Scars Casualty


Scars

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Transcript


LineFromTo

-Stewart.

-Leave him, Iain. Iain!

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Iain!

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This man is bleeding out, son, he's dying.

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We don't have a lot of time so if you don't mind,

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can you get me the trolley?

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Anything else I can do, Jeff?

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Nah, think you have done enough, mate, your shift is over, son.

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What you doing?

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You don't have to stand to attention, just relax, will you?

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Right, yesterday...

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-You know what you did wrong?

-I should've stayed with Jeff.

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-Yeah, the patient could've died.

-But he didn't.

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This time.

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And that bloke I went after, he might've died,

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if I hadn't caught up with him.

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That was just down to luck, you're a trainee.

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Nine times out of ten you might not be so lucky.

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I know.

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All right, clean slate - we all want you to succeed

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-and pass your training, don't we, Jeffrey?

-Yeah.

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But we need to know we can count on you.

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You know you are part of a team, we are all in this together.

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-RADIO:

-Holby Control to 3-0-0-6.

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3-0-0-6 to Control, go ahead.

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Emergency call, RTC involving cyclist on Denhale Street.

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Received, we're on our way.

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INDISTINCT SHOUTING

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GLASS SMASHES

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-I'm going to have a word.

-Where you going?

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-To put a stop to it.

-And how are you going to do that?

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Threaten him?

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I dunno.

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You think getting all Vin Diesel's going to make him stop...

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Have you seen the size of him?

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Come on.

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SHOUTING CONTINUES

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INDISTINCT URBAN MUSIC

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Carl!!

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Oh!

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Look, I know I should've called earlier.

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But I need a place to crash for a few days.

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Yeah, yeah.

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Come in.

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How's Mum?

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She's the same.

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I had to get out, you know. I got nowhere else to go, just you.

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Come in.

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This is my brother Carl.

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This is Gemma, Damo and Sammy.

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-All right, Carl.

-Carl.

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-Hiya, Carl.

-Carl's come to stay for a bit.

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Here, Carrot, get him a drink. Me too, while you're at it.

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Why'd you call him Carrot?

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-He's not a redhead.

-No, but he's a vegetable.

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PHONE RINGS

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-Don't be mean!

-He's not a vegetable.

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-He's got brain damage.

-Same thing.

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-Just come up, mate.

-Oi...

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You...staying here...

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No. You understand?

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-Who are they?

-My friends.

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-What do you want?

-Just a water.

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-I don't know about this.

-What do you mean?

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Thank you.

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I can't believe you stopped me.

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I didn't stop you, I just told you not to be daft.

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What are we going to do when it happens next time?

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-Problem?

-Noisy neighbours.

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Noisy neighbours? We've got a wife-batterer next door.

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-We don't know that for sure.

-Really?

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Are you sure I can't get you anything, Gem?

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-No, you're all right.

-What?

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-You got something to say?

-I don't think you should be here.

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-I want you out.

-No, no, Carl.

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They're my friends.

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Gemma got me a new one.

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It's a beauty, yeah? Gemma gave it to me...

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It wasn't even my birthday, or Christmas, or anything.

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She said she saw it and thought of me.

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She even got me something to display them in.

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Look, they're dealing.

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If this place gets busted, you're going to go to jail, not them.

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They're not going to send a veg to jail.

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-Don't call him a veg!

-It's OK, Carl.

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I am, really.

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You're not, they've got you thinking like that.

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Where you going?

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Oi, you going to the police? You going to grass your brother up?

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I said, are you going to grass us up? Get him!

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Damo, wait!

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Get back here.

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Thank you.

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Hi, it's my mum. She was sick this morning.

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The neighbours phoned and said the paramedics were bringing her here.

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-OK, what's her name?

-Maria Winter.

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She lives on her own, see.

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I'm at uni so it took me a couple of hours to get here.

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You're sure it was Holby City Hospital?

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That's what the neighbours said.

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OK, what's her date of birth, please?

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4/4/58.

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-And the address?

-80 Heber Drive.

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Have you found her?

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Sorry, mate, we haven't had anyone in by that name.

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Can you double-check? There must be a mistake.

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-If you let me see who's been admitted maybe...

-Sorry, mate, I can't do that.

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Look, why don't you take a seat, and I'll try and track down your mum.

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Mum... I bought you the phone

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so I could get hold of you 24/7. So keep it on.

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I'm worried sick, call me.

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OK, Maria, how about here?

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There's no history under the name Maria Connell.

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I...

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haven't been here before.

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Shall we get her some more pain relief?

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Yes, one gram of IV paracetamol.

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The abdo X-ray -

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showing some dilated loops of bowel, which I do not like.

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-Dilated loops?

-Yes.

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-Is it a tumour?

-I can't rule that out.

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It could be lots of things.

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But most of the time it's not that serious.

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I'm supposed to go to the airport in a couple of hours.

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-Going anywhere nice?

-Toronto.

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Visiting my sister..

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Let's get a full blood count, liver function, amylase.

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I'm going to book you in for an ultrasound,

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which will give us a clearer picture.

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But until we sort this out, you shouldn't be on any plane.

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-Sorry, Jamie...

-Yeah.

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I've got this fella in reception worried because his mum -

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same date of birth, same first name,

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same address as the lady that was brought in this morning.

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-What's the guy's name?

-Gavin Winter.

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Maria, do you know a Gavin Winter?

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-My son.

-Oh, right, he's in reception.

