:19 > 0:14:21- Stay calm and I'll get it.- OK.
0:14:21 > 0:14:23Mac, you're with me, mate.
0:14:23 > 0:14:25It's your dad, it's your dad. Take it.
0:14:25 > 0:14:28- Hold this for me, OK?- OK.
0:14:28 > 0:14:30Hi, Dad, we've had an accident.
0:14:30 > 0:14:32Me and Paddy are OK, but...
0:14:33 > 0:14:35Andrew's not good.
0:14:37 > 0:14:39I love him so much.
0:14:39 > 0:14:44I don't...I don't think I could live without him.
0:14:44 > 0:14:47OK, OK, calm down.
0:14:47 > 0:14:48Keep your head still for me.
0:14:48 > 0:14:51Hello, I'm going to pass you over to someone who can give you
0:14:51 > 0:14:53some more information, all right?
0:14:53 > 0:14:56Take that for me and tell him what's happening. OK.
0:14:56 > 0:14:59- All right, Amanda. - You need to relax.
0:14:59 > 0:15:02It's going to be your turn now, kid. OK, mate, you got that bag? Got it?
0:15:02 > 0:15:03I think I've wet myself.
0:15:03 > 0:15:07Don't worry, we'll get you cleaned up.
0:15:07 > 0:15:10I don't...I don't feel so good.
0:15:10 > 0:15:12Keep your head nice and still. Nice and still.
0:15:12 > 0:15:15Easy, mate. Easy, easy. Nice and slowly, people.
0:15:15 > 0:15:17I can't feel anything.
0:15:19 > 0:15:21Can you grab that for me, keep it upright?
0:15:21 > 0:15:23- I can't feel anything... - OK, don't worry.
0:15:23 > 0:15:28No. Tell Andrew, tell Andrew I'm sorry, I'm sorry...
0:15:28 > 0:15:31Easy. Nice and easy, nice and easy. That's lovely.
0:15:31 > 0:15:34All right, Ash, I need you. Her BP is crashing.
0:15:34 > 0:15:36MAX GASPS
0:15:36 > 0:15:37You did that on purpose.
0:15:37 > 0:15:40Will you just shut up and stay still?
0:15:40 > 0:15:44Right, seriously. I'd be better off doing it myself.
0:15:44 > 0:15:47- Then you'd see your bald patch. - Would I?
0:15:47 > 0:15:49THEY LAUGH
0:15:51 > 0:15:53Everything all right, gentlemen?
0:15:53 > 0:15:55- Yes, Mrs Beauchamp. - Certainly, Mrs Beauchamp.
0:15:55 > 0:15:57- I think we should go and... - I think you should be fine.
0:16:00 > 0:16:02SIREN BLARES
0:16:02 > 0:16:04Everything all right back there?
0:16:04 > 0:16:06Yeah, steady as she goes, Big Mac.
0:16:06 > 0:16:10A crack to the abdomen could have caused a catastrophic bleed.
0:16:10 > 0:16:13TXA might help it to clot.
0:16:13 > 0:16:15I can't get a pulse, mate.
0:16:16 > 0:16:17Ah, she has arrested. MACHINES BEEP
0:16:17 > 0:16:20Let's have you. Come on, sweetheart.
0:16:22 > 0:16:24- OK, let me know.- OK.
0:16:30 > 0:16:31ETA, Mac?
0:16:31 > 0:16:33Seven to ten minutes.
0:16:33 > 0:16:35- OK, clear, Jeff.- OK.
0:16:35 > 0:16:36Clear.
0:16:36 > 0:16:38Non-shockable rhythm.
0:16:38 > 0:16:42I will give her some adrenaline and keep pushing the fluids through.
0:16:42 > 0:16:45Come on. You are not ready to give up already, are you?
0:16:45 > 0:16:47OK, Jeff.
0:16:47 > 0:16:50This is Amanda. Front seat passenger in a car involved in an RTC.
0:16:50 > 0:16:55Trapped for about 30 minutes, went into cardiac arrest, GCS 3.
0:16:55 > 0:16:58Pulse 140, BP's 90/70 and sats 84%.
0:16:58 > 0:17:00She's had ten of morphine,
0:17:00 > 0:17:02one Tranexamic acid and one of adrenaline.
0:17:02 > 0:17:05Two litres of saline. And no response so far.
0:17:05 > 0:17:09OK, let's stand by with another shot of adrenaline, please.
0:17:09 > 0:17:11Get ready to call this, Mac.
0:17:15 > 0:17:19OK, anybody not ready? Thank you. On three.
0:17:19 > 0:17:20One, two, three.
0:17:21 > 0:17:23How's the driver?
0:17:23 > 0:17:25- He's in CT.- Adrenaline, Ash.
0:17:25 > 0:17:29OK, once the adrenaline is in, can we get four units of O-neg through
0:17:29 > 0:17:32the rapid infuser and cross-match another ten, platelets and some FFP.
