Avoidable Harm

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0:00:02 > 0:00:04- Did you ever kiss Dixie? - So, we're friends now?

0:00:04 > 0:00:06- What about the fact that I'm still...- Friends.

0:00:06 > 0:00:08- Take it or leave it. - I'll take it.

0:00:08 > 0:00:10The armed response officer who shot you,

0:00:10 > 0:00:14they're not recommending disciplinary action.

0:00:14 > 0:00:16Well, I want a name. Man who pulled the trigger.

0:00:16 > 0:00:18- And have you had a chance to look at the dates?- For?

0:00:18 > 0:00:19My MCEM?

0:00:19 > 0:00:22I'm definitely keen to just get cracking as soon as possible.

0:00:22 > 0:00:23Let's not get ahead of ourselves.

0:00:23 > 0:00:25Look, I could show you this Fasal Technique.

0:00:25 > 0:00:27I've seen it done lots of times before.

0:00:27 > 0:00:30You're here to be mentored by me. Not the other way round.

0:00:32 > 0:00:37TITLE MUSIC

0:01:06 > 0:01:09'For as long as I can remember, I always wanted to be a doctor.

0:01:10 > 0:01:12'I wanted to help people.

0:01:12 > 0:01:14'Being able to leave at the end of a day,

0:01:14 > 0:01:16'knowing you've made a difference.

0:01:16 > 0:01:17'Who wouldn't want that?

0:01:19 > 0:01:22'In med school there's all this talk about the team around you.

0:01:22 > 0:01:24'The Firm.

0:01:24 > 0:01:26'Oh, I like that. The firm.

0:01:28 > 0:01:31'But what they never tell you is that these people your colleagues.

0:01:31 > 0:01:36'They become your friends. They become your family.

0:01:36 > 0:01:40'Walking into work each day, never knowing what might happen.'

0:01:40 > 0:01:42Oh!

0:01:42 > 0:01:44'Who you'd be helping, who you'd be saving.

0:01:44 > 0:01:46'I have never felt happier.'

0:01:46 > 0:01:47Morning!

0:01:47 > 0:01:49Mrs Beauchamp wants to see you.

0:01:49 > 0:01:51Oh, right. Anything wrong?

0:01:51 > 0:01:54How would I know? She's upstairs in the meeting room.

0:01:56 > 0:01:59'But that's the trouble with happiness. It's fleeting.

0:02:01 > 0:02:04'Just like life. Blink and it's gone.'

0:02:05 > 0:02:08Oh, come on. A couple of drinks.

0:02:08 > 0:02:10She was practically in tears on the phone to me last night.

0:02:10 > 0:02:13It's never just a couple of drinks, though, is it?

0:02:13 > 0:02:15Yeah, all right, count me in.

0:02:15 > 0:02:18- Morning, all right? - Yeah, good. You?

0:02:18 > 0:02:21Yeah, great, brilliant. Really, really good.

0:02:21 > 0:02:24Err, we're just organising some drinks for Alicia.

0:02:24 > 0:02:25Lily's being a bit erm...

0:02:25 > 0:02:28She's being a witch, making her life hell.

0:02:28 > 0:02:30Yep, when Alicia arrived she was like Taylor Swift

0:02:30 > 0:02:33and now Lily's turned her into Britney, circa 2007.

0:02:33 > 0:02:34The bald years.

0:02:34 > 0:02:37Oh, I won't have a bad word said about Britney.

0:02:37 > 0:02:40Might... might see you all later on.

0:02:40 > 0:02:42- Yeah. Have a good one. - Yeah, you too.

0:02:47 > 0:02:49KNOCK AT THE DOOR

0:02:49 > 0:02:50Come in.

0:02:54 > 0:03:00- You wanted to see me?- Ah, yeah, just prepping for a presentation

0:03:00 > 0:03:02with the Clinical Commissioning Group.

0:03:02 > 0:03:04Endless fun.

0:03:04 > 0:03:07Right... I got your e-mail.

0:03:07 > 0:03:11Yeah, sorry, I didn't know if that was the done thing.

0:03:11 > 0:03:12I just kind of guessed the address.

0:03:12 > 0:03:14I mean they're all the same, aren't they?

0:03:14 > 0:03:16Well, change the name, but anyway,

0:03:16 > 0:03:19I just wanted to explain myself and say...

0:03:21 > 0:03:25Right. The MCEM exam is an opportunity for the candidate

0:03:25 > 0:03:27to demonstrate their breadth of knowledge

0:03:27 > 0:03:29within Emergency Medicine...

