Falling Casualty


Falling

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Transcript


LineFromTo

This ship needs a reliable captain at the helm, or it will sink.

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I'd better get on.

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-You should smile more often.

-That's a really lame line.

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If I feel conditions are not safe for the patient

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I will have to call Guy.

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Fine, call him.

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If you want to make a complaint, I only ask that you implicate me,

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Dr Hanna.

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-What are you doing after work?

-Last time

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you wore me out. I need a quiet

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night in. We'll do it again soon,

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I promise.

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A man died because of poor managerial decisions.

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I cannot let this happen again.

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MUSIC: "Casualty Theme"

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Should've closed earlier. Given ourselves a breather.

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We all knew we couldn't cope.

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Well, that was Zoe's decision.

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Do you know what? Then she should defend it. Defend us.

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I've had four patients have a go already.

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Fletch, now is not the time nor the place. We're professionals.

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Try telling them that.

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You know what, I'm not the only one who feels like this.

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PHONE RINGS

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I come bearing doughnuts.

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Great(!)

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Anyone for a late-shift sugar injection?

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-I just need to...

-No.

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Hang on. Ethan.

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-Ignore it. Not our problem.

-Doesn't look like it's hers, either.

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Can I tempt you with a doughnut?

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Oh, no, thank you, I am more of a cheese man.

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Boo!

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THEY LAUGH

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Ah, man, it's so good to see you.

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-You too.

-What did you tell Mum?

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Just that I wanted to get home. Here.

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Yes!

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Anyone ask about me?

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Sorry.

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Don't worry. I made mistakes all the time as an F2.

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I once told a patient she had an abnormal lover function.

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She was a nun.

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Oh!

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Oh, I've got that article you wanted on acetylcysteine and contrast induced nephropathy.

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I thought we could go through it tomorrow evening, maybe get a takeaway?

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If you wouldn't mind?

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No, not at all. It's a date.

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Not a date, date.

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-Just seen it.

-Undercover journalist at the weekend.

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No mention that the young boy is now recovering.

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But then that wouldn't make a good story, would it?

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And do you know about the inquiry?

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No.

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Obviously not spoken to Guy.

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The Trust are interviewing all senior staff

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-to find out what happened on Saturday.

-I know what an inquiry is.

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Well, then, you'll have it all in hand.

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Hello, darling, how are you?

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Good. It's Grandad.

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Happy birthday, love.

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Thanks, Dad.

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We were about to eat. If you'd like some...

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No time for that. Get your coats.

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Mick's just cooked, Dad.

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Reheat it. It'll keep. This won't. I'll fix that later.

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C'mon Rosie, coats!

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I'm going to punch him. Seriously.

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-And he'd punch you back. Harder. We can eat later. Please?

-OK.

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Come on, love!

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If you ever need anything, you can always ask me.

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Always happy to help a junior colleague.

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Not that you often need it, though, but...

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Lily...

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So...

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..how about we go out?

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You and me?

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Like a date?

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Candles, tablecloth, more than one fork...

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I don't think so.

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Lily, wait up, listen.

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You're the smartest woman - person, I've ever met,

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and I want to say sorry for not treating you like that.

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So let me take you out.

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You can order the most expensive meal on the menu.

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What if I want to throw it in your face?

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Then I'll bring a spare shirt.

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I'll throw it in my own face... Please? Just...

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..let me make it up to you.

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How about tomorrow night?

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I said I'd see Ethan.

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Yeah, but he won't mind, will he,

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it's not like that was a date, or anything?

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I mean, not that this is. Unless you...

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Let me speak to him first.

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Woo-hoo!

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Uncle Des would have loved this.

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I should've come and seen you.

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I'm out now.

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Mum said you didn't want us to come visit.

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Was it really that bad?

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Not worth coming all that way just for an hour.

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It was a good laugh, you know? The lads inside were full of banter.

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Crack you right up.

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But a pretty boy like you...

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..you wouldn't last two minutes.

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RINGPULLS SNAP CANS FIZZ

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Hey. To Uncle Des.

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How did I do?

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Dad, this is amazing, thank you so much.

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It must have cost you a fortune.

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Well, you said you always wanted to fly.

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It's so cool.

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Are you OK, Mr McCardie?

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We'll let you know as soon as your X-rays come through.

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Right, next.

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Ethan! Gloves!

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Sorry.

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Concentrate! And not on Cal and Lily!

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You've done nothing but stare at both of them.

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She had had a lucky escape. But now he's going in for the kill.

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Cal's asked Lily out.

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And you're jealous?

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He's only doing it to get at me. Because she's my friend.

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It's what he always does. She's not even his type.

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-Well, Lily's a grown-up. The X-rays.

-PHONE RINGS

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Holby ED.

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GUNSHOT

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ROCK MUSIC PLAYING IN BACKGROUND

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GUNSHOT

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HELICOPTER APPROACHES

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No!

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No!

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GUNSHOT

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GLASS SMASHES

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GIRL SCREAMS

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-Rosie!

-Dad! Help!

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GIRL SCREAMS

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Jess!

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Mum!

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SHOUTING

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MUFFLED: Spence!

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Spence!

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Spence!

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Thank you. Thank you, very helpful.

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-Zoe?

-Yeah.