0:17:32 > 0:17:33Adrenaline in.
0:17:35 > 0:17:38- She's in VF. - Hold off on compressions, Jeff.
0:17:38 > 0:17:40MACHINE BEEPS
0:17:40 > 0:17:43Right, carry on, stand by to shock, Rita.
0:17:44 > 0:17:46Stand clear.
0:17:47 > 0:17:49Oxygen away.
0:17:49 > 0:17:50Charging.
0:17:51 > 0:17:53Shocking.
0:17:56 > 0:17:58She's back in sinus rhythm.
0:17:58 > 0:18:00Great. Right, let's get the fast-scanner please, Connie.
0:18:00 > 0:18:03A 12-lead ECG, and crash call the Surgical Registrar.
0:18:03 > 0:18:06- Can we get her back onto the ventilator, Tash?- Cheers, mate.
0:18:08 > 0:18:10This is Paddy Wallace, he is 12 years old,
0:18:10 > 0:18:14was in the back seat of the RTC. Head and neck cleared at scene.
0:18:14 > 0:18:16But he has got a displaced fracture of his right radius
0:18:16 > 0:18:21and ulna mid-shaft, he has got a little head wound there, GCS of 15.
0:18:21 > 0:18:24Pulse is 110. BP 120/80. Sats are at 97%, so he is all good.
0:18:24 > 0:18:27Don't worry, Paddy, we will look after you.
0:18:27 > 0:18:29- How on earth did you get there? - Long story.
0:18:31 > 0:18:34- Dad.- Sorry, folks, we need to keep moving.
0:18:34 > 0:18:37He's had Entonox, 5 of morphine and 150 saline.
0:18:40 > 0:18:41Amanda. Amanda.
0:18:41 > 0:18:43Andrew, if you could calm down,
0:18:43 > 0:18:46I just need to check you over again, please.
0:18:49 > 0:18:50Thanks.
0:18:54 > 0:18:55Thanks.
0:18:55 > 0:18:58Connie, can you keep me informed on that fast-scanner, please?
0:18:58 > 0:18:59Tash, put a screen up.
0:19:01 > 0:19:05He's still tachycardic. BP's 140/90. Sats are 95% on oxygen.
0:19:05 > 0:19:08He has got fresh bruising across the sternum.
0:19:08 > 0:19:12Mr Wallace, the CT scan has shown there is no trauma to your lungs,
0:19:12 > 0:19:14but you have broken three ribs.
0:19:14 > 0:19:17And I'd like to make sure there's nothing more
0:19:17 > 0:19:20behind the chest pain, so get a 12-lead ECG.
0:19:20 > 0:19:22Is she...is she going to be OK?
0:19:22 > 0:19:24It's hard to say. She is very poorly.
0:19:24 > 0:19:26But we are doing everything we can.
0:19:26 > 0:19:28- Can I leave this with you? - Mmm-hmm.
0:19:32 > 0:19:33- You all right?- Hey.
0:19:33 > 0:19:36I thought we were meeting in town?
0:19:36 > 0:19:40I've got the whole place to myself, might as well hang out here.
0:19:40 > 0:19:42- What's up, sis?- Hi.
0:19:42 > 0:19:44This is soooo cool.
0:19:44 > 0:19:46It's all right. You get used to it.
0:19:46 > 0:19:50Wow. You could fit our mum's whole flat into this kitchen.
0:19:50 > 0:19:51Whatever.
0:19:51 > 0:19:53And you want to see the bathroom.
0:19:53 > 0:19:55How the other half lives, eh?
0:19:55 > 0:19:57Chill out, make yourself at home.
0:19:57 > 0:19:59We're not going out somewhere?
0:19:59 > 0:20:02I promised you something special, didn't I?
0:20:06 > 0:20:07How is she doing?
0:20:07 > 0:20:11She's got a return of circulation, but it's too close to call.
0:20:11 > 0:20:13The fast-scan shows intra-abdominal bleeding.
0:20:13 > 0:20:16They are going to take her straight to theatre upstairs.
0:20:16 > 0:20:19- How is the boy?- No puzzles yet. Why, was there a problem?
0:20:19 > 0:20:21No. Nothing.
0:20:21 > 0:20:23OK. Can you take over? We have to get to this conference.
0:20:23 > 0:20:25Of course.
0:20:25 > 0:20:27So you boys are in charge this afternoon.
0:20:27 > 0:20:29Try not to burn the place down.
0:20:29 > 0:20:32How will we cope without them?
0:20:32 > 0:20:33She's lost her output.
0:20:35 > 0:20:38MACHINES BEEP RAPIDLY
0:20:38 > 0:20:39Stay still, please.
0:20:39 > 0:20:42We've given her six units but we couldn't keep her pressure up.
0:20:42 > 0:20:45Andrew, Andrew, you need to stay where you are.
0:20:45 > 0:20:47Can I get a milligram of adrenaline, please?