0:03:29 > 0:03:31As well as the application of that knowledge to common

0:03:31 > 0:03:32clinical scenarios.

0:03:32 > 0:03:34I know, and that's why...

0:03:34 > 0:03:36Can I finish?

0:03:36 > 0:03:37Sorry.

0:03:37 > 0:03:39Now, I understand you're disappointed that

0:03:39 > 0:03:41I pulled you from sitting the exam early.

0:03:41 > 0:03:43Yeah, I mean the thing is...

0:03:45 > 0:03:49What I didn't appreciate was just how driven you are.

0:03:50 > 0:03:53So, I'm going to reconsider. All right?

0:03:53 > 0:03:55Doesn't mean I've changed my mind.

0:03:55 > 0:03:58I want you to prove to me today that you're an F2 worthy

0:03:58 > 0:04:02of the opportunity and then we'll talk again later, all right?

0:04:02 > 0:04:04Thank you. That is, erm...

0:04:05 > 0:04:08Anyway. Thank you, really.

0:04:08 > 0:04:10OK. Close the door on your way out.

0:04:15 > 0:04:16'My first term in med school.

0:04:16 > 0:04:19'This consultant, she came in to talk to us.

0:04:19 > 0:04:22'She said, "Junior doctors are like children.

0:04:22 > 0:04:23'"They run out into the road

0:04:23 > 0:04:26'"because they don't know what danger lurks."

0:04:26 > 0:04:30'Because that's the thing. We haven't made mistakes. Not yet.

0:04:30 > 0:04:33'Mistakes that will play on our mind, mistakes that will

0:04:33 > 0:04:35'haunt us for the rest of our lives.

0:04:36 > 0:04:38'That's all we really are.

0:04:38 > 0:04:40'Children running out into the road.'

0:04:45 > 0:04:48- Do you want to go for drinks today? - Who told you?

0:04:48 > 0:04:49Eh?

0:04:50 > 0:04:53Nothing. Yeah, drinks would be good. Pub?

0:04:53 > 0:04:55Sold.

0:04:57 > 0:05:00Guess what, Mrs Beauchamp is reconsidering

0:05:00 > 0:05:03signing off my application for the exam.

0:05:03 > 0:05:05Good news, innit?

0:05:05 > 0:05:09The best. Teenage boy, with Charlie.

0:05:09 > 0:05:14Erm, sorry, Alicia, can you just sign that for me, please?

0:05:14 > 0:05:15Ah, cheers.

0:05:17 > 0:05:19Such warmth and humanity.

0:05:19 > 0:05:21Ah, she's all right, deep down.

0:05:23 > 0:05:25Right. Alicia, this is Leo, age 14.

0:05:25 > 0:05:29He was playing outside with his brother and had a bit

0:05:29 > 0:05:30of a fight with the pavement.

0:05:30 > 0:05:34And lost? I'm Alicia, I'm one of the doctors here.

0:05:34 > 0:05:35We were playing football.

0:05:35 > 0:05:39Josh, please. You should know, Leo's in remission.

0:05:39 > 0:05:43There is some PMH. And this is mum, Irene, and brother, Josh.

0:05:43 > 0:05:46- He had cancer.- Josh!

0:05:46 > 0:05:49- So you were playing football and... - I tripped.

0:05:49 > 0:05:51He's been in remission for eight months now.

0:05:51 > 0:05:53- Nearly nine. - Ah, that's great news.

0:05:53 > 0:05:55I'm just going to have a listen to your chest.

0:05:55 > 0:05:58He's only just started back at school full time.

0:05:58 > 0:06:00I bet you've seen your fair share of hospitals.

0:06:00 > 0:06:01You could say that.

0:06:09 > 0:06:10Happy birthday.

0:06:10 > 0:06:12I'm getting Iron Man stuff.

0:06:12 > 0:06:15- Cool. - Mum. Can we still go bowling?

0:06:15 > 0:06:16What do you think?

0:06:16 > 0:06:19So it looks like there are a couple of subungual haematomas.

0:06:19 > 0:06:22It's nothing to worry about, just a couple of tiny clots under the nail.

0:06:22 > 0:06:25We will get an X-ray done, but it doesn't look like anything's broken.

0:06:25 > 0:06:27- Do you have any pain anywhere else? - No.

0:06:27 > 0:06:29Can you listen to my chest?

0:06:29 > 0:06:33Josh! The doctor's busy! Here, play a game.

0:06:35 > 0:06:37Could you sort out the X-ray, please, Charlie?