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-If you like, we can bring him through.

-No.

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OK, but do you want me to let him know you're here?

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I'll sort out that pain relief, OK.

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Come here, you!

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Got you now, you're grassing on no-one, mate.

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-Damo!

-Do one, Carrot, or I'll stick you too.

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Don't, don't!

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No!

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No!

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HE GROANS

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Damo!

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What have you done?

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I need an ambulance.

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It's my boyfriend, Damo,

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he's been stabbed.

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RINGTONE PLAYS

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Carol's ringtone, isn't it?

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-Yeah.

-You not answering that?

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-RADIO:

-Holby Control to 3-0-0-6.

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3-0-0-6 to Control, go ahead.

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Emergency call, reports of a stabbing.

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Bristol Lane on the Trevallen Estate.

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Police have been informed and are en route.

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3-0-0-6 to Control, received - on our way.

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Right, let's go Dixie, do not spare the horses, mate.

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Do not pass go, do not collect 200 quid.

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Watch yourself, watch yourself, paramedics.

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-Watch yourself, love.

-Damo!

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Just keep her out of the way, Iain, give us some space to work.

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-No.

-What's your name, darling?

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-Gemma.

-He's losing a lot of blood there.

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Looks like a couple of units. Right, get some obs done.

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Iain, can you go and get us a stretcher please, love?

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-What's your fella's name.

-Damo, he's been stabbed.

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Right, have you been hurt at all?

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-Save, save him.

-Yeah, don't worry about that,

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we're going to do everything we can.

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I just need to make sure that you're all right.

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-You've not been hurt at all?

-No time for that, mate.

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Over here, give us a hand.

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-Right, put some pressure on there. Got it?

-Yes.

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I need to get my bag.

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Carl...

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..you should go to hospital.

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No, the police are going to blame me for sticking him.

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No hospital or police. OK?

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You got anywhere we can go, any friends?

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SIREN BLARES

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Come on.

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How're we getting on, Jeff?

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No, not good.

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It's coming out faster than I can get it in.

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I'm going to need that bag, mate.

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I am going to need to get another line in sharpish.

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-Got this?

-Yeah.

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SIREN BLARES AND CAR HORN BLARES

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No, no, no.

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Right, I can't get round, I'm going to have to back up.

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-Get them out the way!

-I can get this lot to shift up.

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It'll give us more room, we can get up that banking.

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-It'll be quicker than driving round.

-Go on, then, go for it.

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Right, I need you to back up, yeah?

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Everybody back in their cars.

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Everybody back in their cars.

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I need you to move back in your cars, please.

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Right, sir, I need you to move this forward.

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Can you move forward and push up?

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-Just pull in there.

-You all right, love? He's going to be OK.

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Come on, come on.

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How you getting on, Jeff?

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I don't know, I've got to try and find a vein.

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Come on.

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Pull into there as well, please.

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When this car moves, I need you to pull in back to there, OK.

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-Go, go.

-I think his veins have collapsed.

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Come on.

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His veins have collapsed, come on.

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Keep the pressure on there, will you?

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-It's tipping over!

-Ease off the throttle!

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Veins have collapsed.

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That's it, got one.

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Got the vein.

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Ah, what you doing?

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Back on the throttle.

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Get your hands off me, get your hands off.

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Get that down and get some pressure on.

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So, you're absolutely sure Maria Winter

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hasn't been admitted to St James'?

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OK, thank you.

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Damo Wallis, was stabbed in the abdomen - I don't know what with.

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I couldn't establish the depth.

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He's dropped about 1,200 mls of blood.

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Sorry, mate, really busy.

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OK, let's give him two units of O-neg stat and cross match him

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for a further eight units. Can we call for some FFP, please?

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Excuse me, I've been getting chest pains...

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If you take a seat over there, I will get someone to come and see you, OK?

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External injury, small,

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but he's becoming increasingly shocked.

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His BP is 90, pulse is 140.

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Thanks.

0:14:190:14:20

-Iain, who's that?

-Girlfriend.

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Do you what happened?

0:14:230:14:25

Do you know what he was stabbed with?

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OK, we'll get him stabilised, we'll bring you up to speed, OK?

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I'll bag these for safety.

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Listen, you do not ever pull me off a patient, understand?

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Especially when that patient is bleeding out in front of us.

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-But, Jeff, I thought we were going to tip over.

-Jeffrey!

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How are you feeling?

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Still got pains, thanks.

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-It all looks normal.

-Is that good?

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I mean, my chest was feeling really tight, really constricted.

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I was getting these sharp pains down my arm.

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Don't worry, you are in the best possible hands.

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We'll keep you under observation. This might not be a cardiac problem.

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Could be all sorts of things, heartburn...

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It's my heart, I know it. It's a family thing.

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Procedure is that we keep you in here

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for ten hours to run more blood tests.

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And hopefully it will give us some answers.

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Thank you.

0:15:230:15:24

I think my mum's here - Maria?

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She's a patient, she just came in this morning.

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Could someone tell her what's happened, please?

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Course I can, you just take it easy.

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I'm so grateful.

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I mean, this kind of care is what makes the NHS great.

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Oh, thanks.

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I am going to check your temperature

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then I'll sort you out some pain relief.

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I was supposed to be staying with my sister.

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She's got the whole trip planned out.

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-CN Tower, Niagara Falls, the works.

-Sounds great.

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-Bit tiring though.

-I know!