0:20:47 > 0:20:49I am sorry, you are very ill, Andrew.
0:20:49 > 0:20:53- You are still very unwell, you could make it worse.- She's my wife.
0:20:53 > 0:20:55OK, stop for a pulse check.
0:20:57 > 0:20:58She's still in asystole.
0:20:58 > 0:21:00What does that mean?
0:21:00 > 0:21:02It's not good. Can I get some more adrenaline, please?
0:21:02 > 0:21:04Is that going to make her better?
0:21:04 > 0:21:06We'll keep trying.
0:21:06 > 0:21:09But she can't... Not like this.
0:21:09 > 0:21:12You need to go back to bed, let us do what we can for her.
0:21:17 > 0:21:18I could get used to a pad like this.
0:21:18 > 0:21:20Be my guest.
0:21:20 > 0:21:23I feel like I've broken in. Let's just go to the pub.
0:21:23 > 0:21:25Look what I found!
0:21:25 > 0:21:27- Sweet! - You sure your dad won't mind?
0:21:27 > 0:21:30Who cares? We're supposed to be celebrating.
0:21:30 > 0:21:33It's only an offer for college. I haven't even got in yet.
0:21:33 > 0:21:36Well, I think it's great. They won't give me one.
0:21:36 > 0:21:39Come on. You're the first one in our whole family.
0:21:39 > 0:21:43I don't know, I told Mum I'd help her in the shop this evening.
0:21:43 > 0:21:46It's a big, big deal.
0:21:46 > 0:21:48And for that special occasion...
0:21:54 > 0:21:55Where did you get that?
0:22:00 > 0:22:02All for one?
0:22:08 > 0:22:12Ash, sorry, mate. Listen, any sign of that ketamine?
0:22:12 > 0:22:15- I haven't looked yet. - Right, well.
0:22:15 > 0:22:18You're not the sort of fella to lose something like that, are you?
0:22:18 > 0:22:20I'll call the pharmacy. Probably a mistake in the log.
0:22:20 > 0:22:23Yeah, OK, a mistake in the log. It's just...
0:22:24 > 0:22:25Nah, forget it.
0:22:27 > 0:22:28No, what?
0:22:28 > 0:22:31Well, it's not really my place, to be honest.
0:22:31 > 0:22:32Come on, Jeff.
0:22:32 > 0:22:36Right, OK, a couple of weeks ago I treated some kids
0:22:36 > 0:22:38who'd taken ketamine at a house party.
0:22:38 > 0:22:40One of them was Ella.
0:22:42 > 0:22:44Ella took a controlled drug and you didn't tell me about it?
0:22:44 > 0:22:47No, I know, mate, but I'm telling you now.
0:22:47 > 0:22:48OK. So what happened?
0:22:48 > 0:22:51She was fine in the end, but she suffered an allergic reaction
0:22:51 > 0:22:53and she ended up in here.
0:22:53 > 0:22:56That's proof she wouldn't take it again. She's not stupid.
0:22:56 > 0:22:58And she's definitely not a thief.
0:23:03 > 0:23:06The surgeon says you'll need an operation, Paddy.
0:23:06 > 0:23:10But theatre's busy, so we'll make you comfy while we wait.
0:23:10 > 0:23:13- It hurts so much.- I know it does.
0:23:13 > 0:23:16We'll give you some medication for that and pop it in a plaster.
0:23:20 > 0:23:23- Paddy, are you all right? - My arm hurts.
0:23:23 > 0:23:25Derek Shepherd, I'm his grandad.
0:23:25 > 0:23:27OK. It's a nasty fracture, we're just waiting on a surgeon,
0:23:27 > 0:23:29but I'm afraid he will need an operation.
0:23:29 > 0:23:30Where's Amanda?
0:23:33 > 0:23:35SUSTAINED BEEPING
0:23:45 > 0:23:46Hold compressions, please.
0:23:48 > 0:23:51I think we should stop now.
0:23:51 > 0:23:52Is everyone agreed?
0:23:53 > 0:23:55Can't you...?
0:23:55 > 0:23:57Give her a shock or something!
0:23:57 > 0:24:00Her heart's in an unshockable rhythm.
0:24:00 > 0:24:02It really wouldn't help her now.
0:24:05 > 0:24:08I'm very sorry, Mr Wallace. We did everything we could.
0:24:11 > 0:24:13We need to give you some further tests.
0:24:13 > 0:24:16But we could leave you with her for a few minutes.
0:24:17 > 0:24:19Maybe you'd like to talk to your family?
0:24:20 > 0:24:21You tell them.
0:24:55 > 0:24:56Are you in charge?
0:24:56 > 0:24:59I can't get a straight answer from anyone.
0:24:59 > 0:25:02Mr Shepherd. I'm afraid we've got some bad news about Amanda.
0:25:02 > 0:25:04I spoke to her an hour ago.
0:25:04 > 0:25:06Unfortunately, the impact of the crash
0:25:06 > 0:25:09caused too much internal bleeding and...