0:06:40 > 0:06:44Smell the alcohol on him. Surprised he didn't kill himself.

0:06:44 > 0:06:47Better that, than someone else. Idiot.

0:06:47 > 0:06:50Ten more of morphine, please. Jacob, with me.

0:06:52 > 0:06:55Firstly, I've been upstairs waiting for those figures.

0:06:55 > 0:06:57What figures?

0:06:57 > 0:07:00I asked you to collate some figures for my presentation.

0:07:00 > 0:07:02Yeah. Yeah. Sorry, I'll get them to you.

0:07:02 > 0:07:06It's OK, my office is open, so feel free to use the computer.

0:07:06 > 0:07:09Secondly, why did you not give your patient more pain relief?

0:07:09 > 0:07:12Well, he's had plenty of his own anaesthetic on board already.

0:07:12 > 0:07:15No. It's your job to treat a patient as and when they present.

0:07:15 > 0:07:18It's the job of the courts to decide appropriate punishment.

0:07:19 > 0:07:21Anything else?

0:07:22 > 0:07:24- No.- OK.

0:07:37 > 0:07:40I thought I might find you here.

0:07:40 > 0:07:41Is it nearly home time yet?

0:07:41 > 0:07:44Err, no, not quite.

0:07:44 > 0:07:46I... I just... I want...

0:07:46 > 0:07:48You tell me to mind my own business.

0:07:48 > 0:07:49Mind your own business.

0:07:51 > 0:07:53I just... I wanted to check in.

0:07:53 > 0:07:57You and Max. Your husband.

0:07:57 > 0:08:00What about us? We're just friends.

0:08:00 > 0:08:03Yeah, I know, I got that bit loud and clear.

0:08:03 > 0:08:05Erm... Have you signed the divorce papers?

0:08:05 > 0:08:09No. I... He hasn't asked for them.

0:08:09 > 0:08:11He's not pushing me for them.

0:08:11 > 0:08:14So, you think that there still might be something

0:08:14 > 0:08:16there for the two of you?

0:08:18 > 0:08:19I don't know.

0:08:19 > 0:08:22We're friends and if that's all he'll offer at the minute,

0:08:22 > 0:08:23then I'll take it.

0:08:23 > 0:08:26Don't... Do friends still wear wedding rings?

0:08:26 > 0:08:28I don't think he's wearing his.

0:08:28 > 0:08:31What do you want me to do, Dylan? Throw it away?

0:08:31 > 0:08:33No, I'm not suggesting you do anything. I just...

0:08:33 > 0:08:36I want to see you happy again.

0:08:36 > 0:08:39And I'm not sure that that's possible while

0:08:39 > 0:08:41you're seemingly in this...

0:08:41 > 0:08:44Sort of limbo...

0:08:47 > 0:08:48You'll be fine, you know.

0:08:50 > 0:08:53- You will.- Will I?

0:08:57 > 0:08:59For you.

0:09:09 > 0:09:11Good news - no breaks.

0:09:11 > 0:09:15So we'll just relieve the little clots and you should be good to go.

0:09:15 > 0:09:19Ah, this is Dr Chao, she's one of our registrars here.

0:09:19 > 0:09:21Right. And we're all set up.

0:09:21 > 0:09:24I've never actually trephined a nail before. Would you mind, Charlie?

0:09:24 > 0:09:26You ask me. I'm your superior.

0:09:26 > 0:09:28Oh, sorry.

0:09:28 > 0:09:31Actually, that's Senior, Lily, not superior.

0:09:32 > 0:09:35Could you talk me through it, Dr Chao?

0:09:35 > 0:09:39It's a simple enough process. Slow and steady, please.

0:09:45 > 0:09:47There you go.

0:09:47 > 0:09:49That didn't hurt at all.

0:09:49 > 0:09:51You must be an old pro by now, eh?

0:09:51 > 0:09:53Mum, can we go bowling?

0:09:53 > 0:09:57Josh, can you please just stop being so selfish, just for one minute?

0:09:58 > 0:10:00You know, I found this coin earlier

0:10:00 > 0:10:04and there's a pretty great vending machine down the corridor.

0:10:04 > 0:10:07- I could show you it if it's OK with mum?- Yeah.

0:10:07 > 0:10:10Right, then. To the chocolate, young man.

0:10:19 > 0:10:22- Yes! Oooh! - Ow!- Are you all right?

0:10:22 > 0:10:25- Yeah, yeah, I'll be fine.- Quick, you better get it under a cold tap.