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All I wanted to do was see her and her kids.

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I've never met her boys!

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It was going to be my first visit.

0:16:050:16:07

-Hi, Maria?

-Yeah.

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I think your son's here, Gavin Winter.

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-He's been admitted.

-What's happened to him?

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He developed some pains in his chest.

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That... That happened to his dad.

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Heart disease, things like that, can't they run in families?

0:16:190:16:22

They can do.

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He wanted to see you.

0:16:240:16:25

-Did you tell him she was here?

-He already knew she was here, didn't he?

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We are just going to take you up for a scan now.

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Please, can you take me to him straight after?

0:16:360:16:38

Let him know I'm on my way.

0:16:400:16:42

-Course, let me take that for you.

-Cheers, Robyn.

0:16:420:16:44

Are they ready for him in theatre yet?

0:16:470:16:49

-They're prepping for him now.

-What's happening?

0:16:490:16:51

He's losing blood faster than we can get it in.

0:16:510:16:53

His abdomen is still hard and distended.

0:16:530:16:56

There must be a massive bleed somewhere.

0:16:560:16:58

-Well, stop him bleeding!

-It's not as simple as that.

0:16:580:17:01

-Do you think we should give him TXA?

-Yes, ten milligrams per kilo.

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Are you the boss here?

0:17:040:17:05

If you're asking if I'm the consultant, no.

0:17:050:17:07

-I want that doctor...

-Dr Nicholls is more than capable.

0:17:070:17:10

-Does he use drugs?

-No!

0:17:100:17:12

I can smell marijuana on him.

0:17:120:17:14

Are you sure he hasn't taken anything I should know about?

0:17:140:17:16

No, I told you, he doesn't take drugs.

0:17:160:17:19

Tom, can you get an arterial line in for me, please?

0:17:190:17:21

-Don't you believe me?

-Well, actually, yes.

0:17:210:17:23

Cos going by the cash and stack of phones he had,

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I'd say he's a dealer and he'd be a very stupid dealer

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to work while he's stoned.

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So that's why he's not getting the best.

0:17:290:17:31

You think he's a dealer.

0:17:310:17:33

-You couldn't care less.

-We don't work like that here.

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I'm watching everything going on here.

0:17:350:17:37

I'm seeing free fluid in the abdomen.

0:17:400:17:42

-Shut down?

-Hmm.

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Let's get some more fluids into him.

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There's no pressure.

0:17:470:17:48

Got it.

0:17:520:17:53

He really needs to get to theatre.

0:17:530:17:55

Just tell me where we're going?

0:18:010:18:02

I need to get my bag, it's got all my stuff.

0:18:020:18:04

Kelvin, wait, where are you taking us?

0:18:040:18:07

-Help! Help!

-Shut up!

0:18:070:18:08

You need hospital.

0:18:090:18:11

No way, they'll get the police on us.

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Remember when dad...

0:18:150:18:16

We got the police then.

0:18:170:18:19

They were friends.

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Them and the ambulance men and the doctors and the nurses.

0:18:210:18:26

-They helped me.

-That was different.

0:18:260:18:29

-What's going on, lads?

-Carl...

0:18:290:18:32

Carl, he's bleeding.

0:18:320:18:33

That looks like it might need seeing to, mate.

0:18:330:18:35

I'm not going to the hospital.

0:18:350:18:36

Well, at least let me have a look at it.

0:18:360:18:39

We might be able to sort it here.

0:18:390:18:41

No questions?

0:18:430:18:44

Yeah?

0:18:440:18:45

KNOCK AT DOOR

0:18:470:18:48

-Are you ready to go back out?

-Hey...

0:18:510:18:53

Look what I found out by the lockers. Someone's keen.

0:18:530:18:57

Do I need to make myself scarce tonight?

0:18:580:19:00

-Give you ladies a bit of privacy?

-No.

0:19:000:19:02

Oh, OK, she's buying flowers.

0:19:040:19:06

-You're not taking her calls, lover's tiff?

-No.

0:19:060:19:09

Oh, come on, out with it.

0:19:100:19:12

-Out with what?

-Whatever it is you're not telling me.

0:19:120:19:14

-I finished it.

-Oh, no, I liked Carol!

0:19:150:19:19

-Did something go wrong?

-Never mind.

0:19:190:19:21

Can you cut Iain a bit of slack, please?

0:19:220:19:25

You're the experienced paramedic.

0:19:250:19:27

Is this an official reprimand?

0:19:280:19:31

-No.

-Right.

0:19:310:19:33

-Don't change the subject, what went wrong?

-Nothing!

0:19:330:19:35

She was a really nice woman and all that, but...

0:19:370:19:39

-it just wasn't right.

-Oh, right.

0:19:390:19:42

When did you get all Mills and Boon?

0:19:420:19:44

I'm trying to talk to you about Iain.

0:19:440:19:46

I'm trying to talk to you about Carol. What went wrong?

0:19:460:19:48

It's very sweet that my husband gets concerned

0:19:480:19:50

when my extra-marital flings don't work out,

0:19:500:19:52

but I don't want to talk about it.

0:19:520:19:54

Well, you fancy a pint later, cry on my shoulder?

0:19:560:19:58

I fancy you changing the subject.

0:19:580:20:00

-You all right?

-Yeah.

0:20:030:20:05

-You sure?

-Jeffrey!

0:20:050:20:07

End of.

0:20:070:20:08

I think you should give Iain to someone else.