0:25:10 > 0:25:12..she died a few minutes ago.
0:25:14 > 0:25:16I'm very sorry for your loss.
0:25:16 > 0:25:19If there is anything we can do, please let us know.
0:25:24 > 0:25:27Mr Shepherd, I am so sorry.
0:25:27 > 0:25:29You take a seat and I'll go and get you a cup of tea.
0:25:33 > 0:25:34Can I see her?
0:25:36 > 0:25:39Yeah, of course. I'll go and let them know you're coming.
0:25:42 > 0:25:45LOUD DANCE MUSIC
0:25:50 > 0:25:52This is the life.
0:25:58 > 0:26:04I dunno if it's working, but I feel sort of...
0:26:04 > 0:26:06y'know...
0:26:06 > 0:26:08Yeah. Last time, it just made me sick.
0:26:10 > 0:26:13S'like...I don't think I want to fly or nothing.
0:26:13 > 0:26:16But...I think I get it now.
0:26:16 > 0:26:18Just for you, my best friend.
0:26:18 > 0:26:20THEY LAUGH
0:26:20 > 0:26:22Come over here, Jason.
0:26:22 > 0:26:24Where is my bestest brother?
0:26:27 > 0:26:29You seen this sky?
0:26:36 > 0:26:38I don't feel so good.
0:26:38 > 0:26:41You'll be fine.
0:26:42 > 0:26:44It's beautiful.
0:26:47 > 0:26:50Not for me. I think...I just...
0:26:58 > 0:27:01Jason. I need you.
0:27:01 > 0:27:02I need you too, babe.
0:27:08 > 0:27:09Jason?
0:27:10 > 0:27:12Jason?
0:27:12 > 0:27:14You're a very lucky guy, Andrew.
0:27:19 > 0:27:22What I mean is, there's no sign of serious damage
0:27:22 > 0:27:25and we can easily treat the chest pain from your fractured ribs.
0:27:25 > 0:27:27So can I go home today?
0:27:27 > 0:27:29We would like to keep you in for further observation.
0:27:29 > 0:27:32But we're not expecting further problems.
0:27:32 > 0:27:35Sorry, Paddy's been asking for you. He's really upset.
0:27:35 > 0:27:37Look, I just...
0:27:37 > 0:27:39His grandad can look after him better.
0:27:43 > 0:27:45Well, that's your call.
0:27:59 > 0:28:00I am so sorry.
0:28:04 > 0:28:06I think I always dreaded her wedding day.
0:28:11 > 0:28:13I never liked the idea of giving her away.
0:28:19 > 0:28:21But I knew I'd have to say goodbye one day.
0:28:29 > 0:28:31My lovely girl.
0:28:50 > 0:28:53I'm afraid Andrew isn't up to breaking the news to Paddy.
0:28:53 > 0:28:55We wondered if you'd like to tell him?
0:28:55 > 0:28:57The boy doesn't know?
0:28:57 > 0:29:00Andrew's having urgent treatment. He is seriously injured.
0:29:01 > 0:29:04There's always an excuse. I'll look after Paddy.
0:29:07 > 0:29:10COUGHING AND MOANING
0:29:14 > 0:29:16It's Jason?
0:29:16 > 0:29:18Yeah, it is. It is Jason.
0:29:18 > 0:29:20Jason, Jason, can you hear me?
0:29:20 > 0:29:23- Just lie still.- Lie still there. - HE MOANS IN PAIN
0:29:23 > 0:29:25You've injured your legs pretty badly there.
0:29:25 > 0:29:27There is a lot of facial swelling there.
0:29:27 > 0:29:29- Possible head injury? - Right, OK, so what do we do?
0:29:29 > 0:29:32- Collar.- Collar, OK, do that. - Got it.- All right.
0:29:33 > 0:29:35Is he going to be OK?
0:29:35 > 0:29:38Oh, hello. No show without Punch, is there?
0:29:40 > 0:29:42OK, Jason, we are going to get a collar on you
0:29:42 > 0:29:45then give you something for the pain, OK.
0:29:45 > 0:29:47Well, could you check, please?
0:29:47 > 0:29:49It was about four weeks ago, I don't have the date.
0:29:49 > 0:29:52That's the last time I used ketamine on a BASICS call.
0:29:54 > 0:29:55You're kidding?
0:29:55 > 0:29:59Well, if you don't have an up-to-date record, how am I supposed to know?
0:29:59 > 0:30:02Ash. Jeff's just called. It's about Ella.
0:30:07 > 0:30:11This is Jason, he is 19 years old, he fell about 20 feet,
0:30:11 > 0:30:14taken the impact through his legs. GCS 10. Pulse 110.
0:30:14 > 0:30:17Sats are at 97%. He's had 200 of saline so far.
0:30:17 > 0:30:19He's out of it and he smells of booze.
0:30:19 > 0:30:21Or he is stoned.