0:10:25 > 0:10:27It's not funny, it really hurts.

0:10:27 > 0:10:30- Get it under the tap. - All right.

0:10:30 > 0:10:33Only if you meet me in ambulance station on your tea break.

0:10:33 > 0:10:34See you in ten minutes.

0:10:36 > 0:10:41Hand drier in that women's toilets never works. You OK mate?

0:10:41 > 0:10:45Yeah. Err... No, actually, I've got a bit of a headache.

0:10:45 > 0:10:47Might try and get a quick half hour's quiet time before I go home.

0:10:47 > 0:10:51- You all right, pal?- Oh, yeah, yeah. It's fine. It'll pass.

0:10:51 > 0:10:54Just burnt me hand on some coffee and all.

0:10:54 > 0:10:56I dunno. I can't leave you alone for two minutes!

0:11:00 > 0:11:05- Chocolate or crisps?- Or both? - Thanks!

0:11:05 > 0:11:07Louise, about those drinks tonight...

0:11:07 > 0:11:08I can't stop babes, I'm manic.

0:11:08 > 0:11:11I was going to invite Max, as well, if that's all right?

0:11:11 > 0:11:13- He's coming. And Lofty. - Oh, cool.- How's Lily?

0:11:13 > 0:11:16- I can handle her.- Well, if you need anything, let me know, OK?

0:11:16 > 0:11:17Thanks.

0:11:28 > 0:11:29What's up?

0:11:29 > 0:11:31Have you seen Josh anywhere?

0:11:31 > 0:11:32No. I thought he was with you?

0:11:36 > 0:11:40Noel, have you seen Josh Stancombe? This high, specs.

0:11:40 > 0:11:42His brother, Leo, was admitted earlier?

0:11:42 > 0:11:45I'm not sure really. Have you tried outside?

0:11:45 > 0:11:46No. Thanks.

0:11:54 > 0:11:57- Thought you had a headache. - Sorry.

0:11:57 > 0:11:59Oh, right. Right, I get it.

0:11:59 > 0:12:03Can I just remind you two that this is my office?

0:12:03 > 0:12:05- It's not some cheap hotel? - I was just showing, Rita...

0:12:05 > 0:12:07I don't want to know what you were showing her.

0:12:07 > 0:12:10Just not in here! Right?

0:12:14 > 0:12:17- Busted.- Yeah, busted.

0:12:17 > 0:12:20- Do you reckon she's all right? - Why wouldn't she be?

0:12:20 > 0:12:22I dunno. Just after the adoption stuff. She just a bit...

0:12:22 > 0:12:24- She'll bounce back.- Yeah.

0:12:27 > 0:12:31- Just us, then? Yeah.- Just us.

0:12:41 > 0:12:43- Oh, Dixie!- What you doing here?

0:12:43 > 0:12:47I'm looking for a little boy - Josh, 11, he's gone AWOL.

0:12:47 > 0:12:49The only little kid round here is Iain

0:12:49 > 0:12:52and he's a bit preoccupied at the moment.

0:12:52 > 0:12:53Can I do ought to help?

0:12:54 > 0:12:57No, it's fine. I'm sure he'll turn up, thanks.

0:12:57 > 0:12:58OK.

0:13:03 > 0:13:04Josh?!

0:13:17 > 0:13:19The way you spoke to Alicia was unprofessional.

0:13:21 > 0:13:24I'm simply doing my job.

0:13:24 > 0:13:27No, that's not what you're doing. You're bullying her.

0:13:28 > 0:13:30I want you to think back to how you felt

0:13:30 > 0:13:35when you thought Ash was being unnecessarily hard on you.

0:13:35 > 0:13:39Remember how that felt. Both professionally and personally.

0:13:41 > 0:13:43Don't be that person.

0:13:43 > 0:13:45That's not you. You're better than that.

0:13:50 > 0:13:52Dr Munroe is a capable F2.

0:13:52 > 0:13:58And under my tutelage, she could be an exceptional one. Excuse me.

0:14:02 > 0:14:06Josh?! Josh?!

0:14:09 > 0:14:12- Help, please help him. - What's happened?

0:14:12 > 0:14:14- He just hit him.- Who did?

0:14:17 > 0:14:23- Sarah. - Leave him alone. LEAVE HIM ALONE!

0:14:23 > 0:14:26Sarah, get out of my way.

0:14:26 > 0:14:28Dad, no. Please, dad, no!

0:14:30 > 0:14:32Why are these patients still here?

0:14:33 > 0:14:36Because I decided they should be here.