0:20:120:20:14

-I think you should give him another chance.

-Why?

0:20:140:20:17

HE SIGHS

0:20:180:20:20

All right.

0:20:200:20:22

Three strikes and he's out?

0:20:220:20:24

OK, deal.

0:20:240:20:26

Never saw them.

0:20:260:20:27

Don't touch anything, please.

0:20:270:20:29

-So how did this happen?

-You weren't going to ask questions.

0:20:310:20:34

Doesn't look like it was a knife.

0:20:350:20:37

That's not a question, it's going to need stitches.

0:20:370:20:40

-I can get you to the hospital.

-No.

0:20:400:20:42

Has he had a brain injury?

0:20:440:20:46

-Are you his carer?

-He doesn't need a carer.

0:20:470:20:50

He can look after himself as long as people just leave him alone.

0:20:500:20:54

-I'll be OK, it doesn't hurt.

-Hang on a minute.

0:20:540:20:56

Wait there, hang on.

0:20:560:20:57

You see this?

0:20:570:20:59

I used to be a soldier in Afghanistan.

0:21:010:21:03

Bloke who did that was about ten foot away.

0:21:030:21:05

It's just a nick, really.

0:21:050:21:07

-So?

-So, what I am trying to say is when you say you're fine,

0:21:070:21:10

doesn't hurt - I know it hurts.

0:21:100:21:12

It hurts like hell.

0:21:120:21:14

Come on, mate, I don't care how you got it.

0:21:140:21:16

I just want you to get it treated properly.

0:21:160:21:18

Let us get you to the hospital.

0:21:180:21:19

You shouldn't be treating anyone here.

0:21:190:21:21

Sorry, Dixie, they were shouting for help.

0:21:210:21:23

-Well, you and Jeff take him round to the ED.

-OK.

0:21:230:21:25

-RADIO:

-'Holby Control to 3-0-0-6.'

0:21:250:21:27

I don't need Jeff to spin him round. You two take the call.

0:21:280:21:31

-I'll meet you back in ED.

-You wait for me in reception.

0:21:310:21:33

3-0-0-6 to Control, go ahead.

0:21:340:21:37

Carl, I'll get your stuff. I'll...

0:21:370:21:39

I'll bring it to the hospital.

0:21:390:21:42

Kelvin! No, wait!

0:21:420:21:43

So how did he get the brain injury?

0:21:480:21:50

-Was it a car crash?

-No.

0:21:510:21:54

-What then?

-A beating.

0:21:540:21:56

Who'd do that?

0:21:570:21:59

Someone you knew?

0:21:590:22:01

Our dad.

0:22:010:22:02

Lovely.

0:22:040:22:06

Theatre's called for him. Let's go.

0:22:060:22:08

-Can I get your spare keys?

-What?

0:22:080:22:10

I finish shift in an hour

0:22:100:22:11

and I thought I'd start moving my stuff in.

0:22:110:22:13

-I haven't got them with me.

-No worries.

0:22:130:22:15

MACHINE BEEPS

0:22:150:22:17

-BP's crashing.

-What's happening?

0:22:170:22:18

-His blood pressure's deteriorating.

-Is he going to die?

0:22:180:22:21

He's in PEA. Let's start CPR.

0:22:210:22:23

-Don't ignore me! Is he going to die?

-He's deteriorating.

0:22:230:22:26

Do you want me to talk about it, or do something?

0:22:260:22:28

His heart's stopped, this can happen when someone's loses so much blood.

0:22:310:22:35

Gavin, got your mum here to see you!

0:22:380:22:41

-Mum.

-Gavin.

0:22:420:22:45

It's lucky he was here, really.

0:22:450:22:46

Yeah, lucky.

0:22:470:22:48

We've done an ECG and the results are normal.

0:22:480:22:51

Just waiting on a few blood tests.

0:22:510:22:53

These chest pains, they're just like the ones Dad had before he died.

0:22:530:22:56

Have you have you had them before?

0:22:580:22:59

Little twinges, that's what I'm getting stressed about.

0:22:590:23:03

Auntie Carol, she wants you to stay over there.

0:23:030:23:06

It was only going to be for a holiday.

0:23:060:23:08

I have to wait for ten hours, Mum.

0:23:080:23:10

Good thing I'm not going anywhere.

0:23:120:23:15

Let's get you back for your scan results.

0:23:150:23:17

What was the scan for?

0:23:170:23:19

-I've had stomach pains.

-What?

0:23:190:23:22

-What are they?

-We don't know yet.

0:23:220:23:24

Mum, I'll move back in...

0:23:250:23:28

we can look after each other.

0:23:280:23:30

I'm ill, you're ill.

0:23:300:23:32

Hopefully it won't be that serious, Gavin.

0:23:320:23:35

And how long did it take for Dad to die after he got his chest pains?

0:23:350:23:38

OK, I think that's enough. Let's get those results.

0:23:380:23:41

How long do you keep on going?

0:23:500:23:52

He's young, he's strong.

0:23:530:23:55

We just keep going until there's no point.

0:23:550:23:58

But we're not there yet.

0:23:580:23:59

Tess? Have you got an output?

0:24:050:24:06

-Yes.

-Right, let's get bloods.

-Does that mean...?

0:24:140:24:16

It just means his heart's beating again, that's all.

0:24:160:24:19

He's still critically ill.

0:24:190:24:20

You have to save him, he's a good man.