0:30:26 > 0:30:30Hello, Jason, can you hear me? You are in hospital.
0:30:31 > 0:30:33Primary checks, please, Ethan.
0:30:33 > 0:30:37Yeah, airway clear, breathing clear.
0:30:37 > 0:30:38My leg hurts.
0:30:38 > 0:30:40Sats are at 97%.
0:30:41 > 0:30:43He's got a tib and fib,
0:30:43 > 0:30:46and badly displaced fracture dislocation of his ankle.
0:30:46 > 0:30:47And he's a bit hypertensive.
0:30:47 > 0:30:49No surprise, under the circumstances.
0:30:49 > 0:30:53OK, let's give him 10 of morphine, please. All the usual bloods.
0:30:53 > 0:30:56Cross-match him for six units and get him off that board quickly, please.
0:30:56 > 0:30:59I'm a little concerned about that skin blanching as well.
0:30:59 > 0:31:03OK, call orthopaedics, arrange a CT of his head to pelvis
0:31:03 > 0:31:05and let's get him gowned.
0:31:19 > 0:31:21You've got some explaining to do.
0:31:21 > 0:31:23Jason's my boyfriend.
0:31:23 > 0:31:25Great first impression.
0:31:25 > 0:31:27Is he going to be all right? I mean, he just fell, didn't he?
0:31:27 > 0:31:29It's too early to say.
0:31:29 > 0:31:31But I need to know if he's taken any drugs.
0:31:31 > 0:31:34- No.- You sure?- I don't do drugs.
0:31:34 > 0:31:35I'm talking about Jason.
0:31:36 > 0:31:39And I know all about your recent run-in with ketamine.
0:31:40 > 0:31:43It was horrible. I'd never do that again.
0:31:43 > 0:31:48Ella, tell me the truth, did you steal drugs from my medical bag?
0:31:48 > 0:31:50No, I didn't.
0:31:50 > 0:31:51You'd better not be lying.
0:31:52 > 0:31:56I didn't, but...look, don't be angry, yeah, but...
0:31:56 > 0:31:59we smoked a bit of weed, that's all.
0:31:59 > 0:32:02- You smoked drugs in the house? - I'm sorry, Dad. Clare brought it.
0:32:02 > 0:32:04HE SIGHS
0:32:04 > 0:32:06All right. At least you told me the truth.
0:32:06 > 0:32:08I can't believe you'd accuse me of stealing!
0:32:11 > 0:32:13- I'm all right. Leave me alone! - Stay still for me, Jason.
0:32:13 > 0:32:16What's the problem? The CT was clear.
0:32:16 > 0:32:18There was no problem till a few minutes ago.
0:32:18 > 0:32:20He got agitated, and now look what's happened.
0:32:20 > 0:32:22HE SCREAMS
0:32:22 > 0:32:24Go away. Leave me alone. I don't want any.
0:32:24 > 0:32:26You all right, Jase?
0:32:26 > 0:32:28Tell them to stop. They're breaking my legs.
0:32:28 > 0:32:30We're trying to help you, Jason, please.
0:32:30 > 0:32:32Ash, his BP's rising.
0:32:32 > 0:32:33What's wrong with him?
0:32:33 > 0:32:35OK, you guys, outside, please.
0:32:36 > 0:32:38The sharp bone's pushing against the skin.
0:32:38 > 0:32:41If it breaks through, he's in all sorts of bother.
0:32:41 > 0:32:43OK, let's sedate him and pull it.
0:32:43 > 0:32:46Can someone get Ethan, please? We need all hands.
0:32:46 > 0:32:48And can I get 2mgs of ketamine, please?
0:33:05 > 0:33:09I would have come earlier, but Paddy didn't want to be left alone.
0:33:09 > 0:33:11I knew there was a reason you were hiding.
0:33:11 > 0:33:13The guilt's written all over you.
0:33:13 > 0:33:16You were over the limit, weren't you? You were drunk driving.
0:33:16 > 0:33:17Let's not jump to conclusions.
0:33:17 > 0:33:19The police have still got to do a blood test.
0:33:19 > 0:33:21It wasn't an accident.
0:33:21 > 0:33:23You were driving, you made it happen.
0:33:23 > 0:33:24You know nothing.
0:33:24 > 0:33:28My daughter was an angel, and you killed her.
0:33:28 > 0:33:29OK, you need to stay in bed.
0:33:29 > 0:33:31And you need to back off or I am going to call security.
0:33:31 > 0:33:34I'd had a few drinks. And maybe I was a bit drunk.
0:33:34 > 0:33:36Do you want to know why?
0:33:36 > 0:33:39- Cos Amanda just told me that boy isn't my son.- You're a liar.
0:33:39 > 0:33:41You want the truth? You want to know what she really was?
0:33:41 > 0:33:44Because there's a name for a woman like that...
0:33:46 > 0:33:47HE GROANS
0:33:51 > 0:33:52You all right?
