Games for the Boys Casualty

Fletch, is everything OK?

I just need to get my head down for a few hours, that's all.

-She's got hives.

-Has she taken something?

We think she has taken some ketamine and had an allergic reaction.

So, your dad on his way, then? You haven't told him, have you?

Why were you calling my dad? Why did you want to see him?

-About the maths lesson.

-He doesn't teach you.

The truth, Ella.

We are in a relationship.

I am going to speak to your mother, arrange for you to come

-and stay with me for a while.

-Fine, if that's what you want.

Do I look all right?

-Not bad.

-Thanks a lot. You got the rings?

What rings?

Best man, aren't I?

CLASSICAL MUSIC PLAYS

Relax. You'll be fine.

Entering into marriage takes real bravery and strength.

Andrew and Amanda have chosen to make their solemn promise

in front of you, their friends and families.

Are you, Andrew, free lawfully to marry Amanda?

I am.

Are you, Amanda, free lawfully to marry Andrew?

Yeah...

Can you just give us a minute?

GUESTS MUTTER

I hear you two are off on a girlie day out?

As if. We're giving a talk at St James' on the challenges

facing a Major Trauma Centre.

-I have no doubt you will be giving it between the eyes.

-Both barrels.

-Fletch is in charge this afternoon, any problems, they're all his.

-OK.

Imagine, a whole day without female interference.

Think again.

-We see you as one of us, Louise.

-Charmed, I'm sure.

Hey, the cats are away.

May I propose the very first ever ED Olympic games?

Sorry, I am getting my eyelids pierced.

OK, I will put you down for a no.

I can't go through with this without telling you.

It's a bit late for cold feet.

I still want to get married, but...

This better be good.

Years ago, before we moved in together, I had a sort of...fling.

When we were we going out?

Couldn't even call it a relationship.

I only saw him a few times.

-Did you love him?

-No.

So, it was ages ago. What does it matter?

It's about Paddy.

He might not be...

I can't be sure he's yours.

CLASSICAL MUSIC PLAYS

Are you sure?

Andrew?

All right, Dad?

I, Andrew, take you, Amanda...

I, Andrew, take you, Amanda...

To be my wedded wife.

To be my wedded wife.

I, Amanda, take you, Andrew...

I, Amanda, take you, Andrew...

To be my wedded husband.

To be my wedded husband.

I give you this ring, as a token of our love and marriage...

I give you this ring, as a token of our love and marriage...

As a symbol of all that we share...

As a symbol of all that we share...

And in recognition of our life together.

And in recognition of our life together.

EXCITED CHATTER

Here he is, here he is. Let's see what you have got.

Here you go. Here you go.

CROWD SHOUTS ENCOURAGEMENT

And I am invincible!

Hurry up, Dad.

All right, all right, let's get this party started.

CROWD CHEERS

I thought you two were going to bottle out at the altar.

It was never in doubt.

Better late than never, eh?

If you're planning a speech, you might want to go easy on that stuff.

Hey.

The hotel said to be there for 12.

There's no hurry. I want to remember every minute of this day.

Should we call a cab?

I need the car in the morning. Let's drop it home on the way.

Let's have one of the happy family. Get in there, Paddy.

You OK?

I'm the luckiest man in the world!

CROWD: Aw!

OK, love, mind how you go.

Thanks a lot.

Thanks for nothing.

HORNS BEEP

INDICATOR TICKS

PHONE RINGS

'Hello, 5-1, can you take a run out to the airport?'

No. I better not.

I'm going be late for my day job as it is.

'You on again tonight?'

Um...

Yes, go on, then. If you've got the work, I got the wheels.

We don't have to stay long, everyone knows it's low-key -

soon as the meal's over we can go home.

It's our wedding day. We're doing it right - speeches, cake, the works.

I helped him write the jokes.

I forgot the music.

I'll do it. You watch the road.

I made a CD specially.

It's a surprise.

TRUCK HORN BEEPS

THEY SCREAM

CAR HORNS BEEP

Mind your backs. Let me through. I'm a medic.

WOMAN SCREAMING

I'm coming. You all right?

I can't move.

Right, OK, try not to worry, I'm a nurse. Let's see what we can do.

You OK in the back?

-My arm's stuck.

-OK.

Try and keep it as still as you can. All right, help's on the way.