0:14:36 > 0:14:38Leo's complaining of pain.

0:14:38 > 0:14:40Yeah, in his back and his stomach.

0:14:40 > 0:14:41Tell the doctor, Leo.

0:14:42 > 0:14:47Pulse is up at 90, BP is OK at 120/60.

0:14:47 > 0:14:49Resps up a little, at 22.

0:14:49 > 0:14:52- Where's Dr Munroe? - She's not here.

0:14:52 > 0:14:56- Leo, can you tell me exactly where it hurts?- In my belly.

0:14:56 > 0:14:58Right, I'm just going to have a little look.

0:15:06 > 0:15:08I can't feel anything untoward.

0:15:08 > 0:15:11I don't think there's anything to be alarmed about

0:15:11 > 0:15:13but I'm still going to take some tests.

0:15:13 > 0:15:16Lofty, can you get some U's and E's, LFT, FBC,

0:15:16 > 0:15:18clotting and a group and save.

0:15:19 > 0:15:21Any time today.

0:15:21 > 0:15:24- Oh...- What's happening?

0:15:24 > 0:15:28Most likely he's just feeling a little bit nauseous, nothing more.

0:15:34 > 0:15:36Excuse me.

0:15:37 > 0:15:41Jacob, sorry, ah... This arrived for you earlier.

0:15:41 > 0:15:44They said it was for you.

0:15:45 > 0:15:47Everything all right?

0:15:48 > 0:15:51Yeah, yeah, yeah, I'm fine. Cheers, mate.

0:15:59 > 0:16:02- Can I get some help?- Move out my way.- No. Please, put it down.

0:16:02 > 0:16:05Somebody, please!

0:16:05 > 0:16:09What's going on? Step back, mate. Get back, Rita.

0:16:09 > 0:16:11- Dad, please just go home. - I need the police.

0:16:11 > 0:16:14Whatever this is, this isn't the way, all right?

0:16:14 > 0:16:16- It's not what you think it is. - Shut up. Tell him to shut up.

0:16:16 > 0:16:18- SHUT UP!- Dad!

0:16:18 > 0:16:20Let's all just take a second, OK.

0:16:20 > 0:16:22We can just talk through this.

0:16:25 > 0:16:27Get him out of here, now!

0:16:27 > 0:16:29This way, this way, come on.

0:16:29 > 0:16:30Quick.

0:16:33 > 0:16:35Iain.

0:16:35 > 0:16:36Dad!

0:16:38 > 0:16:41Get him out of there! GET HIM OUT OF THERE!

0:16:41 > 0:16:43The police have been called.

0:16:43 > 0:16:45Just stay back.

0:16:45 > 0:16:47You're not helping anybody like this, are you?

0:16:47 > 0:16:51She's my daughter. I trusted him!

0:16:51 > 0:16:53In my house, my house!

0:16:54 > 0:16:57Stay back.

0:17:00 > 0:17:02Get out!

0:17:03 > 0:17:05'My educational supervisor in med school,

0:17:05 > 0:17:10'he used to say that faith could move mountains, but bring a shovel.

0:17:13 > 0:17:16'I never knew what he meant... until today.'

0:17:19 > 0:17:20GET HIM OUT OF THERE!

0:17:34 > 0:17:36How are you getting on with those numbers?

0:17:36 > 0:17:37It's on the list.

0:17:46 > 0:17:48Get him out!

0:17:48 > 0:17:50Tachypnoeic.

0:17:52 > 0:17:55Resps are over 30, hyper-resonant.

0:17:57 > 0:17:59Resonant.

0:18:01 > 0:18:04Please, please, don't do this.

0:18:04 > 0:18:06OK, think, Alicia, think.

0:18:08 > 0:18:12Chest decompression with needle thoracostomy.

0:18:12 > 0:18:14- Please.- I'm trying, I'm trying.

0:18:44 > 0:18:49Insert the cannula in-between the second and third rib space.

0:18:49 > 0:18:51Mid-clavicular line.

0:18:52 > 0:18:55Get him out! Get him out!

0:19:11 > 0:19:14'And if my day had ended there, well, who knows?

0:19:14 > 0:19:17'It could have all been very different.

0:19:17 > 0:19:18'Because I had done my job.

0:19:18 > 0:19:20'I had saved a life.'

0:19:22 > 0:19:24He should be feeling better, not worse.

0:19:24 > 0:19:26I want the other doctor.

0:19:26 > 0:19:30Lofty, can you put a call out for Dr Munroe, please?

