The Longest Day Casualty

Morning. Lovely day, innit? Yeah, I'm not so sure about that.

Sorry, Mr Trenton, can I have your address again, please?

For the third time? Really?!

Problems? System's down.

When you've replaced the elastic band, I'll be over there.

Owww.

Very funny.

HE GROANS

Oh...

You all right? You going to be sick?

HE MOANS

LOUD DANCE MUSIC PLAYS

DANCE MUSIC PLAYS

You're on the gear stick!

Come here, boy!

Who put that there?

Get off!

HE YELLS

TYRES SCREECH

There's a three-hour wait!

Already?!

PHONE RINGS

Hello, Holby ED.

No, sorry. You're looking at a four-hour wait at least.

OK, bye. ..What?

If they're well enough to phone, they're well enough not to be here.

Here he is! Captain of cubicles?

You're with Jamie.

Where's your cape? I would so rock a cape. Come on, sunshine.

SIRENS WAIL, HE COUGHS

Don't you start.

I wouldn't dare. Surprised Jeff does.

Well, I had it last week. You didn't see me stopping in bed.

The stronger sex. Glad you admit it.

Right, here we go.

Oh, thank God! The car went off and rolled off down the bank. There's people hurt.

Can you take the ambulance down the bottom, please, love?

Can you look after this gentleman here, please?

He might be in shock. Cheers, mate.

OK, let me help you! Let me help you.

Let's get him to a safe place.

That's it, good man.

Ugh!

Car could blow. I'll take it from here, buddy.

Let's get him behind this wall.

It's going up any minute.

Yeah...should be safe here?

STAY BACK!!

Iain, can you sort him out, please?

Come on, mate, let's get you somewhere safe, yeah?

FIRE ROARS, DOG BARKS

You OK?

Dixie, you OK? Right, you're safe now, mate.

They were in the middle road. Who was that?

That man and his dog? We came round the corner.

Don't worry. What's your name? I'm Iain.

Si. It was new. His dad got it for his birthday.

Right, let me have a look at this for you.

I'm going to get something to wrap round that. OK, stay calm.

Right, we got a severe head injury.

What's his name, Si?

Ade. It's Ade.

He wasn't wearing a seat belt, was he?

OK. All right, darling, we're going to get you both to hospital.

You need to immobilise that neck, love. Yeah, if he'll let me.

OK, buddy, let's get you seen to, eh?

Has anyone seen a bag from the mini-mart?

Breakfast?

Trying to be healthy, I got myself a baguette.

Er, what's that? A pig's trotter!

Is that some kind of a joke? Actually, that's mine.

Any chance of getting a patient taken through to cubicles?

You'll be lucky.

We got an RTC on the way.

Two injured, one with a serious head injury. ETA, two minutes.

I'll check that Resus is ready.

Suppose it'll take even longer now.

Why, what's the problem? More like "who".

Mr Trenton?

I been here for three, actually. Yeah, I have.

Here's another one doing sod-all. Eating a doughnut.

Takes years of training, that! He's hoping to graduate with sprinkles(!)

It's my break. I haven't had any breakfast.

This lady's been here for hours.

She's 85, and yet, you're off eating cake.

Well, she's not my patient, but I'll...

You'll what? Fill in a form, then go eat another doughnut?

Three cheers for the National Health(!)

HE CLAPS

Charming(!) Isn't he just.

Sorry, sir, is there a problem?

Where should I start? I bet you can't stand time-wasters? Couldn't agree with you more.

This lady needs to be seen!

She already has been. She's had a cup of tea, couple of digestives

and she's just waiting for transport. Aren't you, Betty?

Yes. Does anyone else think a nurse

who's been on shift since 7am,

doesn't deserve a break or a doughnut?

SILENCE

Every minute we spend talking to you,

we're NOT treating somebody else.

Legend.

There's only one Fletch.

Tess, RTC's here.

Apparently, the driver's a teenager. Oh, no.

OK, Dixie. What have we got?