-Has anyone got a phone?

-Yes.

All right, OK.

Dial 999, say you want an ambulance and the fire service, all right?

All right, mate.

OK, now listen to me. Try and relax. Take some deep breaths, all right?

Nice and relaxed. We're going to get you out,

everything's going to be OK. All right.

PHONE RINGS

Martin Ashford.

'Dr Ashford, there's a serious RTC in your vicinity,

'nurse on-site confirms entrapment, they need a BASICS doctor.'

OK, e-mail the location, I'm on my way.

Ella, I'm off to work.

< Have a good day, Dad.

Don't study too hard.

You can come out now.

THEY LAUGH

SIRENS WAIL

OK, you got his head? Do not move it.

AMBULANCE BEEPS

All right there, mate?

Fletch, what are you doing here?

You don't get enough of this sort of thing at work?

Yes, tell me about it.

Right, OK, the engine's shoved through,

so the driver and the passenger are both trapped.

Andrew, the driver, is worse off - he was briefly KO'd,

but his GCS is now up to 14,

he's complaining of chest pains and breathlessness. All right.

Amanda, she's a bit groggy but has no obvious injury.

And the kid in the back, his right arm's fractured and displaced.

I'm a bit concerned about his radial circulation.

OK, so what do we need, Mac?

Here is the Entonox, and collar and spinal board, yeah?

Lovely, thank you. Yeah, we'll need two more crews, OK.

So get on to the ED for us, we need backup.

All right, let's have a look.

OK, young man, how are you doing? I am Jeff. I am a paramedic.

I like your tie.

Right, Andrew, you got some chest problems, yeah?

I can't breathe.

OK, we'll get some oxygen for you.

Got his head clear.

Andrew, do you have a history of heart conditions, do you know?

No, come on, Andrew, you can't fall asleep.

I need you conscious. Andrew.

Have you been drinking?

They just got married.

Right, OK. Congratulations.

Right, let's get ready to cannulate, Fletch.

Connie, we've got an RTC coming in. Can you take a look?

I knew it couldn't last.

We can't leave till Ash gets here.

Want to call St James' and tell them we've been held up?

-Yes, OK.

-Thank you.

Right, Andrew, this is just morphine, mate. It's for the pain.

Going in now.

-Still as you can, mate, please.

-Yeah, solid as a rock.

How are you, Amanda?

I've cramp in my legs. I don't feel well.

Right, when I can get you out, I will check you over, OK?

I'm just going to give you some oxygen.

-SHE BREATHES UNSTEADILY

-Right, hold the fort, Mac, please.

All right, Guv'nor. Welcome to the party.

How could I resist? Have you checked the driver?

Yes, the driver seems fine.

You might want to check on their son, though.

Little fella, back of the ambulance. Nice tie.

OK, princess, this is going to help you breathe, OK?

I am just going to pop that on you. Nice one.

Hey, you his guardian angel?

OK, Paddy, this is Ash, he is one of our doctors, OK?

PADDY MOANS

He's a super doctor, you are going to be fine.

His breathing and airway are fine, but his pulse is up a bit to 110.

OK. I'm going to give you something for the pain, OK?

-No! Get off me! Let me go!

-It's all right.

-Mum, Dad, help me!

-HE SCREAMS

What's happening? What's the matter with him?

I am sure he is fine. He is with a doctor, don't worry.

All right, nice and still.

There you are, nice and still, nice and still.

I will find out for you.

PADDY SCREAMS

Looks like you've broken your arm, Paddy.

I'll give him some ketamine to relax him.

I'm going to have to pull the fracture.

It's OK, Paddy. Everything is going to be all right.

I just need you to take some nice deep breathes for me.

We are going to make you better, promise.

What's the matter?

-I haven't got any.

-You haven't got any ketamine?

Go.

Mine.

THEY ROAR

CROWD GASP

PHONE BEEPS

Guys, RTC coming in.

OK, when we're ready. Call it in your own time, please.

-I feel dizzy.

-Here we go. OK.

Stop, stop, stop.

All right, go on.

All right, we are there for you, mate.

THEY TALK OVER EACH OTHER

OK. Right, OK.

Right, OK. I've got it. I've got it.

-Is he OK?

-I can't tell at the moment, all right?

All right, all right, all right.

Is she all right?