0:19:30 > 0:19:33All right, nice and easy. You're doing very well.

0:19:33 > 0:19:35His heart rate is up.

0:19:35 > 0:19:36I want to go home.

0:19:36 > 0:19:38Can I have another feel of your abdomen, please?

0:19:38 > 0:19:40You've already done that.

0:19:40 > 0:19:42I want the nice doctor back.

0:19:42 > 0:19:43Yeah, I think we all do.

0:19:45 > 0:19:48You fell when you were playing football?

0:19:48 > 0:19:51Leo?

0:19:51 > 0:19:53No.

0:19:53 > 0:19:54What do you mean, no?

0:19:54 > 0:19:57We were climbing in the tree. I fell out.

0:19:57 > 0:19:59That's the first I've heard of this.

0:19:59 > 0:20:01He's Dr Munroe's patient.

0:20:01 > 0:20:02You fell out?

0:20:02 > 0:20:05I told you not to go anywhere near that tree!

0:20:05 > 0:20:08He's our responsibility at the moment.

0:20:09 > 0:20:10How tall is this tree?

0:20:10 > 0:20:13Ten foot. Maybe taller. I don't know.

0:20:13 > 0:20:17- Any pain here?- There.

0:20:17 > 0:20:18Charlie. A moment?

0:20:19 > 0:20:23- What is it? - Just give us a moment, please.

0:20:23 > 0:20:25Call the lab and cross match four units of blood

0:20:25 > 0:20:27on the group and save.

0:20:27 > 0:20:29- What are you thinking? - I don't really know yet.

0:20:29 > 0:20:32Abdomen is tender in the upper right quadrant.

0:20:32 > 0:20:34And we'll need a FAST scan.

0:20:34 > 0:20:36And where the hell is Dr Munroe?

0:20:54 > 0:20:57All right, mate.

0:20:59 > 0:21:01You're all right.

0:21:06 > 0:21:08Dad?

0:21:10 > 0:21:11What have you done?

0:21:15 > 0:21:17Get in the truck.

0:21:17 > 0:21:18No!

0:21:20 > 0:21:24- I said, get in the truck. - I'm staying here.

0:21:24 > 0:21:26You're 16-years-old. 16.

0:21:31 > 0:21:33If your mother could see you now.

0:21:33 > 0:21:35Yeah, well, she can't, can she?

0:21:40 > 0:21:43Dad, please, I love him.

0:21:53 > 0:21:56- CAR SCREECHES - Ah!

0:22:02 > 0:22:05Right, take over in the van and send Alicia to me now.

0:22:05 > 0:22:06Alicia, open up.

0:22:06 > 0:22:07Go and see to the girl. She's gone down.

0:22:07 > 0:22:09OK, Sarah, can you hear me, darling?

0:22:09 > 0:22:13Right, just stay nice and still for us. There you go.

0:22:16 > 0:22:19Right, she's breathing. Airway is clear. She's got a pulse.

0:22:23 > 0:22:25Noel. Have you seen Dr Munroe?

0:22:25 > 0:22:27Not since this morning. Why? Anything wrong?

0:22:27 > 0:22:30- If you see her, can you tell her I'm looking for her, please?- OK.

0:22:30 > 0:22:33I could have a word with Rita, see if she could give you a couple

0:22:33 > 0:22:34of days off, get your head together.

0:22:34 > 0:22:36Why do I need to get my head together?

0:22:36 > 0:22:37Because it's buried in the sand.

0:22:37 > 0:22:39I need you both in resus. Control just called ahead.

0:22:39 > 0:22:42- Something's happened at the ambulance station.- What do you mean?

0:22:42 > 0:22:45- I don't know. They said two are critically injured.- Robyn, with me.

0:22:45 > 0:22:47We're need to get her immobilised.

0:22:47 > 0:22:51Can I get a collar and board, please! How's he doing, Rita?

0:22:51 > 0:22:53He's not good, Iain.

0:22:53 > 0:22:54I didn't mean to...

0:22:54 > 0:22:56There's crepitus around the pelvis.

0:22:56 > 0:22:58We need to get a pelvic splint on her, now.

0:22:58 > 0:23:00Right. Pelvic splint, please!

0:23:07 > 0:23:10- Look. I don't want you to panic. - What now?

0:23:10 > 0:23:13But there's still no sign of Alicia or Josh.

0:23:13 > 0:23:17Apparently, there was an incident at the ambulance station.

0:23:17 > 0:23:20And Alicia was there... I don't have the details.