0:33:56 > 0:33:58- Gently. Let's get you up. - I'm all right.
0:33:58 > 0:34:00Just stay calm and I'll check you over.
0:34:00 > 0:34:01I said I'm all right!
0:34:06 > 0:34:08Where's my sister?
0:34:08 > 0:34:10She's just popped out for a coffee, she'll be back in a minute.
0:34:10 > 0:34:12My head, man. What have you done?
0:34:12 > 0:34:15We just fixed your legs, Jason. Where does it hurt?
0:34:15 > 0:34:16Around the back of my head.
0:34:16 > 0:34:21It's like I been hit with a hammer. It's burning, man, do something!
0:34:21 > 0:34:23I don't think it's from the trauma.
0:34:23 > 0:34:25BP's high and his pulse is 120.
0:34:27 > 0:34:30Call CT and tell them we're jumping the queue again.
0:34:30 > 0:34:33What's happening? Somebody help me!
0:34:36 > 0:34:37Can't I have a drink of water?
0:34:37 > 0:34:41I'm sorry, your tummy has to be completely empty before surgery.
0:34:44 > 0:34:46It's a straightforward operation.
0:34:46 > 0:34:48In a couple of days you'll be able to go home.
0:34:48 > 0:34:50Don't want to go home.
0:34:52 > 0:34:55Things will be a bit different from now on.
0:34:56 > 0:34:58Is Dad getting an operation too?
0:35:00 > 0:35:03Paddy, would you like me to speak to him for you?
0:35:03 > 0:35:05Tell him I didn't mean it.
0:35:06 > 0:35:07Didn't mean what?
0:35:07 > 0:35:09Dunno. But I must've done something.
0:35:09 > 0:35:11The way he looked at me.
0:35:16 > 0:35:18I don't want to do this any more.
0:35:18 > 0:35:22- I can't. I have had enough. - You've done really well, Jason.
0:35:22 > 0:35:23I have had enough. Please, I can't.
0:35:23 > 0:35:25He's had a subarachnoid haemorrhage.
0:35:25 > 0:35:28He must have already had a berry aneurysm and we missed it earlier.
0:35:28 > 0:35:31The rupture's linked to his hypertension.
0:35:31 > 0:35:33- We need a neurosurgeon. - BP's still rising.
0:35:33 > 0:35:37Jason, can you hear me? Jason. Jason.
0:35:39 > 0:35:42- OK. - OK, we need to secure his airway.
0:35:42 > 0:35:44Let's get him into resus right now.
0:35:44 > 0:35:46Coming through, people!
0:35:46 > 0:35:52OK, guys, this is Jason. Just back from CT, the boy needs a RSI.
0:35:55 > 0:35:56Suction, please.
0:36:01 > 0:36:05And can I get five of ketamine and sux please.
0:36:05 > 0:36:06Cricoid, on.
0:36:07 > 0:36:09Ketamine.
0:36:11 > 0:36:12Ketamine going in.
0:36:13 > 0:36:15Sux.
0:36:15 > 0:36:17Sux going in.
0:36:17 > 0:36:19Is he going to die?
0:36:19 > 0:36:21You guys shouldn't be in here.
0:36:25 > 0:36:28No good. He's in laryngospasm.
0:36:28 > 0:36:30I can't see the cords and I can't get the tube down.
0:36:30 > 0:36:32I don't understand.
0:36:32 > 0:36:34It was just a standard dose of ketamine.
0:36:34 > 0:36:37It's unusual, but it can raise the blood pressure.
0:36:37 > 0:36:39- That's not all...- Shut up.
0:36:39 > 0:36:42We all took ketamine before.
0:36:43 > 0:36:44Jason took loads.
0:36:44 > 0:36:46So we've just given him an overdose?
0:36:46 > 0:36:48- You can save him, can't you, Dad? - Get out.
0:36:48 > 0:36:50I wanted to tell you.
0:36:50 > 0:36:51Get them out of here now.
0:37:00 > 0:37:02We're in.
0:37:02 > 0:37:03Nice one.
0:37:13 > 0:37:15Where's Ella?
0:37:15 > 0:37:17She went outside. Is...
0:37:18 > 0:37:20is he going to be OK?
0:37:20 > 0:37:22I can't say.
0:37:24 > 0:37:25Do you think...
0:37:30 > 0:37:33Would he be OK if we'd told you earlier?
0:37:34 > 0:37:36It's hard to tell.
0:37:36 > 0:37:39But we would have handled things differently.
0:37:39 > 0:37:42Where did you get it? The ketamine.
0:37:42 > 0:37:44I need to know where you got it from.
0:37:50 > 0:37:55Ash, sorry. The neurosurgeon wants to talk to you.
0:38:02 > 0:38:05You're not doing yourself any favours.
0:38:05 > 0:38:07You need to give yourself a break.
0:38:08 > 0:38:12Don't you want to know about Paddy? He's going up to theatre soon.