This is Ade Warburton, he's 18-years-old, unrestrained driver,

involved in a RTC, rolled his car at about 30mph.

He's got a severe head injury. He's blown his left pupil.

His GCS was eight, went down to three, so we intubated en route.

Ade! Just try and relax they will look after him.

Just try and stay in the chair for me. Ade!

BP is 170/80, pulse is 85, SATS are 96.

There is some bilateral chest expansion. Pulse, 120.

Let's get him over. On three, boys and girls. Nice and gently.

One, two, three.

Let's give him 200 of Mannitol and we'll need a CT scan ASAP.

Where's Ade? I need to speak to him! The driver. He's in Resus.

Wish you'd put him in a collar. He's too hyped up. Would've done more harm than good.

Any pain in your shoulder?

Pulse is 90, SATS are 98, and resps are 21.

You must be in a lot of pain. Can I get him 10mg of morphine. Yeah.

What's happened to the finger, where is it?

Car exploded before we could look for it. That's a feeble excuse!

See what I have to put up with, Si? Si, have you or Ade taken anything?

We were driving to work!

Stay calm for me. Stay calm for me. Deep breaths, Si.

OK, you got this Jamie? Once he's calmed down a bit, we'll get him to talk.

Sam, you think he's on something? He's just hyper. If his vital signs change, come and find me.

OK, Si, just try and relax for me, OK?

GIGGLING

Shhh!

GIGGLING

What in the...?

This is my break. I can do whatever I want.

Most of us just grab a coffee. A pig's skin is the closest to human.

That's right, Lily, and they don't talk back either.

As a future dermatologist, my cosmetic sutures need to be perfect.

Is there a problem?

No. That's very...commendable.

Good. Close the door.

All right! ALL LAUGH

We managed to get hold of your mum. She's on her way.

Any news on Ade? They're running some tests.

Si, I need you to try and relax for me, OK.

It helps. Well, you can talk to me. That might help?

Have you taken anything. I need to know. Ritalin.

For ADHD?

Have you missed a dose?

Ade?! Why all those tubes?

They're there to help him. I promise you, he's not in any pain.

Si? Si, I'm going to give you some oxygen, OK.

I need you to breathe deeply for me. Everything all right?

He's tachypnoeic. Let's get him into Resus. Try and relax for me, Si.

Oh, the chap in cubicle two?

He wouldn't let the triage nurse examine him.

He's a complete and utter PITA.

What's that?

"Pain in the proverbial".

Degree of severity?

Oh, an easy eight.

Deep joy(!)

Mr Trenton? I'm Doctor Ashford, I understand you had a fall.

Fell off a ladder at work. Hurt my ribs. OK, Can I take a look?

Right, what do you do for a living?

I'm an electrician.

Right.

Was up trying to fix someone's wiring.

I think there are some breaks. We'll get you X-rayed

just to make sure there's no damage to your lung.

When did it happen? Few days ago.

Me foot's been playing up as well.

I should never have been up there in the first place.

Agh.

Sorry, bet that's sore.

I understand you're a diabetic, Mr Trenton. Obviously.

So, you know foot problems need to be taken very seriously.

Which is why I'm in a hospital's emergency department!

This must have been painful for some time.

Why didn't you see someone earlier? I'm a busy man.

Who presumably needs his foot.

X-rays, please, foot and chest.

U&E, FBC, CRP and an HBA1C?

OK.

MOBILE RINGS

PHONE BEEPS

Hi, Matt.

Yeah, I'm at the hospital.

I told them about the accident, so that's all fine.

Yeah, They want me to have some X-rays.

I've been here for hours. "Slow" is not the word..

Yeah, OK, bye.

Pulse is 120, BP is 135/80, resps 30.

Sam, he's got ADHD, and he's on Ritalin.

Right, that explains a lot.

Abdomen's tender, but not rigid. Do you feel dizzy at all?

Could be his spleen. Si, I know I asked you before,

but have you any pain in your left shoulder.