0:23:20 > 0:23:22Where's the boy?

0:23:22 > 0:23:23Well, once again...

0:23:23 > 0:23:26Go and find out, please, Charlie. Josh was in her care...

0:23:26 > 0:23:29If something has happened to him...

0:23:29 > 0:23:30I'm sure he'll be fine.

0:23:33 > 0:23:37Were you just talking about Josh? Where is he?

0:23:38 > 0:23:41Right. This is Sarah Chester, 16-year-old female.

0:23:41 > 0:23:42She's just been hit by a car and run over.

0:23:42 > 0:23:45Her pelvis is clinically fractured with soft tissue damage to

0:23:45 > 0:23:47her thigh.

0:23:47 > 0:23:49GCS ten, pulse 100, resps 30, BP 100 over 50.

0:23:49 > 0:23:52- Sarah, please! - One, two, three.

0:23:52 > 0:23:54You absolutely can't be in here.

0:23:54 > 0:23:56Her belly is more distended than when we picked her up.

0:23:56 > 0:23:58She's my daughter.

0:23:58 > 0:23:59That's Lawrence, he was the driver.

0:23:59 > 0:24:01Someone get him to the relative's room, please.

0:24:01 > 0:24:05He slept with her. She's 16-years-old. 16.

0:24:05 > 0:24:08Look, we'll come and talk to you as soon as we know anything, all right?

0:24:08 > 0:24:09- Resus two, please!- It was him!

0:24:09 > 0:24:11You need to stand back! Stay there!

0:24:11 > 0:24:13Don't make this any worse than it already is, mate.

0:24:13 > 0:24:15- He did this to her.- Get him out! - Nathan Flynn!

0:24:15 > 0:24:17His name is Nathan Flynn!

0:24:17 > 0:24:21OK. Let's get a second line in and some 0 Neg straightaway.

0:24:21 > 0:24:23Activate the major haemorrhage protocol.

0:24:23 > 0:24:25Robyn, clothes, please.

0:24:27 > 0:24:29All right. Let CT know we're on our way.

0:24:29 > 0:24:33OK. She's tolerating the guedel. We'll need to protect the airway.

0:24:33 > 0:24:36Right. Let's prep for an RSI.

0:24:41 > 0:24:43Go and get cleaned up!

0:24:47 > 0:24:48And back down...

0:24:51 > 0:24:53That pen can't be sterile, can it?

0:24:53 > 0:24:55I wouldn't have thought so, no...

0:24:55 > 0:24:58There's significant respiratory compromise.

0:24:58 > 0:25:00Let's set up for a chest drain.

0:25:02 > 0:25:03Help me.

0:25:03 > 0:25:06That's exactly what we're going to try and do, OK?

0:25:06 > 0:25:08Try and stay calm for me.

0:25:10 > 0:25:12What the hell happened out there?

0:25:12 > 0:25:13Your guess is as good as mine.

0:25:17 > 0:25:19Tube in. Inflate the cuff.

0:25:31 > 0:25:33Position good. OK. Cricoid off.

0:25:35 > 0:25:37Secure the tube.

0:25:42 > 0:25:45Oh, look at this.

0:25:47 > 0:25:50Increasingly distended abdomen.

0:25:50 > 0:25:51Yeah.

0:25:54 > 0:25:56Sorry guys. Just had a message. CT are ready for you.

0:25:56 > 0:25:57OK. Thank you.

0:25:57 > 0:25:59Shall I notify the father?

0:25:59 > 0:26:02- If you wouldn't mind.- OK.- OK.

0:26:06 > 0:26:09'It's funny the things you remember from med school.

0:26:09 > 0:26:12'The little ear worms that go around and around.

0:26:14 > 0:26:16'Common things are common.

0:26:18 > 0:26:20'You're born to it.

0:26:21 > 0:26:23'It's a labour of love.

0:26:26 > 0:26:28'You never forget your first death.'

0:26:43 > 0:26:45This isn't happening.

0:26:49 > 0:26:51The other guy. What did he do?

0:26:57 > 0:26:59He was meant to be her tutor.

0:27:03 > 0:27:09The teachers... They reckon, she's definitely good enough for Uni.

0:27:14 > 0:27:17It's just maths, she's not good with maths.

0:27:19 > 0:27:20So...

0:27:22 > 0:27:27..here am I working all the hours God sends, to pay for a tutor...

0:27:28 > 0:27:29..to pay him.

0:27:31 > 0:27:33Did he?

0:27:38 > 0:27:40I came home early from a job and...

