0:00:03 > 0:00:07Becoming a bit of a habit, this - hanging around waiting for accidents to happen.
0:00:07 > 0:00:08You're a great doctor, Zoe, but...
0:00:08 > 0:00:10But I need to be a better clinical lead.
0:00:10 > 0:00:12There has been a fire in a care home.
0:00:12 > 0:00:1515 elderly patients, one potential cardiac arrest.
0:00:15 > 0:00:18I think Dr Hanna thrives on creating chaos.
0:00:18 > 0:00:21It's been brought to my attention that some of the care home residents
0:00:21 > 0:00:23had to wait some time for a cubicle.
0:00:23 > 0:00:26Funnily enough, Mrs Beauchamp expresses similar concerns.
0:00:26 > 0:00:27You were in an accident?
0:00:27 > 0:00:30- It wasn't his fault.- No, it wasn't my fault.- Well, why didn't you say?
0:00:30 > 0:00:34- He's too busy worrying about his cab being off the road for so long. - You promised!
0:00:34 > 0:00:38- Look, I was going to... - Well, I'm sure you see just the one death as a small victory
0:00:38 > 0:00:40- under the circumstances.- It'll be two before the day's out.
0:00:40 > 0:00:43- Excuse me!- This is an emergency department, Connie.
0:00:43 > 0:00:47- Every single day it is emergency and death.- That's the difference between you and I.
0:00:47 > 0:00:50I will NEVER get my head around losing a patient.
0:01:34 > 0:01:38- Mrs Beauchamp.- Mr Self.
0:01:38 > 0:01:42Just wondering what level of hell this is?
0:01:42 > 0:01:45Oh, I'm sure you're welcome in all of them.
0:01:45 > 0:01:46Any particular reason for this chaos?
0:01:46 > 0:01:50I'm trying to find out. None of our patients are being admitted upstairs
0:01:50 > 0:01:53and cubicles are currently all full so it's bottlenecks out here.
0:01:53 > 0:01:56And where is your brave leader, Dr Hanna?
0:01:56 > 0:01:58Louise.
0:01:58 > 0:02:01She's running late in a very important meeting.
0:02:04 > 0:02:06The emergency department figures were very pointedly
0:02:06 > 0:02:09left on my desk by the Chairman of the Board.
0:02:09 > 0:02:12How annoying. Hope you got to read the newspaper anyway?
0:02:12 > 0:02:16How in your vast experience is Dr Hanna coping as clinical lead?
0:02:16 > 0:02:19There is a phenomenal amount of traffic through here
0:02:19 > 0:02:21with ever-decreasing resources
0:02:21 > 0:02:25and the inefficiencies of the NHS dripped down on our heads.
0:02:25 > 0:02:27That was a very political answer, Connie.
0:02:27 > 0:02:29It was a very political question, Guy.
0:02:31 > 0:02:34You know, this ship needs a reliable captain at the helm.
0:02:34 > 0:02:36Otherwise it'll sink.
0:02:38 > 0:02:39I'd better get on.
0:02:41 > 0:02:44MUSIC: "I'm Still in Love With You, Girl" by Alton Ellis
0:02:53 > 0:02:56It's OK, Arthur. It's Carly, it's OK. Dinner's ready.
0:02:56 > 0:02:57So come on, let's sit down.
0:02:57 > 0:02:59Come on - up you get.
0:03:01 > 0:03:02There we go.
0:03:02 > 0:03:05- MUSIC AND CHATTER - Oh, it's just some silly little kids having a party.
0:03:05 > 0:03:09I'm sure they'll stop soon. I've made you a lovely shepherd's pie.
0:03:09 > 0:03:12- No.- Yes. Please!- No.
0:03:12 > 0:03:13Arthur, please.
0:03:13 > 0:03:16I know you're not used to me, but Jenny is poorly,
0:03:16 > 0:03:19so we have to learn how to get along now, don't we?
0:03:20 > 0:03:22Now, I really need to keep this job. So...
0:03:25 > 0:03:26..please?
0:03:31 > 0:03:33Yeah.
0:03:33 > 0:03:34There we go.
0:03:36 > 0:03:38Well, what are we supposed to do?
0:03:40 > 0:03:44Oh, yeah. That's great. thanks.
0:03:44 > 0:03:45Plastics can't take her.
0:03:45 > 0:03:48They say they're full and they don't know who with.
0:03:53 > 0:03:55- There. Like new.- Wow!
0:03:55 > 0:03:57I've got a pair of jeans at home that need stitching.
0:03:57 > 0:03:59How much do you charge an hour?
0:03:59 > 0:04:01Tell plastics they can book her in as an out-patient.
0:04:01 > 0:04:03No need for a surgical bed?
0:04:03 > 0:04:04Absolutely not. Well done.
0:04:09 > 0:04:11PHONE RINGS
0:04:11 > 0:04:14Hi, Mum. I got here fine.
0:04:15 > 0:04:17We're in the cinema queue.
0:04:17 > 0:04:19We're going back to Katy's after.
0:04:19 > 0:04:21One sec. Yeah - what?
0:04:22 > 0:04:26Keep dem eyes away from me, boy. This gal ain't for you.
0:04:26 > 0:04:27You waste man.
0:04:30 > 0:04:32Yeah. I'll be home first thing tomorrow.
0:04:32 > 0:04:34I've got heaps of homework. Bye.
0:04:40 > 0:04:43Excuse me? Excuse me?
0:04:44 > 0:04:46Can you tell them to turn it down?
0:04:46 > 0:04:48- Otherwise I'll have to phone the police.- Get a life!
0:05:08 > 0:05:10Look at this thing of beauty!
0:05:10 > 0:05:11Wow.
0:05:11 > 0:05:12This took me all day.
0:05:12 > 0:05:14No, no, it's impressive.
0:05:14 > 0:05:16Look - perfectly filed admin.
0:05:16 > 0:05:20If this is what it'll take to silence the sceptics, then so be it.
0:05:20 > 0:05:22You turned down dinner with me for this?
0:05:22 > 0:05:25You really need to clarify what you call dinner!
0:05:25 > 0:05:30But, yeah, I have to put the ED first, Max, and my own personal satisfaction second.
0:05:30 > 0:05:33Just to clarify this personal satisfaction.
0:05:33 > 0:05:36- We're talking about filing, right? - Yeah.
0:05:39 > 0:05:41No, don't do that!
0:05:43 > 0:05:46MUSIC AND CHATTER
0:05:49 > 0:05:51BANG
0:05:51 > 0:05:53Here's your spoon. There you go.
0:05:58 > 0:06:01Oh, nearly! Not quite. Let's have another go.
0:06:04 > 0:06:06Oh, for the love of God!
0:06:13 > 0:06:14No. That's dirty!
0:06:14 > 0:06:18No, Arthur. No, no, no, no, no.
0:06:18 > 0:06:20NO! Stop it!
0:06:20 > 0:06:22Arthur! Ow!