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So, you've talked to Guy Self?

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No, I haven't had a chance yet, I'm still trying to clear resus.

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Connie can do that. Ethan can do that.

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You're meant to be our clinical lead.

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I am clinical lead.

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You do remember that I inherited this role, Charlie?

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I'm doing my best! What the hell am I meant to do?

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Do it better!

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Demand more support.

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Oh, it's as easy as that, is it?

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Do your job. Just do your job.

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Oh, that's unfair.

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Yeah, I need to speak to Guy.

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No, I need to speak to him now.

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PHONE RINGS

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Well, I suppose I'll have to hold.

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PHONE CONTINUES RINGING

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Holby ED.

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Mm-hm.

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OK, yeah, I'll have a doctor ready. Thank you.

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Lily?

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They need a doctor at a helicopter incident.

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So, can you inform the team that I'll be going?

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I'll be sending you updates

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and can you make sure resus has some space, please?

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-Zoe...

-Oh, you're talking to me now?

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I am, so it's probably a good idea if you listen to me. Shouldn't you be sending someone else?

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You do your job, I'll do mine.

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Spence, Spence, what are you doing?

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We need to get out of here.

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Spence... Spence!

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Are you listening to me? You shot it. You.

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Spencer!

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COUGHING

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-Rosie?

-Mum!

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Rosie, listen. You need to go and get help, OK?

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Help! Help!

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Someone help me!

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Spence, stop!

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It's OK, it's OK.

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I've got you, I've got you, I've got you.

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Come on.

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Spence, Spencer!

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-I've got you. You're all right.

-Come on.

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There are a lot of people inside. You have to help them.

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-OK, how many are there?

-I don't know.

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Can you take care of this, please?

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Got the pilot here, Jeffery.

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I don't know, mate. I think we'll have to get in from the top.

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I reckon.

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Whoa! Whoa!

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Think we need a better plan.

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You can't trust him. He's only doing it to wind me up.

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So, he doesn't actually like me?

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No... I'm just saying, you need to be careful.

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I don't want you to get hurt.

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-Mrs Beauchamp, they requested a doctor at the incident.

-OK.

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-Dr Hanna's attending.

-She what?!

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Charlie, once we get an update on the ETA can we have you in resus?

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You too, Ethan. I'll team lead on the major trauma.

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Right, Tess, that's you and me in resus.

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This is called a rag because it should be in the bin!

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Mac, where's Jeff? I need an update.

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He's with the pilot, he's our priority at the moment.

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Jeff is concerned about a threatened airway.

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There's three in the back.

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One lady, Jessica, is trapped, but we really can't get in there

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so we're not sure what's going on.

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Also Rosie, the young lady,

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she climbed out with the help of some boys.

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Pretty minor injuries.

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OK. Jeff, is this the guy with the threatened airway?

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Yes. His GCS has dropped to six.

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We need to get him out ASAP really.

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OK, I'll tube him.

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Why haven't they got the top off?! We need to get them out - we're wasting time!

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The cliff face is unstable, and could go at any minute.

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If it does, and that door's open, we'll be carrying out bodies.

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Hey.

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I'm not going on my own. I can't leave them.

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Sweetheart, you won't be on your own. These'll come with you.

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Won't you, lads?

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But we're fine. Just a couple of cuts.

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No, no. You need treating. He's clearly in shock.

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Besides, it'll help me get Rosie in. So, if you don't mind?

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Thank you.

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Come on, sweetheart.

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Lily.

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Are you avoiding me?

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Ethan says you're not interested in me.

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And you asked me out to get at him.

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One word.

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Jealous.

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You know how I feel about you.

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I think I've made that obvious.

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Keep your nose out of my business, all right?

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Ah. First patients en route. Resus please. You too, Ethan.

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Let transfusion know they may get code red calls when they arrive.

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Thank you.

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Cricoid off.

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Yes, SATS rising already.

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Call ahead to the ED, tell them we're on our way, yeah?

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Zoe? Sorry. We're getting ready to move Jessica.

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Do you think you can look at her for us, please?

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-Any problems, you let me know.

-All right. Thanks, Zoe.

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I can't get out, Dad. I need to move.

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I can help you. I'll help you, yeah?

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If you move, you'll just crush Jessica!

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How the hell is that going to help?

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Help!

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We need some help!

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Help!

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-All clear.

-OK, let's do this then!

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Right, good to go, yeah?

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Thanks.

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Right, boys, let's get this door off.

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OK, Jessica? I'm a doctor. I'm going to pass you some Entonox,

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it's just like gas and air.

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How are you getting on in there?

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I think I might have broken my neck.

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My arm's gone numb. That's a sign, isn't it?

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They said so in the Force.

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We don't know that yet.

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Jessica, is that any better?

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Yeah.

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Right, ready?

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Gerry, you're first, mate.

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My neck.

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Gerry, listen, mate. This cliff could come down on us any minute.

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You want us to get Jessica out, don't you?

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-Of course I do.

-OK, you're first then.

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I'll put this harness on you, OK?

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Don't go anywhere. You're not going anywhere, are you?

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I'll stay.

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What good will that do?

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-The quicker we move, the quicker they can get Jessica out.

-Yes.

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You have to get out. She won't be on her own.