BP's normal. Jamie, did anything trigger this off?

I don't know, he saw his mate coming back from CT.

Right. OK, Si, we think you're having a panic attack.

You need to breathe nice and slowly for me. Big, deep breaths.

That's it, straight into the mask. and out.

Sam, can you sort out a fast scanner and request a CT trauma?

You might want to move him back out.

His friend's CT's in.

He blew the other pupil in the scanner.

So, he didn't response to the Mannitol?

Neurosurgery are reviewing the images.

Are his parents here?

His father should be soon.

I'll stay with him.

You sure?

Your dad's on his way, Ade.

I'm Tess. I'm going to look after you until he gets here.

So, let's get you cleaned up.

SHE SIGHS

Actually, I'll take that.

Is it me or was that weird?

Sutures.

SHE GROANS

What has she done with the rest of it?

I haven't dared ask!

Lunch probably! SHE LAUGHS

This is Becca Lincoln. She's got a pretty nasty cut on her leg.

I'm Dr Chao. Let's have a look.

Perfect. I need some local.

You're not going to take a history? Or at least look at my Care Plan.

How did it happen? Well, I...

This is a knife wound, yes?

The existing marks on your arm,

plus the angle of the new cut

tells me this was deliberate. Am I correct?

It's all right, Becca. Take your time.

Self-harming is obviously a concern.

I'll contact the liaison psychiatry team.

Don't you want to do an assessment first? It's my call.

Becca, do you want to talk to us about this?

I asked for some local and a suture trolley.

Actually, can I have a word, please?

Look, she's vulnerable. Which is why I'm referring her to Psych.

Shouldn't we should spend time finding out why she's doing this.

Robyn, people are waiting. We don't have time to play social worker!

Fine, I'll get a trolley.

Thank you.

Let's try without the mask.

OK, nice deep breaths for me.

OK, good job.

Well, the good news is your scan has come back all clear.

Can you tell me about your Ritalin, Si? What dosage are you on?

40 milligrams. It was 20, but they upped it.

Everyone always thinks I'm on drugs. Must be annoying.

It's OK. Sometimes I forget how it looks. Any news on Ade's dad?

He's on his way. What about his mum?

It's just him and his dad, Mike. He's great. He was in the army.

Do you get on well with him?

Round there all the time. He's a right laugh.

Does this hurt? Yeah, ow.

30 more seconds.

Couldn't we just put some more in?

25 seconds.

What happened, Becca? You having a bad day?

My dog died in the night. I haven't slept.

That's so sad.

Are you living by yourself or is there anyone with you?

Mum died. Pancreatic cancer.

Were you looking after her?

Was a year ago.

Should be over it, shouldn't I?

How long have you been cutting yourself?

I try not to.

That's OK. You don't have to make excuses to me.

Was it your mum's dog?

Right, Becca. Are you ready?

Can we just give her a minute?

Does it hurt now?

Good.

Thank you, Nurse. You don't want me to stay?

I need to concentrate.

SHE SIGHS

Pathetic, aren't I? It's just a dog.

I'd appreciate it if you didn't talk.

I'm afraid we're going to have to wait for his mother to arrive

before he speaks to you. He's only 17. OK, No problem.

Do you want to wait in my office.

Was that about the crash? It's just routine.

Are they going to speak to Ade too?

Why don't I see if your mum's... I need to see him.

Si, get back in the bed. Si, you can't just walk...

Hello, there.

Checking up on me?

Robyn mentioned you might need me.

She's wrong. It's in hand.

Well, you know where I am if you DO need me...

Thank you.

She's just being stubborn!

We'll see.

Si! Thought he was dead.

You must be his friend?

This is Si. What's wrong with him? Why is he still unconscious?

Ade's injuries are very severe.

But he's breathing. That's good, right?

Si, the machines are keeping him alive.

He can't die...!

Is that what you're saying? I'm sorry.

HE SOBS Mate?!