0:38:15 > 0:38:18Look, I know what happened. There's no way is this all your fault.
0:38:18 > 0:38:21- These things just happen, is that it?- That is not what I said.
0:38:21 > 0:38:24I killed my wife. It's nobody's fault but mine.
0:38:24 > 0:38:27I hope they do charge me. It's best for everyone if they lock me up.
0:38:27 > 0:38:29There's more than one life at stake here.
0:38:29 > 0:38:31I've wasted my life already.
0:38:35 > 0:38:37We were together for 13 years.
0:38:38 > 0:38:40I loved her the minute I saw her.
0:38:42 > 0:38:43But I didn't let my guard down.
0:38:45 > 0:38:47I was a bit of a lad.
0:38:48 > 0:38:49Until I became a father.
0:38:50 > 0:38:52That's when I cleaned my act up.
0:38:54 > 0:38:57All for her and Paddy. And all of it was a lie.
0:39:06 > 0:39:08The last thing that she said...
0:39:09 > 0:39:11..was, "Tell Andrew that I'm sorry."
0:39:21 > 0:39:23I hear you packed quite a punch.
0:39:23 > 0:39:24For an old guy?
0:39:24 > 0:39:26That is not what I said.
0:39:26 > 0:39:28Must be 30 years since I hit someone like that.
0:39:30 > 0:39:34Nice of you, giving us work to do
0:39:34 > 0:39:36when there's sick people need attention.
0:39:36 > 0:39:38He had it coming. What he said about my daughter.
0:39:39 > 0:39:43I am sure she was a very special person.
0:39:44 > 0:39:48But that doesn't mean she didn't make mistakes like the rest of us.
0:39:48 > 0:39:50You don't know the half of it.
0:39:50 > 0:39:52I know you're wasting your time blaming someone else
0:39:52 > 0:39:54if you think that's going bring her back.
0:40:17 > 0:40:19I spoke to him.
0:40:21 > 0:40:22I think he heard me.
0:40:24 > 0:40:26It's possible. But I think it's very unlikely.
0:40:29 > 0:40:31Jason has suffered a massive brain haemorrhage.
0:40:31 > 0:40:35I'm afraid surgery wouldn't help him.
0:40:35 > 0:40:36What does that mean?
0:40:36 > 0:40:40The bleed has caused serious damage to his brain.
0:40:40 > 0:40:42There's no treatment that can reverse it.
0:40:42 > 0:40:44But he's breathing, he's still alive.
0:40:46 > 0:40:47The machine is doing that.
0:40:49 > 0:40:51I'm very sorry, I have to be honest.
0:40:52 > 0:40:54Jason is not going to recover.
0:40:57 > 0:40:59SHE SOBS
0:41:03 > 0:41:05Oh, sweetheart.
0:41:08 > 0:41:10Your parents are on their way.
0:41:21 > 0:41:24You stay away. I don't want to hear it.
0:41:24 > 0:41:25I don't blame you for hating me.
0:41:25 > 0:41:27I don't feel anything right now.
0:41:29 > 0:41:31I was wrong.
0:41:31 > 0:41:32I wanted to blame someone.
0:41:32 > 0:41:35Whatever. It doesn't matter.
0:41:38 > 0:41:40Look, Amanda may have had her faults,
0:41:40 > 0:41:42but she never meant any harm.
0:41:42 > 0:41:44Funny way of showing it.
0:41:45 > 0:41:49Look, her and me argued about you often enough, and I admit,
0:41:49 > 0:41:51I thought you weren't good enough.
0:41:53 > 0:41:54But she always loved you.
0:41:58 > 0:42:01She told me she couldn't live without you.
0:42:03 > 0:42:04And I believed her.
0:42:06 > 0:42:08I wasn't there for her, back then. I was drunk half the time.
0:42:08 > 0:42:10So I can hardly blame her.
0:42:10 > 0:42:12But you came through in the end. For both of them.
0:42:12 > 0:42:15- You proved me wrong. - And what good did it do, eh?
0:42:15 > 0:42:17Look what a mess I've made of it now.
0:42:17 > 0:42:21We can try and fix it. The two of us. For Paddy's sake.
0:42:21 > 0:42:23How can I treat him like he's my son?
0:42:26 > 0:42:28What's happened? Is he all right?
0:42:28 > 0:42:29He needs his dad.
0:42:46 > 0:42:47SOBBING
0:42:53 > 0:42:55Did somebody order a wheelchair?
0:42:55 > 0:42:57We'll be fine.
0:43:01 > 0:43:04There you go. There you go, sweetheart.
0:43:04 > 0:43:07- Did you talk to Dad?- Yeah.
0:43:07 > 0:43:09What did he say?
0:43:09 > 0:43:10He said he's coming too.
0:43:14 > 0:43:15I'm sorry, Dad.
0:43:16 > 0:43:19What for? You've done nothing wrong.