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Once you're out, I'll climb in, OK?

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Right, Gerry.

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We're going to get ready to lift you now, OK? Get ready.

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WHISTLE BLOWS

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SHOUTING

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-Jeff, are you all right?

-Yeah. Fine, yeah.

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Right, OK, let's do this, shall we?

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Gerry, you're going to come with me, mate.

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Jessica, let go of his hand, yeah? We have to move quickly.

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We have to tell them.

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Don't you dare say anything.

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If we just tell them what happened.

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I mean, it's going to be bad but...

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But what?

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Hiya.

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They're ready to see you now.

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OK, Zoe, take your time, mate. It's slipping.

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OK, nice and slowly.

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All right?

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OK, I'm going to drop you in now.

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Good girl.

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All right. Down you go.

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OK, Jessica.

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I'm just going to check you over before we get you out, OK?

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-You'll have to work fast. Just a quick once over, all right?

-OK.

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WHISTLE BLOWS

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-Jessica!

-Whoa, easy. Keep that neck straight, all right?

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Good man. Nice and calm. We'll get her out as quick as we can.

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How are you doing, boys?

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Good man.

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Zoe, you need to get out of there, mate!

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-Just hang on, Jeff.

-No, you have got to stay in.

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SHOUTING

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Right, Zoe, you need to get out of there now!

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-No, no.

-Right, let's shift him.

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PANICKED SHOUTING

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-Jessica's still in there!

-Jeff, go! Just go!

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Zoe, get out of there now!

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Right, what have we got?

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This is Rob, the pilot. Took the brunt of the crash.

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Severe head injury, fractured right shoulder, chest and legs.

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He was unconscious when we arrived.

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GCS six, pulse 120, SATS 96,

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BM seven, BP 100 systolic.

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On three, two, one.

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Dr Hanna RSId him at scene with ketamine and sux.

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Maintained on a propofol infusion with a bolus of panc before we left.

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Let's check the tube placement. Cal, a "B & C" assessment.

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OK. We've equal air entry. Saturating well.

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BP's holding.

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Tess, would you give theatre the heads up?

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Tell them we'll get him up there as soon as we can.

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Zoe should've come in with him.

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Jeff insisted she stay with another patient.

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You haven't heard? Zoe's trapped in the helicopter.

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OK, let me know soon as, Jeff. OK?

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They're going to get us out of here as soon as possible.

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How are you doing?

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It hurts.

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Everything hurts.

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I'm going to struggle to find a vein to get any fluids in here.

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Yeah. So, what I'm going to do is I'm going to use a special drill.

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That gets the medication straight into the bone.

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What?!

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Keep talking to me, Jessica.

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Mick says I'm the worst person he knows around needles.

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Well, what does Mick know?

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DRILL WHIRRS

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Well done, well done.

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It's my birthday today.

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It's my mum's birthday today.

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Makes you on the cusp of Cancer.

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Yeah. I read somewhere that means we're really crabby and moody.

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They're also very tenacious and very tough.

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That's perfect for right now.

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I hate to break it to you but this is really going to hurt.

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SHE WHIMPERS

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There must be news about Jessica. You must have heard something.

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We'll let you know as soon as we do hear anything.

0:20:420:20:45

For now, we've got to get you off for your CT scan, OK?

0:20:450:20:48

You tell me first. Right? Me.

0:20:480:20:52

I'm her next of kin.

0:20:520:20:53

OK.

0:20:530:20:54

Don't worry, you're her partner. We'll tell you straightaway.

0:20:580:21:01

-I need to see Rosie.

-She's still in X-ray, I'm sorry.

0:21:010:21:04

Can you swing your legs round for me, please?

0:21:040:21:06

Although your neck's been cleared, we need to X-ray these ribs.

0:21:060:21:09

I need to see her. Do something.

0:21:090:21:11

Anything.

0:21:110:21:12

I need to tell her about Jessica.

0:21:120:21:14

Come on, they'll get them out. No news is good news. Right?

0:21:140:21:17

Yes.

0:21:180:21:19

Right.

0:21:220:21:24

Big breath for me.

0:21:240:21:26

We're trapped, aren't we?

0:21:300:21:32

I prefer the term "mildly inconvenienced".

0:21:320:21:35

You shouldn't really have stayed, with me, should you?

0:21:350:21:38

Maybe not, but you needed me.

0:21:380:21:41

And you needed me more than you needed anyone else.

0:21:410:21:45

Some birthday treat, huh?

0:21:450:21:47

Give me a deep breath.

0:21:490:21:50

Are you a smoker?

0:21:540:21:56

The odd one here and there.

0:21:560:21:58

You're doing better than me.

0:21:580:21:59

But that's definitely not going to happen today.

0:21:590:22:02

Whoa, try not to move that, try not to move that.

0:22:020:22:05

Everything hurts. I just want to get out of here now.

0:22:050:22:08

I know, I know.

0:22:080:22:09

We just don't know how safe it is to move this yet.

0:22:090:22:11

Do you want to take a seat on the bed for me?

0:22:130:22:16

How long is this going to take?

0:22:170:22:19

Only it's our uncle's wake and they're expecting us.

0:22:190:22:22

I'll be as quick as I can.