0:06:22 > 0:06:23Arthur, no!
0:06:23 > 0:06:24No! Arthur, please.
0:06:24 > 0:06:26Arthur, please! Stop it!
0:06:29 > 0:06:30Arthur!
0:06:30 > 0:06:31Oh, I'm sorry.
0:06:33 > 0:06:34I'm so, so sorry.
0:06:36 > 0:06:39Oh, Dr Hanna. Guy Self was looking for you earlier.
0:06:39 > 0:06:40Where is he now?
0:06:40 > 0:06:44He sprinted for the door when patients started complaining to him.
0:06:44 > 0:06:46Will you take this to my office, please?
0:06:46 > 0:06:48Who did he speak to?
0:06:50 > 0:06:51Of course he did.
0:06:51 > 0:06:54Right Zoe, we need to come up with a plan. This is not workable.
0:06:54 > 0:06:58- Right, fill me in. - Cubicles - there are none free.
0:06:58 > 0:07:01The wards are all pleading full and not taking transfers.
0:07:01 > 0:07:04- Resus is at capacity.- I've just spoken to the bed managers.
0:07:04 > 0:07:07There's been an outbreak of C. diff. They've closed two medical wards.
0:07:07 > 0:07:10I think we should divert. At least for a couple of hours.
0:07:10 > 0:07:12Breathing space would be very useful.
0:07:12 > 0:07:15Divert? That's a bit extreme. We've dealt with worse than this.
0:07:15 > 0:07:18Tell you what we'll do. We'll set up a triage in reception
0:07:18 > 0:07:20and try and get rid of some timewasters
0:07:20 > 0:07:24and I'll put a rocket up management, see if we can't find some beds.
0:07:24 > 0:07:27I tried site managers and the wards but no luck.
0:07:27 > 0:07:29- Have you tried the on-call exec? - Not yet.
0:07:29 > 0:07:30Well, let's try that.
0:07:34 > 0:07:37That's a perfect way of getting a toy confiscated.
0:07:37 > 0:07:40I want to lodge a complaint. I want to see someone in charge.
0:07:40 > 0:07:42That would be me - Dr Hanna. Hello.
0:07:42 > 0:07:45This is Mr Somers. His son Evan has been waiting three hours.
0:07:45 > 0:07:48We've been moved from pillar to post. OVER three hours.
0:07:48 > 0:07:52- What's wrong with him?- His eczema's flared up. I wouldn't have brought him in
0:07:52 > 0:07:55- but the GP won't see him until Monday.- I'm really sorry about the wait.
0:07:55 > 0:07:57As you can see, we're busier than usual today.
0:07:57 > 0:07:59I will fast-track you just to make up for it.
0:07:59 > 0:08:03Dr Chao, as soon as you're free, can you deal with Evan, please?
0:08:03 > 0:08:06I'm sorry. I have five patients waiting.
0:08:06 > 0:08:09Listen, I don't want to seem difficult, but I'm already late for work.
0:08:09 > 0:08:11I need it to happen now or not at all.
0:08:11 > 0:08:13Let me see what I can do. Take a seat.
0:08:16 > 0:08:17Yeah, OK. Roger that, control.
0:08:21 > 0:08:25Some old fella's had a fall on the seventh floor.
0:08:25 > 0:08:28Yeah, this is it. This is where the reports of a noisy explosion came from.
0:08:32 > 0:08:34Police got here quick, didn't they?
0:08:34 > 0:08:38- Yeah, well, it's notorious, this place, ain't it.- Really? It's Shakespeare's Heights.
0:08:38 > 0:08:42Well, you can see why Romeo lobbed himself off the balcony now, can't you!
0:08:42 > 0:08:45WOLF WHISTLE
0:08:45 > 0:08:47She'll have you for breakfast, mate.
0:08:48 > 0:08:50Pull your trousers up.
0:08:52 > 0:08:54Hello, ambulance service.
0:08:54 > 0:08:56Can you watch yourselves, please?
0:08:56 > 0:08:59LOUD MUSIC
0:09:01 > 0:09:02Tamzin?
0:09:04 > 0:09:07Can you hear me, sweetheart? Hello? Can you hear me?
0:09:08 > 0:09:11Right, Jeff. There is a lot of drunk and - going off the smell - stoned.
0:09:11 > 0:09:14Yeah. Can you do me a favour? Can you take over, please?
0:09:14 > 0:09:15Open that window.
0:09:17 > 0:09:19Right, let's have a look at you.
0:09:23 > 0:09:25This is as old as the Ark, isn't it?
0:09:25 > 0:09:28Do you reckon that was the explosion?
0:09:28 > 0:09:30No, I think they'd be in a worse state if it was.
0:09:30 > 0:09:33- You taken anything other than this, sweetheart?- Leave me alone.
0:09:33 > 0:09:36It's still connected, though. Someone's been playing with that.
0:09:36 > 0:09:38How long have you all been here?
0:09:38 > 0:09:40What you thinking - carbon monoxide?
0:09:40 > 0:09:42Yeah, can't rule it out.
0:09:42 > 0:09:45- This lot are going to have to come in.- Really?
0:09:45 > 0:09:48Yeah, I'm going to radio in. They need to send another crew.
0:09:48 > 0:09:49They're going to love you, Jeffery.
0:09:49 > 0:09:53Yeah, don't they always. 3006 to control.
0:09:53 > 0:09:55I'm just going to sit you up.
0:09:55 > 0:09:58- You OK?- Yeah, just been on my feet too long, that's all.
0:09:58 > 0:10:00You need to try Pilates or something.
0:10:00 > 0:10:01I don't like foreign food.
0:10:01 > 0:10:02Oh, you're hilarious.
0:10:02 > 0:10:04Can we take his temperature again?
0:10:04 > 0:10:07Just going to listen to your chest here, mate - all right?
0:10:07 > 0:10:08Has he got asthma?
0:10:08 > 0:10:11We've got blue and brown puffers all over the house.
0:10:11 > 0:10:14- Sit forward for me. Have you got anything for the eczema?- Yes.
0:10:14 > 0:10:18Steroid creams. We haven't been keeping on top of it, have we, lad?
0:10:18 > 0:10:19It's 38 degrees.
0:10:19 > 0:10:21OK. Sit yourself back.
0:10:21 > 0:10:24- Do you want me to get you something for that?- Ah, please.
0:10:24 > 0:10:27Lily? Got a lad here with a fever of 38 degrees.
0:10:27 > 0:10:31- Asthma and eczema.- Listen, seriously, I don't have a minute, we've got to go.
0:10:31 > 0:10:36- It's really important that the doctor has a quick look at him, all right?- OK. But I can't stay.
0:10:36 > 0:10:39I'm going to have to leave him here with you for a bit.
0:10:39 > 0:10:40No, I don't want you to.
0:10:40 > 0:10:43I'll lose my job if I don't show. Then what?
0:10:43 > 0:10:45Listen, we're really under pressure tonight.