0:24:200:24:23

He gets into trouble sometimes, but he loves me.

0:24:230:24:26

We're going to get ourselves away from here and get a new life,

0:24:260:24:28

and be a proper family.

0:24:280:24:30

That's who he is.

0:24:300:24:31

We just need the money.

0:24:320:24:33

His best...

0:24:350:24:36

His only chance is if we can stabilise him long enough

0:24:370:24:40

-to get him into theatre.

-Can I can come too?

0:24:400:24:42

Once he's in theatre, we'll get you up.

0:24:420:24:44

Is there any family we can contact for you?

0:24:440:24:47

Look, I really need you to wait outside now.

0:24:490:24:51

We're just through here. How did it happen?

0:24:560:24:58

You're not going to tell us?

0:25:000:25:01

He doesn't want to answer any questions.

0:25:010:25:04

OK, all right, take your time.

0:25:050:25:07

Just in here, nice and easy, that's it.

0:25:070:25:10

OK, let's help you onto the bed.

0:25:120:25:14

I don't need help.

0:25:140:25:15

Right, pop yourself up there for me, that's it.

0:25:150:25:19

I'll get you some painkillers.

0:25:190:25:21

I don't want anything that knocks me out.

0:25:210:25:23

No, it'll just be local anaesthetic

0:25:230:25:25

so I can put the stitches in.

0:25:250:25:27

OK?

0:25:270:25:28

You take care, yeah.

0:25:290:25:30

You are going to pay for what you've done.

0:25:390:25:41

I was defending myself.

0:25:410:25:43

Is he here? Is he going to be OK?

0:25:430:25:46

Him and his brother are going to come for you

0:25:460:25:48

and that stupid vegetable.

0:25:480:25:50

Just leave Kelvin out of this.

0:25:500:25:52

He didn't even do anything.

0:25:520:25:53

He suffers, you suffer. Get it?

0:25:530:25:56

Do you know her?

0:26:040:26:06

Nah...just...around, you know?

0:26:070:26:10

Right.

0:26:120:26:13

HE GASPS

0:26:200:26:21

Is he going to die, her boyfriend?

0:26:370:26:40

It's hard to tell, I'm afraid.

0:26:400:26:43

-This, is this anything to do with them?

-No.

0:26:430:26:46

Cos if it is...

0:26:460:26:49

the police are going to be all over it.

0:26:490:26:51

And in my experience, the best whoever is responsible can do

0:26:530:26:57

is go to the police straightaway.

0:26:570:26:59

It didn't have anything to do with them.

0:26:590:27:02

OK, fair enough.

0:27:030:27:04

Done.

0:27:080:27:09

Can I go? I need to find my brother.

0:27:100:27:13

No, you need to stay here for a while and rest.

0:27:130:27:15

That local anaesthetic is going to start wearing off now

0:27:150:27:18

-and you're going to feel it.

-OK.

0:27:180:27:20

That's not bad, if I say so myself,

0:27:220:27:24

I think that's probably in my top ten.

0:27:240:27:26

Listen, your brother's going to be all right on his own for a bit, OK?

0:27:290:27:33

OK.

0:27:340:27:35

LIFT BEEPS

0:27:410:27:43

Looks like the lift's here.

0:27:430:27:44

ALARM GOES OFF

0:27:460:27:47

-He's arrested.

-Go for it?

0:27:470:27:49

-No, there's not enough time. Back to resus.

-OK.

0:27:490:27:52

Hey, Sammy?

0:27:540:27:55

Where is he?

0:27:560:27:58

Oi, don't walk away from me, where is he?

0:27:580:28:00

-Sammy, what do you mean?

-Your brother! Where is he?!

-I don't know!

0:28:000:28:04

KELVIN SOBS

0:28:040:28:07

Come here.

0:28:110:28:12

Kelvin! Come on, open up!

0:28:160:28:18

-All right, thanks.

-I have Maria Winter's scan results. The big C.

0:28:180:28:23

Really?

0:28:230:28:25

No, constipation. Her bowel is impacted.

0:28:250:28:28

She can be discharged with some laxatives

0:28:280:28:30

and she can make her flight.

0:28:300:28:31

Just make sure she asks for an aisle seat.

0:28:310:28:33

Yeah, well, she won't be doing that. Her son's got his way, didn't he?

0:28:330:28:37

I'll go and tell her the good news.

0:28:370:28:39

You don't sound too thrilled.

0:28:390:28:40

Gavin is obviously faking his chest pains.

0:28:400:28:43

He's taking advantage of his mum's worst fears

0:28:430:28:45

and she's falling for it.

0:28:450:28:47

-Then do something about it.

-Like what?

0:28:470:28:49

I don't know, she's your patient.

0:28:490:28:51

Use your instincts, but be clever about it.

0:28:510:28:54

Damo Wallis. Can someone tell me where he is?

0:29:060:29:09

He's going to have an operation.

0:29:090:29:11

I think he's still in resus. Just give me one second and I'll check.

0:29:110:29:14

Umm...excuse me! Hello!

0:29:180:29:21

BEEPING

0:29:210:29:23

Still nothing.

0:29:300:29:31

Kelvin, mate, open up.

0:29:390:29:41

KNOCKING ON THE DOOR

0:29:410:29:43

Go away!

0:29:430:29:44

I can't, I mean, you've got our stuff in there.

0:29:440:29:47

KNOCKING ON THE DOOR

0:29:530:29:55

That's it.