0:22:220:22:24

Is there anyone you'd like me to call for you?

0:22:240:22:26

What happened?

0:22:310:22:33

You can't show me that and then not say anything.

0:22:350:22:39

You said it was fine inside. You said that...

0:22:390:22:41

You don't know what it's like!

0:22:410:22:43

-You said it was full of banter.

-I lied.

0:22:430:22:46

You wouldn't last five minutes!

0:22:460:22:47

You can't even do a youth club!

0:22:470:22:49

Right, we're nearly through to you now, princess.

0:22:510:22:53

Prepare for a speedy exit, yeah?

0:22:530:22:55

Jeff, we could be looking at bilateral fractured femurs.

0:22:550:22:59

I haven't moved anything below the waist.

0:22:590:23:01

There could be a reperfusion reaction. Have a binder ready, OK?

0:23:010:23:04

Have you warned her about that? I would if I was you.

0:23:040:23:07

Yeah.

0:23:100:23:11

-OK, see you on the other side, yeah?

-Yeah, OK.

0:23:110:23:14

All right, come on fellas. Let's go, let's go, let's go!

0:23:140:23:17

Jess, they're going to be here any second.

0:23:190:23:22

It's going to be quick.

0:23:220:23:24

But we are going to have to take this off.

0:23:240:23:26

And?

0:23:270:23:28

It's going to hurt. I'm pretty sure you've fractured both legs.

0:23:280:23:33

And there's a possibility of pelvic injury.

0:23:330:23:36

I won't know how much damage there'll be until they take it off.

0:23:360:23:40

Am I going to die?

0:23:420:23:43

Not if I can help it, no.

0:23:450:23:46

This is going to make you feel a bit spaced out.

0:23:540:23:57

If, um...

0:24:000:24:02

I need you to tell Mick that I love him.

0:24:040:24:08

And, Dad's only like he is because Mum died

0:24:080:24:11

and he's totally lost.

0:24:110:24:14

Yeah?

0:24:140:24:15

I'm not leaving you.

0:24:180:24:20

I promise.

0:24:200:24:21

SCRAPING OVERHEAD

0:24:250:24:29

OK, good to go, yeah? All right, let's have this up.

0:24:320:24:35

OK, are you ready?

0:24:370:24:40

OK, you've broken three ribs.

0:24:420:24:45

We're going to get you some strong painkillers.

0:24:450:24:47

It's my fault.

0:24:490:24:50

If I'd been stronger.

0:24:510:24:54

Put my foot down.

0:24:540:24:55

Punched him.

0:24:550:24:56

Why didn't you? Not punch him, obviously.

0:24:570:25:00

Because I left.

0:25:010:25:03

I took the coward's way out.

0:25:030:25:05

I let him get his feet under the table.

0:25:050:25:07

I promised Jess...

0:25:090:25:11

Oh, Jess...

0:25:110:25:13

Look...

0:25:130:25:14

Look, you came back, didn't you?

0:25:140:25:17

If you feel that he bullies you, stand up to him.

0:25:180:25:22

Next time, say no.

0:25:220:25:24

I think I'd prefer to punch him.

0:25:240:25:27

Yeah.

0:25:270:25:28

Jessica's freed and on her way in.

0:25:310:25:33

And how are you? Are you OK?

0:25:370:25:39

Just a cut on my hand. She sorted me out.

0:25:390:25:42

Care to share the joke?

0:25:420:25:44

You wouldn't understand. It requires a sense of humour.

0:25:440:25:47

It was just about Mr McCardie.

0:25:470:25:49

Wow, that's appropriate! Laughing at the patients.

0:25:490:25:52

No! I obviously didn't mean you!

0:25:550:25:57

Are they arguing over Lily?

0:26:010:26:03

I don't know. I don't want to know.

0:26:030:26:05

I'm pretty sure someone's going to get hurt.

0:26:050:26:08

Take your time, take your time.

0:26:110:26:13

Well done.

0:26:130:26:14

Slowly, yeah?

0:26:140:26:16

Are you OK?

0:26:230:26:24

You didn't disappoint.

0:26:270:26:28

Right, let's have a look.

0:26:300:26:33

Your neurological examination is normal. So is your CT.

0:26:330:26:38

But...

0:26:390:26:41

I thought it was broken.

0:26:410:26:44

When I couldn't feel my hand.

0:26:440:26:47

You retired after suffering anxiety attacks.

0:26:470:26:51

Could have been useful to know.

0:26:510:26:53

I didn't think it was important.

0:26:530:26:56

You've been very lucky.

0:26:560:26:58

Can you move your hand for me?

0:26:580:27:00

I could've got out.

0:27:010:27:03

I could've helped Jess.

0:27:030:27:05

I don't understand what happened.

0:27:060:27:09

The pilot's stable and we're sending him up to theatre now.

0:27:170:27:21

The right femur's fractured. Her left tib and fib have gone too.

0:27:210:27:24

I'm concerned about her pelvis, which is why I've got a binder on.

0:27:240:27:28

GCS 14, pulse is 110, and her BP 140 over 80.

0:27:280:27:31

I've given her 20 of morphine and three of ketamine.

0:27:310:27:34

On three. One, two, three.

0:27:340:27:36

OK, can we get the monitoring on as soon as?