Yeah, she is doing really well, she is doing really well.

That's it. Two, three, up we go.

Andrew! Andrew!

-I need you to calm down.

-Nice and easy, kid. Nice and easy.

-Come on then, boys.

-There we go.

-You all right, Jeffery?

OK, Fletch, I am dropping this on here, OK?

PHONE RINGS

-You got her head?

-Yes, I've got it.

-It's my phone. My phone.

-You need to stay calm and I'll get it.

-Stay calm and I'll get it.

-OK.

Mac, you're with me, mate.

It's your dad, it's your dad. Take it.

-Hold this for me, OK?

-OK.

Hi, Dad, we've had an accident.

Me and Paddy are OK, but...

Andrew's not good.

I love him so much.

I don't...I don't think I could live without him.

OK, OK, calm down.

Keep your head still for me.

Hello, I'm going to pass you over to someone who can give you

some more information, all right?

Take that for me and tell him what's happening. OK.

-All right, Amanda.

-You need to relax.

It's going to be your turn now, kid. OK, mate, you got that bag? Got it?

I think I've wet myself.

Don't worry, we'll get you cleaned up.

I don't...I don't feel so good.

Keep your head nice and still. Nice and still.

Easy, mate. Easy, easy. Nice and slowly, people.

I can't feel anything.

Can you grab that for me, keep it upright?

-I can't feel anything...

-OK, don't worry.

No. Tell Andrew, tell Andrew I'm sorry, I'm sorry...

Easy. Nice and easy, nice and easy. That's lovely.

All right, Ash, I need you. Her BP is crashing.

MAX GASPS

You did that on purpose.

Will you just shut up and stay still?

Right, seriously. I'd be better off doing it myself.

-Then you'd see your bald patch.

-Would I?

THEY LAUGH

Everything all right, gentlemen?

-Yes, Mrs Beauchamp.

-Certainly, Mrs Beauchamp.

-I think we should go and...

-I think you should be fine.

SIREN BLARES

Everything all right back there?

Yeah, steady as she goes, Big Mac.

A crack to the abdomen could have caused a catastrophic bleed.

TXA might help it to clot.

I can't get a pulse, mate.

Ah, she has arrested. MACHINES BEEP

Let's have you. Come on, sweetheart.

-OK, let me know.

-OK.

ETA, Mac?

Seven to ten minutes.

-OK, clear, Jeff.

-OK.

Clear.

Non-shockable rhythm.

I will give her some adrenaline and keep pushing the fluids through.

Come on. You are not ready to give up already, are you?

OK, Jeff.

This is Amanda. Front seat passenger in a car involved in an RTC.

Trapped for about 30 minutes, went into cardiac arrest, GCS 3.

Pulse 140, BP's 90/70 and sats 84%.

She's had ten of morphine,

one Tranexamic acid and one of adrenaline.

Two litres of saline. And no response so far.

OK, let's stand by with another shot of adrenaline, please.

Get ready to call this, Mac.

OK, anybody not ready? Thank you. On three.

One, two, three.

How's the driver?

-He's in CT.

-Adrenaline, Ash.

OK, once the adrenaline is in, can we get four units of O-neg through

the rapid infuser and cross-match another ten, platelets and some FFP.

Adrenaline in.

-She's in VF.

-Hold off on compressions, Jeff.

MACHINE BEEPS

Right, carry on, stand by to shock, Rita.

Stand clear.

Oxygen away.

Charging.

Shocking.

She's back in sinus rhythm.

Great. Right, let's get the fast-scanner please, Connie.

A 12-lead ECG, and crash call the Surgical Registrar.

-Can we get her back onto the ventilator, Tash?

-Cheers, mate.

This is Paddy Wallace, he is 12 years old,

was in the back seat of the RTC. Head and neck cleared at scene.

But he has got a displaced fracture of his right radius

and ulna mid-shaft, he has got a little head wound there, GCS of 15.

Pulse is 110. BP 120/80. Sats are at 97%, so he is all good.

Don't worry, Paddy, we will look after you.

-How on earth did you get there?

-Long story.

-Dad.

-Sorry, folks, we need to keep moving.

He's had Entonox, 5 of morphine and 150 saline.

Amanda. Amanda.

Andrew, if you could calm down,

I just need to check you over again, please.

Thanks.

Thanks.