Come on, Si. Come on, let's go.

His dad's here. Noel's putting him in the Relatives' Room.

Thank you.

You never get used to it, do you?

It would be wrong if we did.

It's not even lunchtime.

Right, Mr Trenton. Two broken ribs,

but there's no damage to your lung, so that's something.

With your foot, there's no fracture,

but there are signs of joint destruction. It's not broken?

Not in the strictest sense, no. It's due to the diabetes.

With bone breakdown, plus the cellulitis,

points to Charcot's Foot Syndrome,

which, presumably, you know all about. They warn you about it, yes.

Why did you leave it so long? I don't have to explain myself to you.

If you carry on neglecting yourself like this, you could lose your foot.

Now, the ribs will be sore, but they'll heal.

You'll need a plaster on that foot for at least six weeks,

and I'll give you some antibiotics for the infection. OK?

This is Peter Trenton's partner. Matt. Can he see him?

Of course you can. Help yourself. Thanks.

Nice bloke. Wonder why he puts up with that old grump!

You OK?

What have they said?

Two broken ribs. What about the foot?

The joint's damaged. Must be the diabetes.

I'll be in plaster for weeks. I did keep telling you to come.

PETER SIGHS

Hey, thought we'd agreed. It's going to be all right now. I promise.

You know you might have to re-acquaint yourself with the vacuum cleaner!

BOTH CHUCKLE

MOBILE RINGS That's him, isn't it?

Why's he calling? I agreed to meet him. What? Why?!

I was going to tell him. About us. Were you really?

Yes. You're right. It's not fair on you.

I was going to sort it.

Try to.

MONITORS BEEP STEADILY

Is that the father?

No hope? What have you told him?

The basics. Did you mention he'd been drinking? Not yet. How do you know that?

I could smell it on his breath.

Have you spoken to the Transplant Coordinator?

They want us to start the conversation. Organ donation?

Yeah, if he agrees.

You OK, Do you need any help? No.

I mean, where's the way out? It's just out there on the right.

How is he doing? He's in shock. Not coping very well.

Hiya, Si? Remember me? It's Iain.

I helped you at the accident.

Listen, I heard about Ade.

I'm really sorry, mate.

That was quite something you did,

pulling him from the car. That took guts.

Those look sore, mate.

This is a pedal injury, isn't it?

The driver panics, gets his feet caught.

Si, your mum's here. I'll bring her through.

I'm right, aren't I? You were driving.

All I said was that it was Ade's car! So, why not put me right?

I killed him. No, it was still an accident.

He was on a last warning at work. He had to get there.

So, he asked you to drive him?

You've not passed your test, have you?

Oh, darling, you all right? Mum, Ade...

I know, darling. The doctor's just told me.

HE MOUTHS

What's that about? I'll tell you later.

He's my patient. Yeah, and mine. It's not medical, promise?

Sam, how busy are you? I got RTC's dad in Resus, he's ex-Army.

So...? I'm just looking for the right person

to talk him through the organ donation? Yeah, sure. Thanks.

Where's Becca? Still waiting for Psych.

No, she's gone. She must've have walked out.

If she's walked out of here, then she must be OK.

Lily, she carved into her leg with a knife!

I'll sort it. She can't have gone far.

We're down to a 1½ hour wait. That's better than three! We'll get there.

Excuse me! It's Tess, isn't it? Natalie! Hi. You looking for Fletch?

Yeah, just need him for a minute. Come through. Thanks.

ANSWERPHONE: 'Hi, it's Becca.

'I'm not here at the moment. Can you leave me a message?'

Hi, Becca, it's Dr Chao. You seem to have left the ED?

Do you mind giving me a call back

as soon as you get this message. Thanks.

Been trying to call him all morning. We're busy. Doubt he's had a break.

Fletch? Nat, what are you doing here?

You went off with the car keys.

Probably in my coat. I asked you three times to leave them.

Sorry. Why don't I take over your patient?

Thanks, Tess. No problem.