0:27:360:27:39

I will lead. Can you do primary survey, Connie?

0:27:390:27:42

Get her ready for a trauma scan.

0:27:420:27:43

Call ortho and tell them we'll need theatre space.

0:27:430:27:46

-Lofty, can you make sure CT are ready for us?

-On it.

0:27:460:27:48

Sure you don't want me to lead?

0:27:480:27:50

No, she's my patient.

0:27:500:27:51

How are you feeling?

0:27:530:27:55

I might not be able to go to the gym for a bit.

0:27:550:27:58

Maybe you should go bowling next year, eh?

0:27:580:28:00

Good air entry. Equal expansion.

0:28:030:28:05

No sign of a chest injury.

0:28:070:28:08

Zoe, Guy's PA called, he wants an update.

0:28:080:28:11

-I'm busy.

-Zoe!

0:28:110:28:13

All right, I'll talk to him.

0:28:130:28:15

How's the pilot doing?

0:28:150:28:17

Head injury is the main concern.

0:28:180:28:20

Shoulder CT was a real mess.

0:28:200:28:22

He has a nasty open humeral neck fracture.

0:28:220:28:25

The orthopods are going to take a look upstairs.

0:28:250:28:27

Can I have a look at that scan?

0:28:270:28:29

Jess, are you OK?

0:28:300:28:31

My legs. They're really painful.

0:28:310:28:33

We'll get you some more pain relief.

0:28:330:28:35

Can I have five of morphine?

0:28:350:28:37

We've been fine, thanks for your concern.

0:28:370:28:39

And I'm fine too. Thanks for yours.

0:28:390:28:41

What's that in the shoulder?

0:28:430:28:44

It's too dense to be bone. Is that metal.

0:28:440:28:48

Go back.

0:28:490:28:51

-Is that a bullet?

-What?

0:28:510:28:53

Right, let's check him. Log roll.

0:28:530:28:55

Look for exit and entry wounds.

0:28:550:28:57

You two are quite the heroes.

0:29:040:29:05

Yeah, we help old ladies with their shopping too.

0:29:060:29:09

So, do you know what happened?

0:29:090:29:11

No, no. We were too far away.

0:29:110:29:13

Where were you? On the cliff or something?

0:29:130:29:15

We were having... You know, a bit of bifter.

0:29:150:29:19

You were getting stoned at a wake?!

0:29:190:29:21

Sorry.

0:29:210:29:23

That's none of my business.

0:29:230:29:24

How will she cope?

0:29:240:29:27

I mean, when stuff like this happens,

0:29:270:29:29

even if you're not hurt, it can affect you up here.

0:29:290:29:33

You have to deal with it, right?

0:29:330:29:35

I'm sure she'll be fine.

0:29:350:29:37

But bad things don't just go away.

0:29:370:29:39

They stay with you.

0:29:390:29:41

They can make you do stupid things.

0:29:410:29:44

Well, getting stoned won't help.

0:29:460:29:51

Look, people deal with bad things in all sorts of ways.

0:29:530:29:57

I bet Robyn here likes to talk about it.

0:29:580:30:01

I have to. I talk about everything, me.

0:30:010:30:04

And me? I put it in a box.

0:30:040:30:06

I put the lid on and keep it shut.

0:30:080:30:10

And I never let it out.

0:30:100:30:12

Does that work?

0:30:120:30:13

I couldn't be a doctor otherwise.

0:30:130:30:15

Rosie will deal with it in her own way.

0:30:160:30:19

So will you.

0:30:200:30:21

I wasn't talking about me.

0:30:220:30:24

I'll be one minute, then you can go in after.

0:30:320:30:35

-No, she asked for me.

-She's my daughter.

0:30:350:30:38

The only reason she's in there

0:30:380:30:39

is because you had a mate do it on the cheap.

0:30:390:30:42

You insisted we go up.

0:30:420:30:43

I did it to give her something she'd enjoy!

0:30:430:30:47

After you walked out on her!

0:30:470:30:49

Why was that, eh? Couldn't take it?

0:30:490:30:52

Or did you have a bit on the side?

0:30:520:30:54

You want to know what it was?

0:30:540:30:55

I couldn't take you!

0:30:550:30:57

I can't stand you!

0:30:570:30:59

And you know what?

0:31:000:31:01

Neither can she!

0:31:010:31:02

Can I see her?

0:31:060:31:08

Yeah, of course you can. Jess, Mick's here.

0:31:080:31:11

I've spoken to the police about the gunshot evidence.

0:31:140:31:18

Nobody was expecting a bullet, Connie.

0:31:180:31:20

All right. Thank you.

0:31:200:31:22

-CT?

-Yeah.

0:31:230:31:25

I tell you what,

0:31:260:31:28

now I know how Mary-Jane Watson feels each time Spider-Man goes out.

0:31:280:31:31

-Are you OK?

-Yeah, yeah.

0:31:310:31:34

Thank you. For everything.

0:31:350:31:38

It's OK. I'll be taking her up for a CT now.

0:31:380:31:40

But you haven't told me how Rosie is yet?

0:31:400:31:42

Just bumps and grazes. She's fine. You're not to worry.

0:31:420:31:45

-Can Mick come?

-Yes, of course he can.