0:10:45 > 0:10:48It would be hard for us to give Evan the attention he needs. You really should stay.
0:10:48 > 0:10:51We're not being fobbed off any more. That woman said she'd see us quickly.
0:10:51 > 0:10:53Dr Hanna? I'll see if she's available.
0:10:53 > 0:10:56- Whatever. It just needs sorting, quick.- OK.
0:10:56 > 0:10:58- OK, sweetheart. - I love a girl in uniform.
0:10:58 > 0:11:00You're very original, mate.
0:11:00 > 0:11:02You wouldn't know what to do with it. Get a move on.
0:11:05 > 0:11:06Right, Tamzin.
0:11:06 > 0:11:10Let's go and sort this fella on the seventh floor, shall we?
0:11:16 > 0:11:18- Jeff!- Yeah.
0:11:18 > 0:11:19Excuse me.
0:11:20 > 0:11:22Hello. Jeff! Jeff!
0:11:22 > 0:11:24Tamzin?
0:11:24 > 0:11:26It's all right! He's conscious. You're all right.
0:11:26 > 0:11:28I thought he was dead.
0:11:33 > 0:11:36Right, Zoe. Take a deep breath - you're not going to like this.
0:11:36 > 0:11:40St James's are closing down their ED. They're diverting everyone.
0:11:40 > 0:11:43They can't possibly be under more pressure than we are, surely!
0:11:43 > 0:11:44That's what they say.
0:11:44 > 0:11:47We're receiving all the ambulances for the region.
0:11:47 > 0:11:49What are our options?
0:11:49 > 0:11:50My advice is call St James's.
0:11:50 > 0:11:52The problem may not be as bad as they say.
0:11:52 > 0:11:57We'll only waste more time arguing with them that we should be putting into the patients.
0:11:57 > 0:12:00Er, Zoe. Heads-up from ambulance control.
0:12:00 > 0:12:02There's been a possible gas leak at a flat
0:12:02 > 0:12:04involving a group of partying kids.
0:12:04 > 0:12:08They're possibly - definitely - sending them in here for tests.
0:12:09 > 0:12:12OK. We can handle this. Let's get all hands on deck.
0:12:12 > 0:12:15- Gather the team round Admin. I want to address everyone. - Zoe, I really need you!
0:12:15 > 0:12:19Sorry, I'm coming. Louise, don't ask any questions. Just find out who's available
0:12:19 > 0:12:21this evening to come in, yeah? OK.
0:12:21 > 0:12:24Charlie, can you put more pressure on the wards?
0:12:24 > 0:12:25Yes, I will get on to them.
0:12:25 > 0:12:27Mr Somers, and he wants to leave.
0:12:27 > 0:12:30Mr Somers! I am so sorry.
0:12:30 > 0:12:33He says he's feeling better and I've got no choice. There's a boat load
0:12:33 > 0:12:36of Romanians queueing up to do my job at half the price.
0:12:36 > 0:12:41- Would you see us on the streets for a bit of eczema?- Why don't you let us fully examine him first?- Listen!
0:12:41 > 0:12:44We lost his mum last year and ever since, he's been nothing but poorly
0:12:44 > 0:12:46and you lot have been nothing but useless.
0:12:46 > 0:12:48I'll take care of him, like I always have to.
0:12:48 > 0:12:52- You'll be leaving against our advice.- Yeah, yeah.
0:12:54 > 0:12:57I can't physically force him to stay, Fletch.
0:13:01 > 0:13:02Right, let's have a look at you.
0:13:04 > 0:13:06Why are the ambulances stacking up out here?
0:13:06 > 0:13:08Just heard over the radio - St James's is closed,
0:13:08 > 0:13:10so they're delivering all their patients here.
0:13:10 > 0:13:12It'll be a long night, babe.
0:13:14 > 0:13:17So we'll have plenty of time for a nice chat.
0:13:19 > 0:13:23Right, let's have a bit of a look at you here, shall we?
0:13:23 > 0:13:26Whoa, whoa, whoa! All right, then.
0:13:26 > 0:13:28OK - listen up, everyone.
0:13:28 > 0:13:31I know it's a crowded night, but it's just about to get worse.
0:13:31 > 0:13:34We're already under pressure with the closing of St James's
0:13:34 > 0:13:38but we have a large group of partygoers about to descend upon us
0:13:38 > 0:13:40with potential CO poisoning.
0:13:40 > 0:13:42Are they all going to need admission?
0:13:42 > 0:13:44No, most will be "walking worried".
0:13:44 > 0:13:46So what we're going to do is we're going to set up
0:13:46 > 0:13:47a "see and treat" clinic at triage.
0:13:47 > 0:13:50I'll do that myself with Charlie and Lily.
0:13:50 > 0:13:53What's the order of the assessment you'd like us to follow?
0:13:53 > 0:13:55I want a venous blood gas on everybody,
0:13:55 > 0:13:57to assess their carboxyhaemoglobin levels.
0:13:57 > 0:14:00We can run those ourselves in under five minutes each.
0:14:00 > 0:14:05You have no cubicle space left. How do you propose treating those who need immediate medical intervention?
0:14:05 > 0:14:08While we're waiting for cubicle space, we're going to have to keep
0:14:08 > 0:14:12patients on trolleys and give them some O2 as an interim measure.
0:14:15 > 0:14:17Unless anybody else has a better idea.
0:14:20 > 0:14:21Right, let's get to it.
0:14:27 > 0:14:28Thanks.
0:14:28 > 0:14:30You shouldn't be here.
0:14:30 > 0:14:33I checked the off-duty. You actually shouldn't be here.
0:14:33 > 0:14:34It's fine.
0:14:35 > 0:14:40You're either out of pocket or avoiding home. Or it's both.
0:14:40 > 0:14:44- Which one is it? - Look, it's fine. I'm covering.
0:14:44 > 0:14:45And pretty good job as well, eh?
0:14:46 > 0:14:51This is Arthur Swanley. 84 years old, he's got a laceration to the back of his head. He's had a fall.
0:14:51 > 0:14:54All his obs are normal, though, but he does have a history of dementia.
0:14:54 > 0:14:56I'm sorry, I'm not triaging minors.
0:14:56 > 0:14:58OK, well, who is and where are they?
0:14:58 > 0:15:02- I'm not sure. But I can find out. - Thing is, we can't really leave Arthur out in the corridor, can we?
0:15:02 > 0:15:06I know, but we're stacked up in cubicles and we're right back up in the corridors.
0:15:06 > 0:15:09Right. Appreciate that, Robyn, but Arthur needs treatment.
0:15:09 > 0:15:11OK, I'll see what I can do. OK?
0:15:11 > 0:15:13Right, OK. Follow me, then.
0:15:14 > 0:15:16Unbelievable!
0:15:17 > 0:15:22Right, Arthur. I'm going to leave you here, mate, to try and get you sorted. I'll be right back. Zoe?