Connie, can you keep me informed on that fast-scanner, please?

Tash, put a screen up.

He's still tachycardic. BP's 140/90. Sats are 95% on oxygen.

He has got fresh bruising across the sternum.

Mr Wallace, the CT scan has shown there is no trauma to your lungs,

but you have broken three ribs.

And I'd like to make sure there's nothing more

behind the chest pain, so get a 12-lead ECG.

Is she...is she going to be OK?

It's hard to say. She is very poorly.

But we are doing everything we can.

-Can I leave this with you?

-Mmm-hmm.

-You all right?

-Hey.

I thought we were meeting in town?

I've got the whole place to myself, might as well hang out here.

-What's up, sis?

-Hi.

This is soooo cool.

It's all right. You get used to it.

Wow. You could fit our mum's whole flat into this kitchen.

Whatever.

And you want to see the bathroom.

How the other half lives, eh?

Chill out, make yourself at home.

We're not going out somewhere?

I promised you something special, didn't I?

How is she doing?

She's got a return of circulation, but it's too close to call.

The fast-scan shows intra-abdominal bleeding.

They are going to take her straight to theatre upstairs.

-How is the boy?

-No puzzles yet. Why, was there a problem?

No. Nothing.

OK. Can you take over? We have to get to this conference.

Of course.

So you boys are in charge this afternoon.

Try not to burn the place down.

How will we cope without them?

She's lost her output.

MACHINES BEEP RAPIDLY

Stay still, please.

We've given her six units but we couldn't keep her pressure up.

Andrew, Andrew, you need to stay where you are.

Can I get a milligram of adrenaline, please?

I am sorry, you are very ill, Andrew.

-You are still very unwell, you could make it worse.

-She's my wife.

OK, stop for a pulse check.

She's still in asystole.

What does that mean?

It's not good. Can I get some more adrenaline, please?

Is that going to make her better?

We'll keep trying.

But she can't... Not like this.

You need to go back to bed, let us do what we can for her.

I could get used to a pad like this.

Be my guest.

I feel like I've broken in. Let's just go to the pub.

Look what I found!

-Sweet!

-You sure your dad won't mind?

Who cares? We're supposed to be celebrating.

It's only an offer for college. I haven't even got in yet.

Well, I think it's great. They won't give me one.

Come on. You're the first one in our whole family.

I don't know, I told Mum I'd help her in the shop this evening.

It's a big, big deal.

And for that special occasion...

Where did you get that?

All for one?

Ash, sorry, mate. Listen, any sign of that ketamine?

-I haven't looked yet.

-Right, well.

You're not the sort of fella to lose something like that, are you?

I'll call the pharmacy. Probably a mistake in the log.

Yeah, OK, a mistake in the log. It's just...

Nah, forget it.

No, what?

Well, it's not really my place, to be honest.

Come on, Jeff.

Right, OK, a couple of weeks ago I treated some kids

who'd taken ketamine at a house party.

One of them was Ella.

Ella took a controlled drug and you didn't tell me about it?

No, I know, mate, but I'm telling you now.

OK. So what happened?

She was fine in the end, but she suffered an allergic reaction

and she ended up in here.

That's proof she wouldn't take it again. She's not stupid.

And she's definitely not a thief.

The surgeon says you'll need an operation, Paddy.

But theatre's busy, so we'll make you comfy while we wait.

-It hurts so much.

-I know it does.

We'll give you some medication for that and pop it in a plaster.

-Paddy, are you all right?

-My arm hurts.

Derek Shepherd, I'm his grandad.

OK. It's a nasty fracture, we're just waiting on a surgeon,

but I'm afraid he will need an operation.

Where's Amanda?

SUSTAINED BEEPING

Hold compressions, please.

I think we should stop now.

Is everyone agreed?

Can't you...?

Give her a shock or something!

Her heart's in an unshockable rhythm.

It really wouldn't help her now.

I'm very sorry, Mr Wallace. We did everything we could.

We need to give you some further tests.

But we could leave you with her for a few minutes.

Maybe you'd like to talk to your family?

You tell them.

Are you in charge?

I can't get a straight answer from anyone.

Mr Shepherd. I'm afraid we've got some bad news about Amanda.

I spoke to her an hour ago.

Unfortunately, the impact of the crash

caused too much internal bleeding and...