0:30:100:30:12

You give us our stuff back and we'll forget about your brother.

0:30:120:30:15

Come on, Carrot...

0:30:150:30:16

No! Carrot, what you doing?

0:30:180:30:21

Stop it! Carrot, no, don't do that!

0:30:210:30:23

That's it, you cool down.

0:30:240:30:26

Mate, open up, I'm sorry. I was just upset about Damo.

0:30:260:30:30

No, Carrot. Please, Carrot, no, don't do that!

0:30:320:30:35

What you doing? Please, Carrot, stop. Don't do that, Carrot.

0:30:350:30:38

No! Carrot!

0:30:380:30:40

Carrot!

0:30:470:30:48

HE SCREAMS

0:30:530:30:55

-And you're sure it's just constipation?

-Yes, certain.

0:30:570:31:02

-Thank you, doctor.

-Jamie will discharge you.

0:31:020:31:06

Diet advice. And I'll write her up for some TTA laxatives.

0:31:060:31:10

Gavin will be so relieved.

0:31:100:31:12

Looks like you'll make your flight.

0:31:120:31:14

Oh, no.

0:31:140:31:15

I still don't think I could go, not with Gavin here.

0:31:150:31:17

You know he's playing you, don't you?

0:31:200:31:22

In fact, I know that you know,

0:31:220:31:24

that's why you didn't want him told you were here.

0:31:240:31:26

-You obviously know what he's like.

-And you...you don't.

0:31:260:31:29

When your husband started getting chest pains, what was that like?

0:31:300:31:34

Terrible. He was in agony.

0:31:340:31:36

And do you see that in Gavin?

0:31:360:31:38

If you let him get away with it this time,

0:31:390:31:41

he'll get away with it every time.

0:31:410:31:44

Gavin wanted to make sure you're OK.

0:31:440:31:46

Yeah. Fine.

0:31:460:31:48

How do I make a complaint about a nurse?

0:31:500:31:52

You need to speak to one of our senior nurses.

0:31:550:31:58

-Why does she want to report you?

-Cos I told her he's faking.

0:32:030:32:06

-Why? Why'd you do that?!

-Cos it's true.

0:32:060:32:08

You are so dead! You're deader than dead.

0:32:080:32:11

-Get back in there and apologise!

-No! No way.

0:32:110:32:13

Right, he's just through in triage.

0:32:170:32:19

No, he's not. Just give me a minute.

0:32:230:32:26

SIREN WAILING

0:32:420:32:44

3-0-0-6 to Holby ED, we're en route to you with a 20-year-old male.

0:32:440:32:48

Extensive, full thickness burns to his trunk and abdomen.

0:32:480:32:51

His brother tried to stop him going off alone earlier, but he wouldn't...

0:32:520:32:56

-I'm getting another line in! Can you cut his clothes off?

-Couldn't I get the line in?

-I'm doing it.

0:32:560:33:00

-How will I learn if you don't let...?

-Cos it's a tricky cannulation.

-I know what I'm doing!

0:33:000:33:03

Yeah, I'm sure you do. But can you cut his clothes off, please?

0:33:030:33:07

KELVIN GASPS

0:33:070:33:10

It was me, it was me, it was me...

0:33:120:33:17

Not Carl...not Carl.

0:33:170:33:20

It was me.

0:33:220:33:23

That is such good news, Mum.

0:33:230:33:25

I want to go too. I'm feeling much better.

0:33:250:33:28

Well, we still need to run some more tests.

0:33:330:33:35

If it's chest pains, you don't want to run any risks.

0:33:350:33:37

You said it could be all sorts of things. Heartburn, right?

0:33:370:33:41

I get that sometimes, so that must be it.

0:33:410:33:44

And it's not like I'll be on my own.

0:33:440:33:46

I'll go home with Mum, right?

0:33:460:33:49

If it's what you want, then you need to fill out a self-discharge form.

0:33:490:33:52

Please, yeah, go.

0:33:520:33:54

Home, Mum?

0:33:570:33:58

Stop it, Gavin.

0:33:580:33:59

-Stop what?

-Lying.

0:34:000:34:03

I remember every second of your dad's heart attack...

0:34:040:34:07

You never had any chest pains, did you?

0:34:090:34:12

Don't lie to me about that.

0:34:120:34:13

Could you order me a taxi, please?

0:34:180:34:22

Home...

0:34:220:34:23

and then, the airport.

0:34:230:34:25

Yeah.

0:34:270:34:28

You are how I brought you up.

0:34:290:34:31

I'm catching my flight.

0:34:330:34:34

I'll call you tomorrow.

0:34:380:34:40

But, Mum, you can't just...

0:34:400:34:43

Mum, yeah, I'm fine, but don't go.

0:34:430:34:47

Look on the bright side...

0:34:550:34:57

at least she's standing up to people now.

0:34:570:34:59

Can I have my clothes, please?

0:35:000:35:02

I'll just be a second.

0:35:100:35:12

-Jamie.

-Ow!

0:35:150:35:18

-You haven't seen Gavin's bag of clothes, have you?

-No.

0:35:180:35:22

Not to worry, I'm sure they'll turn up eventually.

0:35:220:35:25

Sorry about Gavin.

0:35:270:35:29

Don't worry about it, just have a nice time.

0:35:290:35:32

Just don't make him wait too long.

0:35:360:35:38

He's got full thickness burns,

0:35:430:35:44

I did manage to get two lines in. GCS is 13.