0:15:22 > 0:15:24I got an old gentleman here. He's got a scalp laceration.
0:15:24 > 0:15:29- Looks like I'm going to have to leave him in reception. Is that all right?- Yeah, we're full. Sorry.
0:15:29 > 0:15:31Louise - any joy with the on-call exec?
0:15:31 > 0:15:34I tried. I've called three times but she hasn't answered her bleep.
0:15:34 > 0:15:36Give me her number.
0:15:36 > 0:15:37Right.
0:15:38 > 0:15:41OK, Charlie. Anything?
0:15:41 > 0:15:44Yes. They say they can't discharge in the middle of the night.
0:15:44 > 0:15:47They've got a couple of elective surgery beds but they're reluctant to give them up.
0:15:47 > 0:15:50Well, they need to give us them. Can you call them back?
0:15:50 > 0:15:54Yeah, I will, I will. Just give me a minute. All right, all right, you mob.
0:15:54 > 0:15:56Until I can get cubicle space, I got nothing.
0:15:56 > 0:16:00- But virtually every ambulance we've got is blotted up outside, with patients on board.- I know.
0:16:00 > 0:16:02So if we have a cardiac arrest ten minutes from here,
0:16:02 > 0:16:06- tell me how that person isn't going to die. - We haven't got any options.
0:16:06 > 0:16:08- Arguing the toss isn't going to help.- I'm not arguing.
0:16:08 > 0:16:13- I don't want to end up the front cover of tomorrow's newspaper, that's all.- Can I help? Jeff, Jeff.
0:16:13 > 0:16:15Yes, you can, please. Arthur Swanley. He's outside.
0:16:15 > 0:16:17Perhaps you can look at him for me. Thank you.
0:16:17 > 0:16:20Yeah, can I get some help in here, please?
0:16:20 > 0:16:22You go. I'll take care of this.
0:16:22 > 0:16:25And call Guy. He needs to know what's going on.
0:16:25 > 0:16:27Ethan, thank you so much for coming in at such short notice.
0:16:27 > 0:16:29- No problem.- What happened?
0:16:29 > 0:16:33We couldn't get her on a trolley. Pulse 80, resps, 22,
0:16:33 > 0:16:38- Max, can we get a trolley, please? - Sats 97%. She's been drinking - confused but conscious.
0:16:38 > 0:16:40Can you hear me? What's her name?
0:16:40 > 0:16:42Paramedics couldn't say.
0:16:42 > 0:16:45They found her collapsed in the bath next to the faulty CO boiler.
0:16:45 > 0:16:51- Right, let's get her onto the trolley and straight into Resus. - Dr Hanna?- Yes, I'm coming.
0:16:51 > 0:16:53Right, Ethan - Resus is all yours.
0:16:53 > 0:16:56- Really?- Is that a problem? - No. Not at all!- Good.
0:16:56 > 0:16:58- Yes.- Up you come.
0:16:58 > 0:17:01Can I get a toilet break? Will you be all right with him?
0:17:01 > 0:17:03Can you hold him still, please?
0:17:03 > 0:17:05Be good, Arthur. The doctor's here.
0:17:06 > 0:17:07I don't think he likes me.
0:17:07 > 0:17:09How long have you worked with him?
0:17:09 > 0:17:12I'd say about three hours. It's not going well, is it?
0:17:14 > 0:17:16I'm just going to look into your eyes.
0:17:18 > 0:17:19No, Arthur.
0:17:19 > 0:17:21It's all right. Hey, hey, hey!
0:17:21 > 0:17:23Steady, old boy.
0:17:24 > 0:17:28We're just trying to make sure you're OK. All right?
0:17:30 > 0:17:33You're an old war horse, aren't you?
0:17:33 > 0:17:36You remind me of my dad. It's good to see a fighter.
0:17:36 > 0:17:39He's very aggressive. The agency didn't tell me that.
0:17:39 > 0:17:42I'm used to dementia patients, but nothing like this.
0:17:42 > 0:17:44He's scared and defensive.
0:17:44 > 0:17:47Have you tried to contact his next of kin?
0:17:47 > 0:17:50I tried phoning the agency, but no-one's answering.
0:17:50 > 0:17:51How did he fall?
0:17:52 > 0:17:58There was an explosion outside or something. I was in the next room.
0:17:58 > 0:18:01All right, I am going to get one of our nurses to change that dressing
0:18:01 > 0:18:04and then we'll get you out of here as soon as we can.
0:18:04 > 0:18:05I can't take him back alone.
0:18:05 > 0:18:08It's not safe, I'm not properly trained. Please. Can he just stay here?
0:18:08 > 0:18:11I've got the F2 on medical take on the phone. Someone needs to get this.
0:18:11 > 0:18:14I will call them straight back, thank you.
0:18:14 > 0:18:16I'll have the Care For The Elderly team look into it.
0:18:16 > 0:18:20I apologise for having to treat you in reception, Mr Swanley.
0:18:20 > 0:18:23All right? Good boy.
0:18:23 > 0:18:27- Excuse me - could you stay with him just for a moment? I'm desperate for a wee.- No.
0:18:27 > 0:18:29Excuse me. Could you watch Arthur a moment?
0:18:29 > 0:18:32- I'm not sure I can.- I need some replacement O2 cylinders.
0:18:32 > 0:18:34- Please. Thank you so much.- Max! Now!
0:18:37 > 0:18:40Sorry, could you keep an eye on him for a minute?
0:18:44 > 0:18:47No self-respecting hospital would do that to a patient.
0:18:47 > 0:18:49I have an 84-year-old with dementia
0:18:49 > 0:18:51who shouldn't be made to wait in a corridor.
0:18:51 > 0:18:52I am still speaking.
0:18:53 > 0:18:56You can't put outliers in one of Dr Mangot's beds?
0:18:56 > 0:18:58Let me remind you, they're not his beds.
0:18:58 > 0:19:02I'm not asking you to put Mr Swanley in his spare room.
0:19:02 > 0:19:06Get back to him and let me know when I can transfer my patient.
0:19:10 > 0:19:13Hi. We're ready for your mum, if you want to bring her through.
0:19:30 > 0:19:33So let me get this right - you're refusing treatment?
0:19:33 > 0:19:37Can I ask why? You can talk to me.
0:19:38 > 0:19:42Thanks. Do you have epilepsy? Bitten your tongue?
0:19:48 > 0:19:50How are we doing here?
0:19:50 > 0:19:53We are very drunk and a little aggressive.
0:19:53 > 0:19:55You ever seen it so busy?
0:19:55 > 0:20:00I pride myself on being unflappable. Panic never solves anything.
0:20:00 > 0:20:01You seen this?
0:20:01 > 0:20:04Could be bulimia. Let's start with some fluids.
0:20:23 > 0:20:27HE GASPS
0:20:40 > 0:20:45No. No more excuses. I'm running out of ways of expressing how urgent
0:20:45 > 0:20:48this will be if I don't move patients in the next hour.