They're in the staff room.

She's lovely, isn't she? I'm really busy, Nat.

I wouldn't be here if you'd left the keys And I said I was sorry.

If I say "yes", how many people will it help? As many as a dozen.

I saw blokes losing limbs in Iraq.

Awful burns...

If you'd asked me then I would have said "yes".

We all signed donor cards.

Anything to save a mate.

Bet you did, too.

They weren't your son though, were they?

The idea of him being cut into...

Whatever you decide, you have to try and think about Ade as he was.

HE SIGHS

An idiot?

That's a bit harsh. No seat belt? Driving drunk?

We've all done stupid things at that age.

Thank God Si's OK.

He is, isn't he? Yes.

You don't have to decide just yet.

Once they've transferred him to ITU,

you can talk to the Transplant Coordinators.

I can come with you, if you'd like?

They'll be here soon.

Give you some time alone. OK?

Everything all right, Si? It's OK, he's just told me.

Good. It's a lot to take in.

I could have a word with Ade's dad, if you like? Explain.

Does he need to know? What do you mean?

Well, I know, it's awful. Ade, I mean, but...

Well, it's Si what matters now.

You're not going to say anything? The man with a dog, he's made a statement.

He's saying it was all his fault. So, why not own up?

I could get arrested. Haven't passed my test, got no insurance.

Can I have a word?

He's just a kid,

and I know he's mine, but he's solid gold.

He was only driving to save Ade's skin.

I don't know. Please, think about it. He's just lost his best friend.

He's lost a finger. He's been through enough, surely?

DIXIE: 'Iain?! We've got a shout.'

HE SIGHS Right, let me have a think about it. Thank you.

I cooked last night.

Fish-finger sandwich? Tom, I need vegetables. A balti has vegetables.

Are you OK? I just feel a bit dizzy.

Do you want us to take you somewhere and have a look? I've got to get back.

OK, easy there. It won't take long. OK, thanks.

You all right? You've been ever so quiet. Takes it out of you, doesn't it? What's that?

The lads in the RTC. Just been a long day, that's all.

We got a young girl. Her name is Becca Lincoln,

but she's not giving us any other information. OK, cheers. Thanks. OK.

Hello, darling.

I'm Dixie, I'm a Paramedic.

How are you feeling? Dixie...

She was in the ED earlier.

Her name's Becca Lincoln.

Neighbours have called in. Apparently, she lives here,

but she's not going in. OK, give us that blanket, love.

Becca, I am just going to pop this around you, love.

All right? Let's get you nice warm, eh?

There we go. It's all right. You're safe now.

OK, bye.

Was that him? No, Sal in the office. She's told him I'm here.

Maybe you should leave? No.

I need to tell him my way.

We agreed, no more secrets. I'm not leaving.

Is everything all right? Yeah. We're good, aren't we?

Yes.

What happened? Just felt a bit faint. You know each other?

Sorry, should've said. I'm Fletch's wife.

Oh, you definitely get the gold standard then.

Is cubicle one all right, Tess? Yep. He's taken a patient up to a ward. He won't be long.

I skipped breakfast. That'll be it. Doesn't explain the aches.

I'm tired, that's all. Our youngest still doesn't sleep through.

I remember those days. Could be anaemic?

Let's check you in and run some bloods.

I should get back. I've left the kids with my mum.

Why don't you just curl up have an hour to yourself.

Does sound tempting. OK, is there any chance you could be pregnant?

I really don't think I am.

Tess, you all right to run those bloods and do a HCG?

And I will come and check on you in a bit.

I'm sorry about this. Don't be.

Right! You need to pee in one of these for the pregnancy test.

And the toilet is just there. OK.

Hello there, let's have her in the end cubicle. What happened?

Got a bit lost on her own doorstep, so neighbours called the police.

Hi, Becca. Do you remember me?

So, what happened earlier? You'd better ask Lily about that.

Psych were on their way. You keep saying that.

Well, I intend to see that they are! Lily, your patient went that way.