..she died a few minutes ago.

I'm very sorry for your loss.

If there is anything we can do, please let us know.

Mr Shepherd, I am so sorry.

You take a seat and I'll go and get you a cup of tea.

Can I see her?

Yeah, of course. I'll go and let them know you're coming.

LOUD DANCE MUSIC

This is the life.

I dunno if it's working, but I feel sort of...

y'know...

Yeah. Last time, it just made me sick.

S'like...I don't think I want to fly or nothing.

But...I think I get it now.

Just for you, my best friend.

THEY LAUGH

Come over here, Jason.

Where is my bestest brother?

You seen this sky?

I don't feel so good.

You'll be fine.

It's beautiful.

Not for me. I think...I just...

Jason. I need you.

I need you too, babe.

Jason?

Jason?

You're a very lucky guy, Andrew.

What I mean is, there's no sign of serious damage

and we can easily treat the chest pain from your fractured ribs.

So can I go home today?

We would like to keep you in for further observation.

But we're not expecting further problems.

Sorry, Paddy's been asking for you. He's really upset.

Look, I just...

His grandad can look after him better.

Well, that's your call.

I am so sorry.

I think I always dreaded her wedding day.

I never liked the idea of giving her away.

But I knew I'd have to say goodbye one day.

My lovely girl.

I'm afraid Andrew isn't up to breaking the news to Paddy.

We wondered if you'd like to tell him?

The boy doesn't know?

Andrew's having urgent treatment. He is seriously injured.

There's always an excuse. I'll look after Paddy.

COUGHING AND MOANING

It's Jason?

Yeah, it is. It is Jason.

Jason, Jason, can you hear me?

-Just lie still.

-Lie still there.

-HE MOANS IN PAIN

You've injured your legs pretty badly there.

There is a lot of facial swelling there.

-Possible head injury?

-Right, OK, so what do we do?

-Collar.

-Collar, OK, do that.

-Got it.

-All right.

Is he going to be OK?

Oh, hello. No show without Punch, is there?

OK, Jason, we are going to get a collar on you

then give you something for the pain, OK.

Well, could you check, please?

It was about four weeks ago, I don't have the date.

That's the last time I used ketamine on a BASICS call.

You're kidding?

Well, if you don't have an up-to-date record, how am I supposed to know?

Ash. Jeff's just called. It's about Ella.

This is Jason, he is 19 years old, he fell about 20 feet,

taken the impact through his legs. GCS 10. Pulse 110.

Sats are at 97%. He's had 200 of saline so far.

He's out of it and he smells of booze.

Or he is stoned.

Hello, Jason, can you hear me? You are in hospital.

Primary checks, please, Ethan.

Yeah, airway clear, breathing clear.

My leg hurts.

Sats are at 97%.

He's got a tib and fib,

and badly displaced fracture dislocation of his ankle.

And he's a bit hypertensive.

No surprise, under the circumstances.

OK, let's give him 10 of morphine, please. All the usual bloods.

Cross-match him for six units and get him off that board quickly, please.

I'm a little concerned about that skin blanching as well.

OK, call orthopaedics, arrange a CT of his head to pelvis

and let's get him gowned.

You've got some explaining to do.

Jason's my boyfriend.

Great first impression.

Is he going to be all right? I mean, he just fell, didn't he?

It's too early to say.

But I need to know if he's taken any drugs.

-No.

-You sure?

-I don't do drugs.

I'm talking about Jason.

And I know all about your recent run-in with ketamine.

It was horrible. I'd never do that again.

Ella, tell me the truth, did you steal drugs from my medical bag?

No, I didn't.

You'd better not be lying.

I didn't, but...look, don't be angry, yeah, but...

we smoked a bit of weed, that's all.

-You smoked drugs in the house?

-I'm sorry, Dad. Clare brought it.

HE SIGHS

All right. At least you told me the truth.

I can't believe you'd accuse me of stealing!

-I'm all right. Leave me alone!

-Stay still for me, Jason.

What's the problem? The CT was clear.

There was no problem till a few minutes ago.

He got agitated, and now look what's happened.

HE SCREAMS

Go away. Leave me alone. I don't want any.

You all right, Jase?

Tell them to stop. They're breaking my legs.

We're trying to help you, Jason, please.

Ash, his BP's rising.