0:20:48 > 0:20:50Do you understand?
0:20:50 > 0:20:51I've got a problem.
0:20:51 > 0:20:52Great, cos I don't have enough.
0:20:52 > 0:20:55Trolley patient, elderly lady, needs the toilet.
0:20:55 > 0:20:57Faster, Lofty.
0:20:57 > 0:20:58I can't make her use a bed pan in public.
0:20:58 > 0:20:59Improvise.
0:20:59 > 0:21:01Improvise?
0:21:01 > 0:21:03Well done. Good call.
0:21:06 > 0:21:08Let's get some food in you.
0:21:10 > 0:21:12Can you breathe OK?
0:21:12 > 0:21:13Where's your puffer?
0:21:13 > 0:21:14Here.
0:21:18 > 0:21:20It's the right one, isn't it? Blue?
0:21:29 > 0:21:31We're doing OK, aren't we, Evan?
0:21:31 > 0:21:33I get to keep my job,
0:21:33 > 0:21:37and you get a better night's sleep than you would in the hospital.
0:21:37 > 0:21:38Good lad.
0:21:58 > 0:22:01Excuse me, have you seen the man in this wheelchair?
0:22:01 > 0:22:04Excuse me, I'm looking for an Arthur Swanley - S.W.A.N.L.E.Y.
0:22:04 > 0:22:06I can't find him anywhere.
0:22:06 > 0:22:08- He's gone.- What do you mean, gone?
0:22:08 > 0:22:11I just went to the loo, I left him with him.
0:22:11 > 0:22:15No, I told you I couldn't. I got called away.
0:22:15 > 0:22:20Put a call out for Arthur Swanley. Check all CCTV, please.
0:22:20 > 0:22:21Get looking for him!
0:22:30 > 0:22:34Her blood gas showed carboxyhaemoglobin's fine.
0:22:34 > 0:22:36Rest of the bloods are normal too.
0:22:36 > 0:22:40Sweetheart. I'm Rita. I'm a nurse in Holby City Hospital.
0:22:41 > 0:22:44Darling, you were found in the toilet at a party.
0:22:44 > 0:22:46The paramedics were called out to an explosion.
0:22:46 > 0:22:50Do you remember anything about what happened?
0:22:50 > 0:22:51Sweetheart, what's your name?
0:22:51 > 0:22:55I ain't telling you. You waste.
0:22:55 > 0:22:58We've just had an elderly patient with dementia go walkabout.
0:22:58 > 0:23:00Well, that's not necessarily our fault.
0:23:00 > 0:23:03No, it is entirely our fault.
0:23:03 > 0:23:05When the place is this busy and not under control,
0:23:05 > 0:23:07that's when mistakes happen.
0:23:07 > 0:23:09Zoe, this is a big problem.
0:23:09 > 0:23:10Connie, this is a solution.
0:23:10 > 0:23:13If I feel conditions aren't safe for the patients,
0:23:13 > 0:23:14I will have to call Guy.
0:23:16 > 0:23:18Fine. Call him. What's he going to do? Undermine me?
0:23:18 > 0:23:20Shout at the staff? That will help.
0:23:20 > 0:23:23What we need to do is to stick together, Connie.
0:23:23 > 0:23:24Come on, we'll find the patient.
0:23:24 > 0:23:28Someone will see him and we'll fix him. That's what we do.
0:23:28 > 0:23:29We clearly need to do it better.
0:23:29 > 0:23:31- There's nothing. - Why was he left alone?
0:23:31 > 0:23:33I had to go to the loo. I left him with him.
0:23:33 > 0:23:37- Is this true, Max? - Of course not. I asked the woman next to him to keep an eye on him.
0:23:37 > 0:23:40- We don't need this. Not tonight. - Hold on. You told me to get the O2.
0:23:40 > 0:23:42I couldn't exactly say no. And I am really sorry
0:23:42 > 0:23:45- but I clearly told you I couldn't look after him.- I didn't hear you.
0:23:45 > 0:23:48We need to sort this out, but our priority is to find the patient.
0:23:48 > 0:23:49- What's his name?- Arthur Swanley.
0:23:49 > 0:23:52Just so we're clear, I'm a porter, not a nurse.
0:23:52 > 0:23:55Max, save it. Just help find the patient.
0:24:03 > 0:24:05GASPING
0:24:05 > 0:24:06You OK?
0:24:08 > 0:24:09Evan! Are you OK?
0:24:10 > 0:24:11What's up?
0:24:13 > 0:24:15Take some of your puffer.
0:24:15 > 0:24:16It's...it's run out.
0:24:20 > 0:24:22Why didn't you say?
0:24:22 > 0:24:28I...don't...want...you... to lose your job.
0:24:28 > 0:24:32What are you like? Sit yourself there. Stay there, stay there.
0:24:36 > 0:24:38GASPING
0:24:41 > 0:24:43Hi. It's my son, Evan.
0:24:43 > 0:24:46He's got asthma and all his inhalers have run out.
0:24:46 > 0:24:50He's on a repeat prescription. The blue one. The salbutamol.
0:24:53 > 0:24:56Is there any way that you could bring an inhaler over here?
0:24:56 > 0:24:59That someone could bring an inhaler over here?
0:24:59 > 0:25:00It's an emergency.
0:25:00 > 0:25:02I'm sorry.
0:25:02 > 0:25:03Stop saying sorry.
0:25:08 > 0:25:09Arthur?
0:25:09 > 0:25:11Arthur!
0:25:11 > 0:25:12Arthur!
0:25:14 > 0:25:16Arthur!
0:25:17 > 0:25:20Arthur? Does he wander off a lot?
0:25:20 > 0:25:24- I don't know.- Don't you think you should know?- I'm on cover!
0:25:24 > 0:25:25Arthur?
0:25:26 > 0:25:28Sorry I got you in trouble.
0:25:28 > 0:25:29It's OK.
0:25:29 > 0:25:32- Your boss is a battle-axe. - She's fine.
0:25:32 > 0:25:35It's not your fault if she's not put enough staff on, is it?
0:25:35 > 0:25:37Listen, we're in the same boat.
0:25:37 > 0:25:39Guess who's going to get it if we don't find Arthur.
0:25:39 > 0:25:42It's never the bosses, is it?
0:25:42 > 0:25:43Yeah, I know.
0:25:43 > 0:25:45- Arthur!- Arthur?
0:25:47 > 0:25:50CAR HORNS
0:26:10 > 0:26:13- Right, no more messing. What's your home address?- Why?
0:26:13 > 0:26:15You going to beef cos I ain't from your ends?
0:26:15 > 0:26:18I'm afraid I've no idea what you're saying.
0:26:18 > 0:26:21So what? I ain't talking to you, you waste.
0:26:21 > 0:26:23Look, just because you talk like some big gangster doesn't deny
0:26:23 > 0:26:26the fact that you're a actually a vulnerable young girl.