Just don't let her leave this time, OK. It gets better.

She just can't lose face. That's all this is!

If she's not back in ten minutes, I'll step in.

Right, dreamer! Lunchtime, my shout.

No, I'll see you back at base. OK!

Not like you to turn down a free lunch.

So, like I said. He's my patient.

Pulling rank? Spill it.

All right, it wasn't the other kid that was driving. It was him.

His mum's asked me to keep it secret. You ARE joking.

She's got a point.

He's got no licence, no insurance

and it wasn't even his fault.

You can't lie. I'm not, I'm just choosing to ignore it.

You can't live with a lie like that. It will break him, you know it will.

So, how do I convince them of that?

You, of all people, know what it's like to have a head full of bad memories.

Just tell him how it is.

HE SIGHS

Everything OK?

No. Actually, I don't think it is.

I've been looking for you. You should be back in bed. I need to leave!

We're waiting for your antibiotics. I'll phone the pharmacy.

I'll come with you. Make sure you do.

Trying to guilt me into it?

Ade wouldn't want you to take the blame. I know he wouldn't!

If this was Si in there, wouldn't you want to know the truth?

This is a really big deal, Si.

You think I don't know that?!

We tell the police, I could go to jail!

Every time you think about Ade or his dad,

you're going to feel guilty. You've got to be straight about this, mate.

Trust me, it's not going away.

Si...

It's so good to see you walking around.

I heard what you did. Trying to save Ade like that.

It was very brave. Please, don't...

Do you want to come in, son.

Say goodbye?

It's tough, I know, but it might help.

Let me tell him.

No. Be all right.

I hate it when you're right. You should be used to it by now.

Any luck? Sorry, it's a bit yuck asking you to do this.

I'll do it straightaway. You'll call them now? I said I would, and I will.

Listen, if anyone called Adam arrives, can you tell him I've already left?

It's nothing like that. Listen, it's none of my business.

Adam's my son!

OK.

Just don't let him through. Do you think you can manage that?

Sure.

It's all right. She felt faint. She seems fine now.

HE SIGHS

Charlie, she can't wait much longer.

Lily's insisting she's going to get Psych down.

She's got more chance of winning the lottery! She's just through here.

Her name is Becca Lincoln.

Robyn, you should stay. You've bonded with her.

I said I'd get them to come. She needs sectioning.

You'd have referred her to them anyway.

She's a troubled kid with problems she needs help and support!

She does NOT need to be sectioned!

If she does need to come in,

it would most probably be as an informal admission, all right?

Anything I should know about?

No, no! She's just picking up a few tips from the nurses.

OK, if I could get you just to just fill in here.

Your surname, forename, and your address and your postcode.

And the name of your doctor, if you know it. ..Thank you very much.

Can I go through? My dad's here?

Give me one minute, I'll find out where he is.

If you don't know the name of your consultant, that's fine, just leave that blank.

OK, there you go, fill that out, please?

How are you feeling? Yeah, a lot better, thanks.

Maybe we should have a chat. It won't take a minute.

It was positive?

What was positive?

Pregnant.

We're on the verge of making a complaint. I'm sorry to hear that.

She came in well after Pete.

You're waiting for Pharmacy, aren't you? I'll chase them up.

That's what HE said! I mean, is he working or not?

I said, I'D do it. All right?

BOTH SIGH

We're already skint.

Fletch, stop it. It's a baby.

I need a few minutes. Sorry.

Nurse. NURSE!

Pete, calm down. If Adam comes in, we'll sort it.

It's not that, he's blatantly ignoring me!

You'll give yourself a heart attack. Please?

Excuse me? Nurse Fletcher, yeah?

Sorry, do I know you? Says it on your badge.

Don't happen to know where Peter Trenton is do you?

Are you his son? Nah, mate, I'm just the taxi.

His work sent me to take him home. Is he down this way?

Down there to the right. Cheers, buddy.

It's a wonder anyone ever leaves here!