What's wrong with him?

OK, you guys, outside, please.

The sharp bone's pushing against the skin.

If it breaks through, he's in all sorts of bother.

OK, let's sedate him and pull it.

Can someone get Ethan, please? We need all hands.

And can I get 2mgs of ketamine, please?

I would have come earlier, but Paddy didn't want to be left alone.

I knew there was a reason you were hiding.

The guilt's written all over you.

You were over the limit, weren't you? You were drunk driving.

Let's not jump to conclusions.

The police have still got to do a blood test.

It wasn't an accident.

You were driving, you made it happen.

You know nothing.

My daughter was an angel, and you killed her.

OK, you need to stay in bed.

And you need to back off or I am going to call security.

I'd had a few drinks. And maybe I was a bit drunk.

Do you want to know why?

-Cos Amanda just told me that boy isn't my son.

-You're a liar.

You want the truth? You want to know what she really was?

Because there's a name for a woman like that...

HE GROANS

You all right?

-Gently. Let's get you up.

-I'm all right.

Just stay calm and I'll check you over.

I said I'm all right!

Where's my sister?

She's just popped out for a coffee, she'll be back in a minute.

My head, man. What have you done?

We just fixed your legs, Jason. Where does it hurt?

Around the back of my head.

It's like I been hit with a hammer. It's burning, man, do something!

I don't think it's from the trauma.

BP's high and his pulse is 120.

Call CT and tell them we're jumping the queue again.

What's happening? Somebody help me!

Can't I have a drink of water?

I'm sorry, your tummy has to be completely empty before surgery.

It's a straightforward operation.

In a couple of days you'll be able to go home.

Don't want to go home.

Things will be a bit different from now on.

Is Dad getting an operation too?

Paddy, would you like me to speak to him for you?

Tell him I didn't mean it.

Didn't mean what?

Dunno. But I must've done something.

The way he looked at me.

I don't want to do this any more.

-I can't. I have had enough.

-You've done really well, Jason.

I have had enough. Please, I can't.

He's had a subarachnoid haemorrhage.

He must have already had a berry aneurysm and we missed it earlier.

The rupture's linked to his hypertension.

-We need a neurosurgeon.

-BP's still rising.

Jason, can you hear me? Jason. Jason.

-OK.

-OK, we need to secure his airway.

Let's get him into resus right now.

Coming through, people!

OK, guys, this is Jason. Just back from CT, the boy needs a RSI.

Suction, please.

And can I get five of ketamine and sux please.

Cricoid, on.

Ketamine.

Ketamine going in.

Sux.

Sux going in.

Is he going to die?

You guys shouldn't be in here.

No good. He's in laryngospasm.

I can't see the cords and I can't get the tube down.

I don't understand.

It was just a standard dose of ketamine.

It's unusual, but it can raise the blood pressure.

-That's not all...

-Shut up.

We all took ketamine before.

Jason took loads.

So we've just given him an overdose?

-You can save him, can't you, Dad?

-Get out.

I wanted to tell you.

Get them out of here now.

We're in.

Nice one.

Where's Ella?

She went outside. Is...

is he going to be OK?

I can't say.

Do you think...

Would he be OK if we'd told you earlier?

It's hard to tell.

But we would have handled things differently.

Where did you get it? The ketamine.

I need to know where you got it from.

Ash, sorry. The neurosurgeon wants to talk to you.

You're not doing yourself any favours.

You need to give yourself a break.

Don't you want to know about Paddy? He's going up to theatre soon.

Look, I know what happened. There's no way is this all your fault.

-These things just happen, is that it?

-That is not what I said.

I killed my wife. It's nobody's fault but mine.

I hope they do charge me. It's best for everyone if they lock me up.

There's more than one life at stake here.

I've wasted my life already.

We were together for 13 years.

I loved her the minute I saw her.

But I didn't let my guard down.

I was a bit of a lad.

Until I became a father.

That's when I cleaned my act up.

All for her and Paddy. And all of it was a lie.

The last thing that she said...

..was, "Tell Andrew that I'm sorry."

I hear you packed quite a punch.

For an old guy?

That is not what I said.

Must be 30 years since I hit someone like that.

Nice of you, giving us work to do

when there's sick people need attention.

He had it coming. What he said about my daughter.

I am sure she was a very special person.