0:26:26 > 0:26:29So let's drop the scary act, OK? You're underweight
0:26:29 > 0:26:32and if I don't get some details now, you're going to slip
0:26:32 > 0:26:35through the system, and I won't let that happen.
0:26:35 > 0:26:37Just say the word, and I can call someone for you.
0:26:39 > 0:26:42OK, mystery man, let's play the yes-or-no game.
0:26:42 > 0:26:45You don't want treatment?
0:26:45 > 0:26:47Are you in pain?
0:26:47 > 0:26:49Is there anything I can say that will get you to cooperate?
0:26:49 > 0:26:53- I'm leaving. - No, you need to stay where you are. Social services have assessed you.
0:26:53 > 0:26:55- We can't let you go off on your own. - You can't keep me here.
0:26:55 > 0:27:00As well as being underweight you are displaying signs of bulimia nervosa.
0:27:00 > 0:27:02Do you know what that is?
0:27:02 > 0:27:04We see a lot of young girls like that,
0:27:04 > 0:27:09unable to help themselves. She's just scared, I imagine.
0:27:09 > 0:27:12What will happen...what, if she doesn't help herself?
0:27:12 > 0:27:14Long-term health issues. Care system.
0:27:15 > 0:27:18Prison...worse.
0:27:18 > 0:27:21Fair to say she's still being resistant.
0:27:21 > 0:27:25We'll have to move her out. Can we get the relatives' room cleared?
0:27:25 > 0:27:27- She can't go far without her clothes.- Exactly.
0:27:27 > 0:27:30Pervert.
0:27:30 > 0:27:31Unflappable?
0:27:31 > 0:27:32Unflappable.
0:27:40 > 0:27:41OK, John. Good.
0:27:55 > 0:28:00"Holby control to 3006. 3 Medallion Mansions. Mare Street.
0:28:00 > 0:28:03"Male child with possible breathing difficulty."
0:28:03 > 0:28:053006 to Control. Received that, we're on our way. Over.
0:28:10 > 0:28:13- You OK?- Yeah. It's Dave.
0:28:13 > 0:28:16We had plans this weekend, but he's forgot he's on a stag do.
0:28:16 > 0:28:17He's away quite a lot, isn't he?
0:28:17 > 0:28:19Yeah, I suppose he is.
0:28:24 > 0:28:26He's got me a spa day to make up for it.
0:28:26 > 0:28:29Ah, that old chestnut. He's guilty.
0:28:29 > 0:28:32- He hasn't got anything to be guilty for!- Maybe not.
0:28:32 > 0:28:34But deep down he knows he's not giving you enough of what you need.
0:28:34 > 0:28:36And what is it that I need, Jeffrey?
0:28:36 > 0:28:38A bit more TLC!
0:28:38 > 0:28:39I tell you something,
0:28:39 > 0:28:43if you were my fiancee, I wouldn't leave you alone for five minutes!
0:28:48 > 0:28:49Whoa, Jeff!
0:28:53 > 0:28:56WHIMPERING
0:28:59 > 0:29:03Hello, hello, can you hear me? Jeff, it's the guy from before.
0:29:03 > 0:29:04All right, I'll radio in.
0:29:04 > 0:29:06Can you squeeze my hand, please?
0:29:06 > 0:29:093006 to control. We've come across a running call.
0:29:09 > 0:29:11An elderly male. Looks like he has a bit of a head injury.
0:29:11 > 0:29:15Can you send another ambulance to our original shout, please? Over.
0:29:15 > 0:29:18- All right, don't worry. We'll get you sorted, all right? - Grab the kit. I'll be back.
0:29:18 > 0:29:21Try to relax for me, please. Try to relax for me.
0:29:24 > 0:29:27This is Arthur. We picked him up as a running call.
0:29:27 > 0:29:30He might have been KO'd. His GCS was 15 when we got there.
0:29:30 > 0:29:35All right, mate. BPs 180 over 100, pulse 100. Sats are 97.
0:29:35 > 0:29:37Given him 750 of saline so far.
0:29:37 > 0:29:41All right. Can you let Dr Hanna know we've retrieved our missing patient?
0:29:41 > 0:29:44Arthur, we've been looking for you. Where was he found?
0:29:44 > 0:29:46We found him on the side of the road in a gutter.
0:29:46 > 0:29:48What?
0:29:48 > 0:29:49OK, mate. Nearly there.
0:29:49 > 0:29:54- He's going to need a head CT. - You'll never give him a CT without sedating him.- All right, Arthur.
0:29:54 > 0:29:59We're going to lower you down and lift you over. One, two, three.
0:29:59 > 0:30:02All right, well done. We need to get a second IV line in,
0:30:02 > 0:30:05- blood gasses, clotting, LFTs, Us and Es.- Thank you.
0:30:05 > 0:30:08Small dose of midazolam.
0:30:08 > 0:30:10He's frightened out of his wits.
0:30:10 > 0:30:13I feel sorry for him. He shouldn't have had me looking after him. He needs people he knows.
0:30:13 > 0:30:17Wasn't there something at the house to calm him down?
0:30:17 > 0:30:21- You'll do. I need you to hold him down.- I'm really not allowed. - Now, please.
0:30:21 > 0:30:25Ow! It's all right, I'll take the blame.
0:30:25 > 0:30:29Just need to give him some kind of chance. All right, Arthur.
0:30:29 > 0:30:30OK, team?
0:30:32 > 0:30:34All right, nearly there.
0:30:35 > 0:30:40No, Arthur. Come on. We nearly had it then.
0:30:40 > 0:30:41Come on, it's all right.
0:30:41 > 0:30:44MUSIC: "I'm Still in Love With You, Girl" by Alton Ellis
0:30:51 > 0:30:56# I'm still in love with you, girl
0:30:56 > 0:31:00Sorry, I should have thought earlier. We'd never be in this mess.
0:31:00 > 0:31:04Hey! You like the music, Arthur?
0:31:04 > 0:31:05Good music.
0:31:07 > 0:31:10It's good to have you with us.
0:31:10 > 0:31:11Let me go.
0:31:14 > 0:31:15Let me go.
0:31:18 > 0:31:19Let me go.
0:31:33 > 0:31:35I believe you recently had some bad news?
0:31:36 > 0:31:38Stage four gastric adenocarcinoma.
0:31:38 > 0:31:42Which I assume is the cause of your symptoms.
0:31:47 > 0:31:53Is it fair to say that...your continued silence and refusal to be
0:31:53 > 0:31:56treated is because of the seriousness of your prognosis?
0:32:03 > 0:32:05John, I don't specialise in oncology,
0:32:05 > 0:32:09and I can only imagine the level of pain you're in,
0:32:09 > 0:32:13but I have been around cancer a lot
0:32:13 > 0:32:16and no-one is beyond help.
0:32:16 > 0:32:18Let me treat you, or at least help you get onto a ward.
0:32:27 > 0:32:29Please! You mustn't just give in.
0:32:33 > 0:32:34OK.