0:43:20 > 0:43:23I am sorry to be a spoilsport,
0:43:23 > 0:43:26but we need to keep you under observation for a while longer.
0:43:26 > 0:43:30Well, you can't. I'm discharging myself.
0:43:30 > 0:43:31My son needs me.
0:43:35 > 0:43:37You coming, Derek?
0:43:37 > 0:43:39Yeah. Great.
0:43:53 > 0:43:56I'd like you to accept my resignation.
0:43:56 > 0:43:57Brilliant (!)
0:43:57 > 0:44:00That's about the most unhelpful suggestion you could make right now.
0:44:00 > 0:44:04I gave Jason too much ketamine, which precipitated a fatal bleed.
0:44:04 > 0:44:05Maybe, but that's not a given.
0:44:05 > 0:44:08Regardless, a patient is dead because of me.
0:44:08 > 0:44:09So I've no choice but to resign.
0:44:09 > 0:44:13Hang on, Rita, says you weren't to know he'd already taken ketamine.
0:44:13 > 0:44:14- I should have.- Why?
0:44:17 > 0:44:19Ella stole drugs from my medical kit,
0:44:19 > 0:44:23so I've no choice but to take the blame for her behaviour.
0:44:23 > 0:44:26So you are seriously going to take the rap for what she has done?
0:44:26 > 0:44:27I'm admitting my mistakes.
0:44:27 > 0:44:29No, you're letting her treat you like an idiot again.
0:44:29 > 0:44:32She has got you wrapped around her little finger.
0:44:32 > 0:44:35Exactly - my fault. So I'll take the responsibility.
0:44:35 > 0:44:38Listen. Your daughter stole drugs and, directly or indirectly,
0:44:38 > 0:44:40someone has died. That is not your fault.
0:44:40 > 0:44:42If you want to take responsibility, hand her into the police.
0:44:42 > 0:44:45I'll deal with my daughter as I see fit.
0:44:45 > 0:44:47- You are not thinking straight. - I've been a useless father,
0:44:47 > 0:44:50so I have to be there for her now, that's why I'm resigning.
0:44:51 > 0:44:53DOOR SLAMS
0:44:56 > 0:44:59- Why were you in that ambulance earlier?- Um...
0:44:59 > 0:45:03OK, I've been doing a bit of moonlighting,
0:45:03 > 0:45:05a little bit of mini-cabbing on the side.
0:45:05 > 0:45:07You can't possibly give your best here
0:45:07 > 0:45:10- if you're permanently exhausted. - I'm going to knock it on the head,
0:45:10 > 0:45:12as soon as I've worked out my notice there.
0:45:43 > 0:45:47There was nothing we could do. The damage was too severe.
0:45:48 > 0:45:50And we were too late.
0:45:55 > 0:45:59It's just one of those terrible situations
0:45:59 > 0:46:02and we're all responsible to some degree.
0:46:09 > 0:46:11Someone stole drugs from my medical bag.
0:46:13 > 0:46:15Are you accusing me?
0:46:17 > 0:46:19It wasn't my fault. You can't blame me.
0:46:19 > 0:46:21You stole from me, Ella.
0:46:22 > 0:46:24That's what caused all this, can't you see that?
0:46:26 > 0:46:28Did Clare tell you that?
0:46:28 > 0:46:31Cos she's a liar, and you've got no proof.
0:46:31 > 0:46:34Ella, your boyfriend is dead.
0:46:36 > 0:46:38Don't you feel anything?
0:46:38 > 0:46:42Why does everyone blame me? How come it's always my fault?
0:46:42 > 0:46:47How come it's me that always gets into trouble? It's not fair.
0:46:47 > 0:46:50Come on, you've got to help me here.
0:46:50 > 0:46:54If they say this was my fault, I need you to help me, Dad.
0:47:00 > 0:47:03I'm hungry. You coming home now too?
0:47:05 > 0:47:06What's wrong?
0:47:10 > 0:47:12I nearly forgot why I came back here.
0:47:12 > 0:47:14OK. Why did you?
0:47:14 > 0:47:16To be with you.
0:47:19 > 0:47:22Sometimes I don't think I am cut out to be a dad.
0:47:22 > 0:47:25I mean, I haven't been there for you, and when I have,
0:47:25 > 0:47:27it's been a disappointment.
0:47:27 > 0:47:29But I just want you to know...
0:47:33 > 0:47:35..I've done my best.
0:47:36 > 0:47:39Why are you talking like this?
0:47:39 > 0:47:41Because I love you, Ella.
0:47:41 > 0:47:42Come here.
0:47:43 > 0:47:45I love you too, Dad.
0:47:48 > 0:47:49And I'm sorry.
0:47:49 > 0:47:51For what?
0:47:54 > 0:47:55You wouldn't!
0:47:56 > 0:47:59Dad. Please. You can't do this.
0:47:59 > 0:48:04Dad, please, help me. I'm sorry. Dad, please come back.