But that doesn't mean she didn't make mistakes like the rest of us.

You don't know the half of it.

I know you're wasting your time blaming someone else

if you think that's going bring her back.

I spoke to him.

I think he heard me.

It's possible. But I think it's very unlikely.

Jason has suffered a massive brain haemorrhage.

I'm afraid surgery wouldn't help him.

What does that mean?

The bleed has caused serious damage to his brain.

There's no treatment that can reverse it.

But he's breathing, he's still alive.

The machine is doing that.

I'm very sorry, I have to be honest.

Jason is not going to recover.

SHE SOBS

Oh, sweetheart.

Your parents are on their way.

You stay away. I don't want to hear it.

I don't blame you for hating me.

I don't feel anything right now.

I was wrong.

I wanted to blame someone.

Whatever. It doesn't matter.

Look, Amanda may have had her faults,

but she never meant any harm.

Funny way of showing it.

Look, her and me argued about you often enough, and I admit,

I thought you weren't good enough.

But she always loved you.

She told me she couldn't live without you.

And I believed her.

I wasn't there for her, back then. I was drunk half the time.

So I can hardly blame her.

But you came through in the end. For both of them.

-You proved me wrong.

-And what good did it do, eh?

Look what a mess I've made of it now.

We can try and fix it. The two of us. For Paddy's sake.

How can I treat him like he's my son?

What's happened? Is he all right?

He needs his dad.

SOBBING

Did somebody order a wheelchair?

We'll be fine.

There you go. There you go, sweetheart.

-Did you talk to Dad?

-Yeah.

What did he say?

He said he's coming too.

I'm sorry, Dad.

What for? You've done nothing wrong.

I am sorry to be a spoilsport,

but we need to keep you under observation for a while longer.

Well, you can't. I'm discharging myself.

My son needs me.

You coming, Derek?

Yeah. Great.

I'd like you to accept my resignation.

Brilliant (!)

That's about the most unhelpful suggestion you could make right now.

I gave Jason too much ketamine, which precipitated a fatal bleed.

Maybe, but that's not a given.

Regardless, a patient is dead because of me.

So I've no choice but to resign.

Hang on, Rita, says you weren't to know he'd already taken ketamine.

-I should have.

-Why?

Ella stole drugs from my medical kit,

so I've no choice but to take the blame for her behaviour.

So you are seriously going to take the rap for what she has done?

I'm admitting my mistakes.

No, you're letting her treat you like an idiot again.

She has got you wrapped around her little finger.

Exactly - my fault. So I'll take the responsibility.

Listen. Your daughter stole drugs and, directly or indirectly,

someone has died. That is not your fault.

If you want to take responsibility, hand her into the police.

I'll deal with my daughter as I see fit.

-You are not thinking straight.

-I've been a useless father,

so I have to be there for her now, that's why I'm resigning.

DOOR SLAMS

-Why were you in that ambulance earlier?

-Um...

OK, I've been doing a bit of moonlighting,

a little bit of mini-cabbing on the side.

You can't possibly give your best here

-if you're permanently exhausted.

-I'm going to knock it on the head,

as soon as I've worked out my notice there.

There was nothing we could do. The damage was too severe.

And we were too late.

It's just one of those terrible situations

and we're all responsible to some degree.

Someone stole drugs from my medical bag.

Are you accusing me?

It wasn't my fault. You can't blame me.

You stole from me, Ella.

That's what caused all this, can't you see that?

Did Clare tell you that?

Cos she's a liar, and you've got no proof.

Ella, your boyfriend is dead.

Don't you feel anything?

Why does everyone blame me? How come it's always my fault?

How come it's me that always gets into trouble? It's not fair.

Come on, you've got to help me here.

If they say this was my fault, I need you to help me, Dad.

I'm hungry. You coming home now too?

What's wrong?

I nearly forgot why I came back here.

OK. Why did you?

To be with you.

Sometimes I don't think I am cut out to be a dad.

I mean, I haven't been there for you, and when I have,

it's been a disappointment.

But I just want you to know...

..I've done my best.

Why are you talking like this?

Because I love you, Ella.

Come here.

I love you too, Dad.

And I'm sorry.

For what?

You wouldn't!

Dad. Please. You can't do this.

Dad, please, help me. I'm sorry. Dad, please come back.