Maybe they like you so much they just can't bear to let you go.

BOTH CHUCKLE

Dad?

So, I was right. Sharing a flat, "We're just friends"?

Your dad's not very well. Ashamed of him are you, Dad? Embarrassed?

No. How did you get through? Yeah, I know you told them not to let me in.

Why would I do that? Because the nurse asked if I was your son. I'm not stupid.

Adam, I was going to tell you. Please, Son...

This is sick! You are SICK!

That's enough! This is disgusting, Dad!

Excuse me, there are other patients.

Yeah, sorry. Are you all right, Mr Trenton?

Yeah, we're fine, thanks.

(We can't talk about this now.)

There's nothing to talk about anyway. I know what you are now, don't I?

This is your father! You show some respect! "Respect"?

You're responsible! What?! He's been so worried about you...

He can rot, for all I care. Until you want the next hand-out?

No, don't! Don't! I know it's hard, but... You know nothing, Dad.

Nothing! Adam... ADAM!

I'll go. I'll go.

Adam, wait! Don't come near me.

Your dad's a good person! He doesn't deserve this!

Go back then, give him a kiss and a cuddle.

He's still your dad and he's always been there for you.

Told you that, did he? It's none of your business.

You got it?! Of course it's my business! I love him!

"Love"?! No, MY MUM loved him.

All you do is use him. You treat him like dirt You know nothing about me.

Phone goes, three in the morning.

"Dad, can you come and fetch me? I've run out of money!"

You're drunk, incapable. You need to grow up!

Your dad is gay.

It's who he is.

Stop using it as an excuse to bully him.

Or what?

Or you will lose him.

Like I care.

He's all yours!

Empty cubicles?

What's the world coming to?

Sorry, good news. Ade's dad has agreed to donation.

Full retrieval? He's still speaking with the team, but in essence, yes.

That's great. Where's Tom? I haven't seen him.

Tom is in cubicle three with Fletch's wife.

Is she here as a patient? It's nothing serious. She felt faint.

Turns out she's pregnant.

Tess, I don't know what to say.

Oi, Oi!

What's your problem?

Mr Trenton, I'm on a break. I should wrap these round your neck.

Yeah, good luck with that(!) Why did you let him through?

Who? My son.

Don't pretend you don't know! What have I done to upset you?

Can you, please, just leave me alone.

Don't like it when people stand up to you, do you?

What is it with you people, seriously? What did you say?

Look, I'm out here trying to get a bit of air... I'm going to make a complaint.

Do you know what? I don't give a toss. Just get out of my way.

Going to start something, are you? Just get out of my way...

Fletch?! What? He fell over!

Just leave it? All right?

OK, go slow. Don't put any pressure on your left foot. I've got you.

OK, there you go! Whoa! Fletch! Get a trolley!

Can you hear me?

Have you seen Peter? He's not in his bed? He might have just gone to the bathroom.

Pete?

What happened? We're not sure yet.

He'd just taken his insulin when I left, but he wouldn't eat.

So, he's diabetic? You KNOW he is.

He's hypoglycaemic. Can we have some glucagon, please?

He's never been like this before.

Infection in his foot's probably not helping.

You all right?

I am now, yeah. OK, just stay out of his way if you can.

Just got to hope he doesn't say anything, all right?

Thank you.

HE MOANS

I'm Zoe.

The boss. I am honoured. Patient collapsed. Sorry, I had to pitch in.

Natalie was just telling me she's had a little bit of bleeding.

For how long? It was only a bit of spotting really...

You should get it checked. Just in case.

You're not thinking of miscarriage? No, that's not likely, Fletch.

But I will refer her. Mark it "urgent".

Can't we do an ultrasound in here? At least hear the baby's heartbeat.

If that makes you both feel comfortable, yeah.

Tom, get one of the nurses to bring the fast scanner, then lend a hand in Resus?

Mm-hm. I'll see you later. Cheers, mate.