0:35:440:35:47

BP is 120 systolic, pulse 100, sats are 93%,

0:35:470:35:50

he's had ten of morphine for the pain and water gel pads.

0:35:500:35:54

OK. When we're ready, then, lift him up on three.

0:35:540:35:57

One, two, three. Up and then slide when I say.

0:35:570:36:01

One, two, slide. Lovely, slowly got it.

0:36:010:36:05

Right, Jeff, I need to roll him, please.

0:36:050:36:08

Gently, gently.

0:36:080:36:09

These burns look circumferential.

0:36:130:36:15

-All right, Jeff, back down when you can.

-OK, then, one, two, down.

0:36:150:36:19

His brother's that lad I brought in earlier. Carl.

0:36:190:36:21

Right, he's done a runner, I am afraid.

0:36:210:36:24

I need a burns chart, bloods cross matched, full blood count,

0:36:240:36:27

U&E, glucose, coagulation and carboxyhemoglobin...

0:36:270:36:29

-I'll have to get that to the police, you know?

-I'll do it.

0:36:290:36:32

It's time to stop. It's not doing any good.

0:36:400:36:43

Agreed?

0:36:430:36:44

-Agreed.

-Don't stop.

0:36:460:36:48

I'm sorry, but we've gone beyond that point. His injuries...

0:36:500:36:53

He's all I have.

0:36:530:36:55

So how long's this going to go on for?

0:37:160:37:18

-Till someone dies cos you two are too busy arguing the toss?

-Dixie, I...

0:37:180:37:22

No. I don't want to hear it. I don't want it from you either of you. You just sort it.

0:37:220:37:25

Now.

0:37:250:37:27

Look, you don't like me, Jeff. I get it.

0:37:300:37:33

That's got nothing to do with it.

0:37:330:37:34

I need to know the paramedic I'm working with has got my back.

0:37:340:37:37

It's about teamwork and you don't seem to understand that.

0:37:370:37:41

Yeah, I do understand it. It doesn't always work out like that.

0:37:410:37:43

Yeah, it does.

0:37:430:37:45

Out there, mate, you, me, Norman, Dixie...

0:37:450:37:48

We're all we've got.

0:37:480:37:50

Your brother's in hospital.

0:37:590:38:01

He's been badly burned. Why aren't you with him?

0:38:010:38:03

I can't go.

0:38:030:38:05

He's taking the rap for stabbing that other kid.

0:38:050:38:08

He kept saying it wasn't you.

0:38:110:38:13

Was it you?

0:38:140:38:15

It was an accident.

0:38:170:38:19

Self-defence, Damo...he came at me.

0:38:190:38:22

-Tell the police that, then.

-They won't believe me.

0:38:220:38:24

-So you're going to let your brother go to jail?

-They're not going to send him...

0:38:240:38:28

Poor kid. His dad does that to him and then his brother sends him down.

0:38:280:38:31

You don't know anything about it!

0:38:310:38:33

You're just like the rest of them,

0:38:330:38:35

you just see Kelvin like he's stupid.

0:38:350:38:38

He used to be really smart, you know, before Dad...

0:38:380:38:41

Why did your dad do that to him?

0:38:410:38:43

Cos I threw his booze out.

0:38:430:38:46

He found out and went mental, he'd have killed me!

0:38:460:38:50

Mum, she didn't do a thing.

0:38:500:38:53

Kelvin said he did it.

0:38:540:38:56

So your dad gave him the kicking?

0:38:570:38:59

See, you're not the only one who's got scars, mate.

0:39:030:39:05

Listen, if you run away from this,

0:39:070:39:09

you're never going to be able to face him again.

0:39:090:39:11

It'll break his heart. Do you think you can live with that?

0:39:110:39:14

You want me to do the right thing?

0:39:160:39:18

You get me to Kelvin and then I'll go to the police.

0:39:180:39:21

I can't just walk in there.

0:39:220:39:24

Damo's girl and his brother, they're going to be waiting for me.

0:39:240:39:28

I need you to get me in.

0:39:280:39:29

KELVIN GASPS

0:39:340:39:35

His breathing is not sounding too good, is it?

0:39:350:39:37

Kelvin? Kelvin?

0:39:370:39:40

Can you hear me?

0:39:400:39:42

KELVIN GASPS

0:39:420:39:44

Yeah, I can see some subtle signs of smoke inhalation.

0:39:490:39:52

His GCS is dropping.

0:39:540:39:56

I think there's a good chance the smoke's done more damage

0:39:560:39:58

than we've seen so far. Let's intubate.

0:39:580:40:00

Can we get the screen up, please?

0:40:000:40:02

So you're telling me that he's responsible for stabbing that kid we picked up on the estate?

0:40:020:40:07

Well, easy - call the police.

0:40:070:40:09

But it was self-defence.

0:40:090:40:11

All he wants to do is see his brother and then he'll turn himself in.

0:40:110:40:14

What do you think we should do?

0:40:140:40:17

Oh, now it's we.

0:40:170:40:18

How can this happen?

0:40:230:40:25

We were making plans.

0:40:250:40:27

How can he be gone like that?

0:40:270:40:29

Got your message, what is it?

0:40:590:41:01

Damo's dead.

0:41:010:41:03

Carrot's here and that scumbag of a brother of his

0:41:060:41:09

isn't going to be able to stay away.

0:41:090:41:11

Watch for him at the door.