0:32:47 > 0:32:49HE FITS
0:32:49 > 0:32:50Stop! Stop, Stop.
0:32:53 > 0:32:54Pupil's blown.
0:32:54 > 0:32:57Right, let's get him back into Resus. Coming through.
0:32:57 > 0:33:01BP's 200 over 110. He's bradycardic and his breathing's irregular.
0:33:01 > 0:33:05Could be an intracranial bleed. We need to call the neurosurgeons. Dr Hardy?
0:33:05 > 0:33:06- Yes.- Help, please.- Yes, course.
0:33:06 > 0:33:10We're going for a rapid sequence induction.
0:33:10 > 0:33:12Should we? He indicated he wanted to be allowed to die.
0:33:12 > 0:33:15- Was he of sound mind? - He said "Let me go".
0:33:15 > 0:33:17He could have meant "Get off me".
0:33:17 > 0:33:20Please try. It was my fault.
0:33:20 > 0:33:23He grabbed me and I had to fight him off. It's how he fell.
0:33:23 > 0:33:25And it's how he ended up in here.
0:33:25 > 0:33:27So please just do everything you can to save him.
0:33:29 > 0:33:30We continue.
0:33:35 > 0:33:38SIREN WAILS
0:33:48 > 0:33:50I thought we'd have sorted this by now.
0:33:50 > 0:33:52I tell you what, give us the paperwork.
0:33:52 > 0:33:56I'll pop in and see if we can get somebody to look at him out here.
0:33:56 > 0:33:57He's not settling, is he?
0:34:18 > 0:34:19That's two minutes.
0:34:24 > 0:34:27BREATHLESS: Come on, Arthur, you do it for us.
0:34:27 > 0:34:29Right, the neurosurgery team are on their way.
0:34:29 > 0:34:31I think they've had a wasted journey.
0:34:32 > 0:34:34You take over.
0:34:43 > 0:34:44What?
0:34:46 > 0:34:48SIREN WAILS
0:34:48 > 0:34:50OK, got it.
0:34:50 > 0:34:54Let's get him straight into Resus. I told you to stay.
0:34:54 > 0:34:56- His inhaler ran out. - He's very, very hot.
0:34:56 > 0:34:58Mind your backs, please, folks, coming through.
0:34:58 > 0:35:02Come on, out of the way, please.
0:35:04 > 0:35:06I think it's meningitis.
0:35:07 > 0:35:11What did you just say it was? What's up with him?
0:35:11 > 0:35:12It's suspected meningitis.
0:35:12 > 0:35:14The best thing you can do is hang back
0:35:14 > 0:35:17and let us get him sorted. All right?
0:35:17 > 0:35:19Right, this is meningococcal septicaemia,
0:35:19 > 0:35:22we need to be fast and efficient here, guys, yeah?
0:35:22 > 0:35:24I need some cefotaxime 80mg.
0:35:24 > 0:35:28And I need a BM and can we get some fluids in, 20mg.
0:35:28 > 0:35:32- Charlie, we need to get a line in. How are we doing?- Not looking good.
0:35:32 > 0:35:34No, we're going to struggle to find a vein here.
0:35:34 > 0:35:36- Stand by with the IO gun.- Yeah.
0:35:42 > 0:35:46BEEP
0:35:51 > 0:35:53How long?
0:35:55 > 0:35:57- How long?- I'm not sure, sorry.
0:35:57 > 0:35:58About an hour.
0:35:58 > 0:36:01BEEP CONTINUES
0:36:06 > 0:36:08Call the neurosurgeons.
0:36:15 > 0:36:17Time of death, 12:33.
0:36:19 > 0:36:20(Good night, old man.)
0:36:24 > 0:36:25Right, we should talk.
0:36:40 > 0:36:42When you said you had to fight him off...
0:36:42 > 0:36:44No, I didn't mean like hit him.
0:36:44 > 0:36:47There was a big bang and he lost the plot.
0:36:47 > 0:36:49I tried to get him off me and he lost balance.
0:36:49 > 0:36:53Well, the graze on his scalp doesn't factor in his death, so...
0:36:55 > 0:37:00- I will have to put it in my report, what you said.- That's fair enough.
0:37:00 > 0:37:02You should never have been asked to care for him.
0:37:02 > 0:37:05Tell me about it.
0:37:05 > 0:37:07I will also be very clear about what happened here tonight.
0:37:07 > 0:37:10Sorry?
0:37:10 > 0:37:11You're not the only one at fault.
0:37:13 > 0:37:16This emergency department failed him.
0:37:16 > 0:37:19He should have never been left in a wheelchair unsupervised.
0:37:21 > 0:37:23Basically, he shouldn't have died.
0:37:23 > 0:37:25Wouldn't that mean you get into trouble?
0:37:25 > 0:37:27Not me, personally, no.
0:37:30 > 0:37:34If I were you, I would find somewhere else to work from.
0:37:34 > 0:37:36Yeah. Thanks.
0:37:51 > 0:37:53Hey.
0:37:56 > 0:37:59- You did your best for him.- Yeah.
0:37:59 > 0:38:02So did the hospital. That won't stop people getting into trouble.
0:38:03 > 0:38:05We just do what we're told.
0:38:18 > 0:38:20This is Carly Dobie.
0:38:20 > 0:38:23I'm leaving a message to let you know what happened tonight.
0:38:23 > 0:38:26I should never have been sent to that job.
0:38:31 > 0:38:32Oi!
0:38:32 > 0:38:34I'm getting naked here.
0:38:37 > 0:38:39What is it with everyone?
0:38:39 > 0:38:41I don't need help.
0:38:41 > 0:38:43I just need to enjoy my thing.
0:38:49 > 0:38:51Nothing a bit of lippy can't fix. Now, move.
0:38:51 > 0:38:53HE COUGHS
0:38:53 > 0:38:55Get off me.
0:38:56 > 0:39:00Look at the state of you! You couldn't stop me if you tried!
0:39:02 > 0:39:04I want to go.
0:39:07 > 0:39:08Aargh!
0:39:08 > 0:39:10RAPID BEEPING
0:39:10 > 0:39:13- Anything?- No, let's give him another milligram of adrenaline, please.
0:39:18 > 0:39:20They're doing everything they can for him, you know.
0:39:20 > 0:39:24I didn't think he was this bad. I wouldn't have left.
0:39:24 > 0:39:27They kept us waiting. And I have to work.
0:39:28 > 0:39:30It isn't just my fault.
0:39:32 > 0:39:34RAPID BEEPING
0:39:40 > 0:39:41- BEEP - That's VF.
0:39:41 > 0:39:43OK, let's stand by to shock.
0:39:45 > 0:39:48OK, charging, stand clear.
0:39:48 > 0:39:50Shocking.
0:39:53 > 0:39:56Nothing. Let's go again. Charlie, resume CPR.
0:39:58 > 0:40:02Right, charging, stand clear. Shocking.