0:31:450:31:48

-You will come too, yeah?

-I'll be there.

0:31:480:31:50

Zoe, sorry can I have a word?

0:31:520:31:54

Guy needs you to talk to the press.

0:31:550:31:57

Our priority is to get Jess to CT and then up to theatre.

0:31:570:32:01

You can do it, or ask Connie.

0:32:010:32:03

And you think a consultant standing by a CT scanner doing nothing

0:32:030:32:06

is a good idea, do you?

0:32:060:32:08

Because I don't.

0:32:080:32:10

Fine. Jess, I'll see you after the scan, yeah?

0:32:110:32:15

Just a minute.

0:32:180:32:19

Take a seat.

0:32:190:32:21

Come on, let me sort you out.

0:32:210:32:23

We can't have you meeting the press looking like that.

0:32:230:32:25

Does your head hurt?

0:32:270:32:28

It's all right, it's just a scratch.

0:32:280:32:30

You look a mess.

0:32:300:32:31

You look great.

0:32:310:32:32

See you in a bit.

0:32:320:32:34

If you just wait here she won't be long.

0:32:340:32:36

Why the hell did you go out there?

0:32:410:32:43

They needed a doctor.

0:32:430:32:45

Oh, really?

0:32:470:32:48

You were dodging Guy.

0:32:510:32:53

You know, the politics part of your job

0:32:560:32:59

is as important as being a good doctor.

0:32:590:33:03

You're our clinical lead.

0:33:030:33:06

We needed you here.

0:33:060:33:08

I didn't feel needed.

0:33:090:33:11

I just wanted to do something right, you know?

0:33:130:33:17

I just felt I was letting everyone down.

0:33:170:33:19

Well, you didn't let Jessica down.

0:33:210:33:24

You're not going to let us down.

0:33:270:33:28

I mean, what's Guy and a load of journalists,

0:33:300:33:33

compared to a cliff falling on your head?

0:33:330:33:36

I'd prefer the cliff!

0:33:360:33:37

Are you OK?

0:33:410:33:42

Sure?

0:33:440:33:45

OK, no crying on camera.

0:33:470:33:50

Right, you're fit for purpose.

0:33:530:33:55

CT SCANNER HUMS

0:34:170:34:19

Keep nice and still, sweetheart.

0:34:190:34:22

I'm pleased to be able to inform you that all members of the family

0:34:220:34:25

are currently stable, and we expect them to make a full recovery.

0:34:250:34:29

We ask for your co-operation at this time.

0:34:290:34:31

We'll pass on any new information.

0:34:310:34:33

THEY ALL TALK AT ONCE

0:34:330:34:35

All right, Zoe, just leave it there.

0:34:350:34:37

We've just saved five people. Isn't that what's important?

0:34:370:34:41

What happened on Saturday? What happened on Saturday night?

0:34:410:34:44

Tell us what happened on Saturday night!

0:34:440:34:47

OK, I'll tell you. St James's had to close.

0:34:470:34:49

So we had to take everyone.

0:34:490:34:50

Everyone.

0:34:500:34:52

We're open 24 hours a day, seven days a week.

0:34:520:34:55

The rest of the system isn't.

0:34:550:34:56

Social care isn't there at the weekends.

0:34:560:34:58

Most consultants are not there on the wards at the weekends.

0:34:580:35:02

That means they can't discharge any of their patients,

0:35:020:35:05

which means we can't transfer any of our patients up there.

0:35:050:35:08

So when they're full and we're full, what do we do with new patients?

0:35:080:35:11

They have to stay on ambulances or on trolleys in corridors.

0:35:110:35:14

We don't like it, they don't like it, but it's not my staff's fault.

0:35:140:35:18

My staff work their hardest to cope.

0:35:180:35:20

And sometimes, just sometimes, we can't.

0:35:200:35:22

Now, if you'll excuse me, I have to see my patients.

0:35:220:35:26

Too right.

0:35:260:35:28

It's about time somebody said it.

0:35:280:35:30

Upstairs won't like it.

0:35:300:35:31

Good for her!

0:35:310:35:33

She shouldn't have said that.

0:35:330:35:35

Yeah, I'll be there in a minute.

0:35:380:35:40

So, what's in this box I'm hearing about?

0:35:410:35:44

Robyn tells her Uncle Fletch everything.

0:35:440:35:47

Nothing. You know. Ex-girlfriends mainly.

0:35:470:35:51

Well, let's hope Lily doesn't end up in there.

0:35:510:35:54

You've got to work with her.

0:35:540:35:55

But, I hear you're taking her out again.

0:35:550:35:59

Yeah, I might be.

0:35:590:36:00

Is it getting serious?

0:36:000:36:02

Mate, she's a sure thing.

0:36:020:36:05

Breakfast next day guaranteed, if you know what I mean?

0:36:060:36:09

OK.

0:36:090:36:10

Just be careful.

0:36:100:36:12

Just a couple more pictures, then we'll get you out of there.

0:36:220:36:25

JESSICA COUGHS

0:36:250:36:27

Jessica, can you hear me?

0:36:270:36:28

Her GCS is dropping. She's tachycardic.

0:36:280:36:33

We need to get her out!

0:36:330:36:34

Jessica? Jessica?