Tess, could you do ultrasound for cubicle one, please.

It's just precautionary...

Tess, Tess! I'll get somebody else to do it.

I shouldn't be here if I can't do things like this.

But this is different. It's all in the past.

OK, Natalie, Don't panic if we can't see anything,

cos it could still be early days.

OK, Tess, thanks.

RAPID HEARTBEAT

That's a nice, strong heartbeat.

ALL CHUCKLE

That's a good sign.

HEARTBEATS CONTINUE How far on am I?

I'd say you're about twelve weeks.

Ah, Tess. Mr Trenton's coming round.

Could we get him a sandwich or something? And, where's Fletch?

He's in there. We need to maintain his BM.

Push through a litre of saline quickly. He's a quite dry.

I'll do it. Tess... Don't you think you should be with your wife!

Tess, are there any chest drains about? There's some ordered.

Call round the wards. See if they'll let you have one.

Tess! That's me done after this.

Do you want to go for a drink after work? Not tonight. Thanks, though.

Mr Trenton!

We'll let them go first.

Have you talked to the police? Just now.

If it goes to court or anything, you know I'll speak up for you, Si.

Si, you're a good kid. You're the best friend Ade ever had.

Darling, it's all right. Come on.

Will you come straight home? Yeah, course. And I'll even try and cook.

SHE SCOFFS

I'll pick up something on the way home, all right?

Lou, have you seen Tess? Yeah, she just left. Oh.

KEYPAD TONES

MOBILE RINGS

PHONE CONTINUES TO RING

HE SIGHS

HE DRAWS RAGGED BREATHS

I need help! He can't breathe!

..Excuse me. He was hypoglycaemic, had 1mg glucagon.

And it worked? Yeah, he was stable, but yes. Take some deep breaths.

What's wrong? He's tachycardic. We need to get him to Resus.

Can you get the monitor up, Tash?

Sorry, if you could just step outside?

OK, Mr Trenton. Just keep taking those deep breaths for me, OK?

You're doing really well. Here's the blood gas results.

Can we repeat, please.

He's throwing off a lot of ectopics. Can we do a 12 lead?

Oh, no!

What are you doing?

That's a potassium infusion! It should be saline.

ALARMS BLEEP He's gone off!

Head down.

Can I do anything?

No output, he is in VF. Can you talk to the relative, please? OK.

What's happening? Is he going to be OK?

Stand clear. Oxygen away.

Charging. Stand clear.

ELECTRIC WHINE Shocking.

THUD

Nothing, we're on the clock.

I really should be in there with him.

I know. Matt, in order to give him his best chance,

we need to wait out here, OK? I just feel so useless!

Stand clear. Oxygen off.

Charging. ELECTRIC WHINE

Stand clear.

Shocking. THUD

PETER SIGHS

Well done, everyone.

Got an output. He's in sinus rhythm. Who put the potassium up?

OK, Lily. He could have died! Yes, we know that.

I'll sort out the paperwork. OK, thanks.

I'll call Zoe.

Charlie, can you get hold of ITU, please? Yeah.

He's stable. Thank you!

That must have been tough to watch. Can I go in and be with him, please? Sure.

Come on, I'll take you through. Thank you.

What the hell happened? Ah, Lily told you?

Well, somebody had to. Thank you, Doctor Chao.

Somebody put potassium up by mistake?! How does that happen?!

We'll have to tell them.

Obviously! Wait till the Trust hear about this.

I want all his notes in my office. Now.

I just heard. Really? Good gossip, was it?

It wasn't like that. Well, I've got to get this to Zoe.

SHE SIGHS

The Trust are going to be all over this like a rash.

The forms should be on the system?

I can't find it. Feel free, I'm logged in.

KNOCK AT DOOR

Are they the notes?

HE CLEARS HIS THROAT Yeah.

What happened? Did you pass the fluid chart on to someone?

No.

So, it was you?

Do you understand how serious this is?

Yeah.

Subtitles by Red Bee Media Ltd