0:40:02 > 0:40:05BEEPING REGULATES
0:40:05 > 0:40:08- Sinus rhythm and a decent pulse. - Right, get onto paediatric ICU,
0:40:08 > 0:40:11this is one patient they are going to take.
0:40:11 > 0:40:13BEEPING CONTINUES
0:40:17 > 0:40:18Ethan.
0:40:18 > 0:40:19Are you all right?
0:40:19 > 0:40:22You know the patient, John, what colour would you say his blood was?
0:40:22 > 0:40:24Is that a trick question?
0:40:24 > 0:40:27No, but if gastric adenocarcinoma was causing the bleeding,
0:40:27 > 0:40:29I would have expected it to be darker and flecked.
0:40:29 > 0:40:31And if was haematemesis,
0:40:31 > 0:40:34then it wasn't looking like coffee ground vomit.
0:40:34 > 0:40:39- I'm still drinking, but thank you. - Excuse me. Sorry to interrupt.
0:40:39 > 0:40:41I'm Imogen. Immy.
0:40:41 > 0:40:44- You need to see the man.- Which man?
0:40:44 > 0:40:47He's done something really bad to himself. He's not well at all.
0:40:52 > 0:40:54John. John, can you hear me?
0:40:54 > 0:40:57- All right, I need to have a look at you, OK?- I'll give you a hand.
0:40:59 > 0:41:02Imogen, isn't it? What happened?
0:41:02 > 0:41:04He needs to look in the man's mouth.
0:41:05 > 0:41:08Can you open your mouth for me, please?
0:41:08 > 0:41:11The blood isn't from your tumour, is it? You're hiding something.
0:41:16 > 0:41:17Please.
0:41:28 > 0:41:30- Flappable. Very much flappable.- Why?
0:41:34 > 0:41:37- At the flats, there was a report of an explosion.- Yeah.
0:41:37 > 0:41:39I think I know what that was.
0:41:46 > 0:41:50Hey, thanks, guys. We'll follow him up shortly.
0:41:52 > 0:41:54- See you later.- He's in safe hands.
0:41:57 > 0:41:59Meningitis is a very tricky disease to diagnose
0:41:59 > 0:42:03before any clinical symptoms develop.
0:42:03 > 0:42:05And I really wish that I'd had the chance
0:42:05 > 0:42:07to fully examine your son earlier.
0:42:07 > 0:42:09But I totally appreciate that you were made to wait
0:42:09 > 0:42:12an inordinate amount of time.
0:42:12 > 0:42:15And I can't say that we'd have been able to detect anything then anyway.
0:42:15 > 0:42:19But I do understand if you want to make a complaint about the wait.
0:42:19 > 0:42:22I only ask that you implicate me, not my staff.
0:42:22 > 0:42:25Just me. Dr Hanna.
0:42:25 > 0:42:27- Clinical...- Thank you.
0:42:29 > 0:42:31I just want to say thank you.
0:42:38 > 0:42:41Crikey. Night of the living dead.
0:42:42 > 0:42:44Yeah. Literally.
0:42:44 > 0:42:45Shut up!
0:42:45 > 0:42:49- Is that a bullet? - Police found it in the stairwell.
0:42:49 > 0:42:51When it went off, to everyone hearing it,
0:42:51 > 0:42:53- it sounded like an explosion. - Did he make it?
0:42:53 > 0:42:56Oh. Stupidest question of the day. Sorry.
0:42:56 > 0:42:59Surgery don't know how he was still alive. I don't think he did.
0:42:59 > 0:43:02He was pretty surprised to have an extra couple of hours.
0:43:02 > 0:43:04Well, I'm pleased he did. He got Immy to see sense.
0:43:04 > 0:43:06Yeah.
0:43:06 > 0:43:10- What a challenging night. Well done, everyone.- Is the child OK?
0:43:10 > 0:43:13He's stable. Hopefully he'll pull through.
0:43:13 > 0:43:16Our PICU have a great success rate with meningitis.
0:43:16 > 0:43:19It's nights like these that the vulnerable slip through the cracks.
0:43:19 > 0:43:23And considering, we did everything we could, we did well.
0:43:23 > 0:43:26You're dammed if you do, damned if you don't, Zoe.
0:43:26 > 0:43:28Anyway, I'm going for some breakfast.
0:43:28 > 0:43:32- Does anyone want to join me? - I wish. I'm back on in a minute.
0:43:32 > 0:43:34- I've got paperwork to do. - Ditto. Sorry.
0:43:38 > 0:43:41About Mr Swanley, it was unfortunate.
0:43:41 > 0:43:44No, Zoe, it was more than that.
0:43:44 > 0:43:47Thank you for your help tonight, Max, it was much appreciated.
0:43:47 > 0:43:49That's OK.
0:43:51 > 0:43:53You know, somebody once told me
0:43:53 > 0:43:55that their favourite meal of the day is breakfast.
0:43:55 > 0:43:57Yeah, well.
0:44:12 > 0:44:16- How's he doing?- I wanted to get the doctor's name. I can't remember it.
0:44:16 > 0:44:19I've got to prove what happened, for work.
0:44:19 > 0:44:21They want to sack me for abandoning my post.
0:44:21 > 0:44:25It was Dr Hanna that treated him. They can do that? They can sack you?
0:44:25 > 0:44:27Probably. Who cares?
0:44:27 > 0:44:30As long as my little lad's all right, they can do what they want.
0:44:30 > 0:44:31Yeah.
0:44:31 > 0:44:32It's only money, isn't it?
0:44:43 > 0:44:48Hello, Nat. Yeah, I'm coming home. Can you wait in for me?
0:44:48 > 0:44:51There's something I really need to talk to you about.
0:44:51 > 0:44:53Yeah, I've been a proper wally, love.
0:44:58 > 0:45:00SHE SIGHS DEEPLY
0:45:22 > 0:45:25So, nobody noticed a journalist taking photographs?
0:45:31 > 0:45:34Guy, you could have driven a bus through reception
0:45:34 > 0:45:35and we wouldn't have noticed.
0:45:36 > 0:45:39But at least it saves me from telling you what happened.
0:45:42 > 0:45:44How did it get so bad?
0:45:44 > 0:45:46I mean, there were no major incidents,
0:45:46 > 0:45:48no major road accidents, no adverse weather...
0:45:48 > 0:45:51You know what, it would have been better if there were.
0:45:51 > 0:45:54At least we would have had extra resources, priority over beds,
0:45:54 > 0:45:55more staff.
0:45:58 > 0:46:02Tonight, a man died because of poor managerial decisions.
0:46:02 > 0:46:03And what would you have done?
0:46:03 > 0:46:04Diverted.
0:46:06 > 0:46:08- Then, no dead patient and no headline.- (Right.)
0:46:12 > 0:46:14Is this you offering to captain the ship?
0:46:17 > 0:46:18I have to go.
0:46:18 > 0:46:19Connie?
0:46:19 > 0:46:22I cannot let this happen again.