0:41:130:41:14

-Do you want a smaller tube?

-No.

0:41:230:41:25

It's just the swelling, it's worse than I thought.

0:41:250:41:29

All right, yep, that's it.

0:41:290:41:32

There we go. Is it in place?

0:41:340:41:36

-No, I don't hear any air moving.

-Something must be obstructing it. Have you double-checked everything?

0:41:380:41:43

-He can't breathe independently.

-Not now that we've paralysed him, I know.

0:41:430:41:46

I didn't see anything blocking the airway. There's something else.

0:41:460:41:49

There's got to be.

0:41:490:41:50

That's him. He's here.

0:42:080:42:10

When he comes out, do him.

0:42:160:42:18

-You happy with the tube?

-Yes. Inflate the cuff...

0:42:430:42:46

cricoid off.

0:42:460:42:47

We need to do an escharotomy.

0:42:470:42:50

-You've never done one?

-Nope.

0:42:500:42:52

-Well, it's either that or he's going to die on us.

-I know.

0:42:520:42:55

What're you doing to my brother?

0:43:050:43:07

Saving his life.

0:43:070:43:08

Your brother's chest is so tight that his diaphragm can't expand.

0:43:100:43:14

This procedure will help that.

0:43:140:43:16

Thanks, Tash, will you just take over for me?

0:43:160:43:19

I'll call the burns unit.

0:43:200:43:22

Your brother is still in a critical condition,

0:43:240:43:27

but we've managed to deal with the immediate danger.

0:43:270:43:29

If you could just stay out of the way

0:43:290:43:31

and let these people do their job.

0:43:310:43:33

He killed your brother.

0:43:480:43:50

Make him pay.

0:43:500:43:52

I can't.

0:43:530:43:54

Help!

0:44:000:44:02

SHE SHOUTS

0:44:020:44:03

Jeff!

0:44:030:44:04

You got it, yeah?

0:44:060:44:08

-Drop it, drop it.

-Oi, oi!

0:44:080:44:11

-Got her, got her?

-Calm it down, take it easy.

0:44:110:44:13

Don't make things more difficult for yourself.

0:44:130:44:16

Get off me! You killed him!

0:44:160:44:18

It was an accident.

0:44:180:44:19

You killed him!

0:44:190:44:21

You killed him!

0:44:210:44:22

-You all right?

-Yeah.

0:44:240:44:26

Get off me!

0:44:280:44:29

I'm the reason that kid Damo is dead, but it was an accident!

0:44:380:44:42

I'll find out how Kelvin is and I'll make sure you're told, OK?

0:44:490:44:51

Hey, you OK?

0:44:580:44:59

Hey, yeah.

0:44:590:45:02

Spare keys...

0:45:080:45:10

Well, not really spare any more.

0:45:100:45:12

I thought you didn't...

0:45:120:45:14

No, I just...forgot I had a set.

0:45:140:45:16

Now what we have to figure out is where we're going to put your stuff.

0:45:180:45:21

Let's go home.

0:45:250:45:26

SHOUTING AND ARGUING HEARD THROUGH THE WALLS

0:45:310:45:36

-Cuppa?

-Yes, please.

0:45:390:45:40

Was it your turn to buy sugar?

0:45:480:45:50

No, it was yours.

0:45:500:45:51

-We can't sit here and just do nothing.

-Any bright ideas?

0:45:540:45:57

Yeah.

0:45:570:45:59

We box clever.

0:45:590:46:01

You're not going to start a fight, are you?

0:46:030:46:05

Jamie.

0:46:050:46:06

SHOUTING AND ARGUING CONTINUES

0:46:080:46:11

SHE WHISPERS: What are you doing?

0:46:160:46:18

Hi, I live next door and we've run out of sugar.

0:46:230:46:26

Could I have half a cup, please?

0:46:260:46:28

-Here.

-Cheers, you're a star.

0:46:410:46:44

Um...if you ever need to borrow anything, just ring our bell.

0:46:440:46:48

There's usually someone in.

0:46:480:46:49

-Jamie, what...?

-Shh.

0:46:580:47:00

SHOUTING HAS STOPPED

0:47:020:47:04

So did the rest of the shift pass off uneventfully?

0:47:150:47:18

-Anything I need to know about?

-No.

-No.

0:47:190:47:21

Did you really get shot in the army?

0:47:230:47:25

No, no. I just told him that to make him listen.

0:47:250:47:28

-Well, it worked. So who is going to get the first round in?

-I'll get it.

0:47:280:47:31

-No, I'll get it.

-Must be some tradition where the newbie gets the first round?

0:47:310:47:34

No, but there's a tradition where the newbie shuts up and does what they're told.

0:47:340:47:38

-Don't tell me to shut up.

-Right, enough. Enough! I'll get them.

0:47:380:47:41

-The usual?

-Yeah.

-What do you want?

-Lager.

-Shandy.

0:47:410:47:44

Go and find us a table and I swear, if you two haven't kissed and made up by the time I get out there,

0:47:440:47:48

I'm going to get your pints and I'm going to pour them over your heads and I'm going home.

0:47:480:47:53

Can I have two pints, please, love, and a JD and coke? Thank you.

0:47:530:47:57

See, told ya, teamwork.

0:48:010:48:03

Makes the dream work, son.

0:48:030:48:05

Nice one, Jeff.

0:48:050:48:07

I love it when a plan comes together.

0:48:070:48:09

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