0:36:340:36:37

Jessica!

0:36:390:36:40

Excuse me? Can you get out of the way.

0:36:400:36:43

She dropped her GCS in the scanner and she became tachycardic.

0:36:440:36:48

I don't know.

0:36:490:36:50

Clear.

0:36:500:36:52

Excuse me, please!

0:36:520:36:54

Excuse me!

0:36:540:36:55

Jessica?

0:36:550:36:56

Open the doors. Dr Hanna!

0:36:560:36:58

What happened?

0:36:580:37:00

She dropped GCS in the scanner and became tachycardic.

0:37:000:37:03

Did the scan show anything?

0:37:030:37:04

It happened as they were finishing.

0:37:040:37:06

She must be bleeding from somewhere else.

0:37:060:37:09

Can we get the fast scanner and somebody prime the rapid infuser?

0:37:090:37:12

I don't understand this. She was stable.

0:37:120:37:14

OK, Rita can you set up an RSI?

0:37:140:37:17

On it.

0:37:170:37:18

Come on, Jess, stay with us.

0:37:180:37:20

There's free fluid. It's intra-abdominal bleeding.

0:37:200:37:24

OK.

0:37:240:37:26

She still has a faint pulse.

0:37:260:37:27

I just need a decent pressure to be able to do the RSI.

0:37:270:37:31

OK, can we get that blood in stat, Rita?

0:37:310:37:34

Somebody fast bleep the Surgical Registrar.

0:37:340:37:36

What the hell happened?

0:37:360:37:38

I've lost her pulse.

0:37:390:37:41

Yeah, I'll pass that on.

0:37:410:37:43

That was the radiologist.

0:37:440:37:46

They've seen a deeply embedded dense metal fragment

0:37:460:37:50

next to the inferior vena cava.

0:37:500:37:52

-Could it have been a bullet fragment?

-Possibly.

0:37:520:37:55

Should've got her to the CT scanner sooner.

0:37:550:37:57

Come on, Jess!

0:37:570:37:59

OK, pulse check?

0:37:590:38:01

Nothing.

0:38:030:38:04

Keep going with the bloods.

0:38:040:38:06

I just need enough of an output to get her up to theatre.

0:38:060:38:09

Don't you dare die on me, Jessica.

0:38:090:38:12

Come on, Jess.

0:38:130:38:15

Sorry we couldn't be more help.

0:38:160:38:18

You've both done more than enough.

0:38:190:38:21

Thank you for talking to the police.

0:38:210:38:25

They'll find out what happened, don't you worry.

0:38:250:38:28

Excuse me. Gerry?

0:38:280:38:29

THEY WHISPER INAUDIBLY

0:38:330:38:35

They know.

0:38:370:38:38

Sorry? What's happened?

0:38:390:38:40

I can't say, but complications.

0:38:420:38:45

HE VOMITS

0:38:500:38:52

Whoa! Are you OK?

0:38:520:38:55

Are you all right?

0:38:550:38:57

I'm fine. I just need to go.

0:38:570:39:00

No, no, no! No, you're staying here.

0:39:000:39:02

OK, sit down.

0:39:020:39:03

We'll get you checked out, all right?

0:39:050:39:07

Two minutes.

0:39:280:39:29

Pulse check.

0:39:290:39:30

Restart compressions.

0:39:360:39:38

Of course he's acting weird.

0:39:450:39:47

He's been involved in a helicopter accident.

0:39:470:39:49

I think I gave them the wrong advice.

0:39:490:39:51

You? Caleb?

0:39:510:39:53

Made a mistake? Surely not.

0:39:530:39:55

Helpful.

0:39:550:39:56

-Dr Knight, will you sign this for me, please?

-Yeah, of course.

0:39:580:40:02

PHONE BEEPS

0:40:020:40:04

Clint's around the front. He's going to meet us.

0:40:040:40:06

Great.

0:40:100:40:11

She's not going to make it.

0:40:250:40:27

I want us to keep trying.

0:40:270:40:29

It's not working.

0:40:290:40:31

She's been asystolic for 15 minutes, despite six units of blood.

0:40:310:40:36

Zoe...

0:40:360:40:38

I'm sorry.

0:40:380:40:39

All agreed?

0:40:540:40:55

Time of death, 23:17.

0:41:040:41:07

Could you let the police know that this is a possible murder enquiry?

0:41:120:41:16

We did everything that we could.

0:41:260:41:27

It was a penetrating injury.

0:41:290:41:31

We just didn't see it in time.

0:41:330:41:34

The clot must have blown.

0:41:340:41:36

Would you like me to tell Gerry?

0:41:380:41:40

-No.

-I can if it makes it easier.

0:41:400:41:42

No.

0:41:420:41:43

No, it should be me.

0:41:430:41:44

Jessica wanted me to tell you that she loved you both very much.

0:41:460:41:49

Max, do you know where Gerry is?

0:41:510:41:54

I saw him outside earlier.

0:41:540:41:56

Do me a favour.

0:42:000:42:02

Look after him, yeah?

0:42:020:42:04

Yeah, course. Whatever you want.

0:42:040:42:06

Are you OK?

0:42:060:42:08

Yeah.

0:42:080:42:10

It's my mum's birthday today.

0:42:100:42:12

I need to give her a call.

0:42:120:42:14

Woody!

0:42:250:42:27

Woody.

0:42:270:42:28

Guys, come on, I thought I asked you to stay!

0:42:320:42:34

What are you doing? What's going on?

0:42:340:42:37

Spence?!

0:42:370:42:38

Hey, hold up!

0:42:470:42:49

Look, I just want to help.

0:42:500:42:52

Woody, come on.

0:42:520:42:53

Get off! I don't want your help!

0:42:530:42:55

-Woody...

-Woody, stop!

0:42:550:42:57

Calm down, calm down. Calm down.

0:42:570:42:59

Right, one of you explain to me what's going on.

0:43:020:43:05

Look, you know what I told you about the box, right?

0:43:070:43:10

It's clearly not working, is it?

0:43:100:43:11

So just talk to me.

0:43:130:43:15

I can't.

0:43:160:43:18

I'm so sorry.

0:43:180:43:20

I didn't, I didn't...

0:43:200:43:23

That's not your fault, is it?

0:43:230:43:25

You did everything you could.

0:43:250:43:27

Both of you - you and Spence did everything!

0:43:270:43:29

It was... It was just...

0:43:290:43:31

It was me.

0:43:310:43:33

It was me. I didn't mean to and I'm sorry. It was an accident.

0:43:330:43:36

I shot the pilot.

0:43:360:43:38

I'm so sorry. I know you feel like you can't go back inside.

0:43:390:43:43

You can't live like this either. Look at you.

0:43:430:43:47

Right, um...

0:43:470:43:49

I think it's best we get you back inside.

0:43:490:43:52

Could you call Mrs Beauchamp? Tell her I want to see her upstairs.

0:44:230:44:26

Gerry.

0:44:470:44:48

She's gone.

0:44:490:44:51

They couldn't...

0:44:510:44:52

I'm sorry.

0:44:530:44:55

Lily, are you OK?

0:45:120:45:14

You were right.

0:45:150:45:17

Cal thought I was an easy lay again.

0:45:170:45:19

I'm a sure thing - "breakfast guaranteed".

0:45:190:45:22

I actually thought he liked me.

0:45:220:45:24

Sorry... You've already slept together?

0:45:240:45:27

That's not the point!

0:45:270:45:28

He was making fun of me in front of our colleagues.

0:45:280:45:31

How can he do that?

0:45:310:45:32

Ethan?

0:45:350:45:37

Ethan!

0:45:370:45:38

Who the hell do you think you are, ignoring my phone calls?

0:45:450:45:49

Embarrassing this hospital in front of the national press,

0:45:490:45:52

leaving your team to go to an incident site!

0:45:520:45:54

It's totally unacceptable.

0:45:540:45:56

I couldn't agree with you more.

0:45:570:45:59

Which is why I'm stepping down as clinical lead as of now.

0:45:590:46:02

I didn't come into medicine to treat patients within targets

0:46:040:46:07

and deal with the press.

0:46:070:46:09

I came into medicine to use my time to save lives and to be a doctor.

0:46:090:46:13

And frankly, clinical lead gets in the way.

0:46:130:46:17

OK, so what am I supposed to do now?

0:46:210:46:25

I don't know. Give it to someone who wants it.

0:46:250:46:28

Someone who enjoys it.

0:46:280:46:30

You want it, don't you?

0:46:300:46:32

Connie?

0:46:340:46:35

Yes.

0:46:370:46:39

I'll leave you two to sort it out.

0:46:390:46:41

Caleb!

0:46:490:46:50

Why do you have to be such a heartless moron?

0:46:520:46:54

What?

0:46:540:46:56

I mean, I'm used to it,

0:46:560:46:57

but I won't let you hurt people that I care about.

0:46:570:47:00

You've lost me.

0:47:000:47:01

Lily heard you, Cal.

0:47:010:47:03

Your "sure thing".

0:47:040:47:06

Yes, she heard you.

0:47:060:47:07

Come on.

0:47:130:47:15

Ohhh!

0:47:150:47:16

Did you see that?

0:47:230:47:25

You know what? Not my problem any more.

0:47:260:47:29

Are you coming, Mary-Jane?

0:47:310:47:33

So, congratulations are in order.

0:47:340:47:37

We still need to discuss terms and conditions.

0:47:370:47:40

There aren't any actual changes as clinical lead.

0:47:400:47:43

Let's face it, Guy, you couldn't afford me.

0:47:430:47:45

No, I'm talking about the department.

0:47:450:47:47

It's my job is to ensure this place is no longer run into the ground.

0:47:470:47:50

I'm talking talk staffing levels, resources,

0:47:500:47:52

the distinct lack of co-operation from other departments.

0:47:520:47:56

And Zoe's future, of course.

0:47:560:47:58

Losing her, you mean?

0:47:580:48:00

Probably for the best.

0:48:000:48:02

As a consultant, Zoe Hanna is one of the best I've worked with.

0:48:020:48:06

She will always have my full support.

0:48:080:48:10

I hope you won't challenge me on that?

0:48:100:48:12

Well, no.

0:48:130:48:15

-No, of course not.

-Good.

0:48:150:48:17

I think we're going to get along just fine, Guy.

0:48:170:48:20

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