0:27:42 > 0:27:43..he was...

0:27:50 > 0:27:53The FAST scan will just allow me to see inside your abdomen, is that OK?

0:27:53 > 0:27:55This is going to be a little bit cold.

0:27:59 > 0:28:01This is ridiculous. We need to call the police.

0:28:01 > 0:28:03I've already informed the police.

0:28:03 > 0:28:05What if someone's snatched him?

0:28:05 > 0:28:07Look. We're doing everything we can.

0:28:07 > 0:28:11We're making every effort to contact Dr Munroe.

0:28:11 > 0:28:12I'm sure Josh is going to be fine.

0:28:12 > 0:28:14Please, go and find my boy.

0:28:15 > 0:28:17I'll check back in with security.

0:28:22 > 0:28:24Looks like there's some free fluid.

0:28:24 > 0:28:26Free fluid? What does that mean? Is that bad?

0:28:26 > 0:28:29I'm going to call down one of the paediatric surgeons who'll

0:28:29 > 0:28:33- assess him before we take him up to theatre.- What, now?

0:28:33 > 0:28:35I believe Leo might be bleeding internally.

0:28:35 > 0:28:38I would ask you not to panic, but we have to move quickly.

0:28:38 > 0:28:41Mum, I'm scared.

0:28:41 > 0:28:43Don't worry, son, you're going to be fine.

0:28:46 > 0:28:47Poor girl.

0:28:54 > 0:28:56What was Alicia doing there?

0:29:02 > 0:29:04Here you are. What do you think you've been playing at?

0:29:04 > 0:29:06Where's Josh?

0:29:07 > 0:29:10Erm, I don't know.

0:29:10 > 0:29:12What do you mean you don't know?

0:29:12 > 0:29:15Do you realise Leo is on his way up to theatre because of you.

0:29:15 > 0:29:18- Why?- A child who suffered a trauma and has a history of cancer.

0:29:18 > 0:29:20You should have run trauma bloods and done clotting.

0:29:20 > 0:29:22You stupid, incompetent girl.

0:29:22 > 0:29:23Hey! What's going on?

0:29:23 > 0:29:26I am sorry, Mrs Beauchamp, I can no longer work with Dr Munroe.

0:29:26 > 0:29:28Out. Both of you. In my office, now!

0:29:30 > 0:29:31Out!

0:29:37 > 0:29:42Come on, Josh, pick up. It's gone to answer phone.

0:29:43 > 0:29:47Josh. Where are you? I love you, son.

0:29:48 > 0:29:52You're not in any trouble at all. Please, just come back.

0:29:54 > 0:29:57- Thank you.- That's all right.

0:29:57 > 0:29:58Where is he?

0:30:00 > 0:30:02Do you have one of those Find Your Phone apps?

0:30:02 > 0:30:04I've got a Cloud thing?

0:30:04 > 0:30:06Perfect.

0:30:06 > 0:30:08OK, so we're on top of the chest issues,

0:30:08 > 0:30:12we're just going to wait for the ortho to come have a look.

0:30:12 > 0:30:14Can I see her?

0:30:14 > 0:30:15Who? The girl?

0:30:15 > 0:30:17Her name is Sarah.

0:30:17 > 0:30:19How do you know her?

0:30:19 > 0:30:21It's not what you think.

0:30:22 > 0:30:26I waited. I didn't touch her.

0:30:27 > 0:30:29She's 16.

0:30:29 > 0:30:31But you are her teacher?

0:30:31 > 0:30:33Her tutor.

0:30:33 > 0:30:34She's still 16.

0:30:35 > 0:30:38Exactly. I've done nothing wrong.

0:30:38 > 0:30:41In the eyes of the law, you've done nothing wrong.

0:31:14 > 0:31:17PHONE RINGS

0:31:29 > 0:31:30Am I in trouble?

0:31:30 > 0:31:32Of course you're not.

0:31:37 > 0:31:39Her BP's fading.

0:31:39 > 0:31:40MACHINE BEEPS

0:31:40 > 0:31:41SHE SIGHS

0:31:42 > 0:31:43No, I've lost it.

0:31:45 > 0:31:47She's throwing off some VEs.

0:31:47 > 0:31:48MACHINE BEEPS

0:31:48 > 0:31:49She's lost her output.

0:31:54 > 0:31:56Come on, Sarah. Come on.

0:31:56 > 0:31:57HE PANTS

0:32:03 > 0:32:05That was mad, that.

0:32:06 > 0:32:07Yep.

0:32:20 > 0:32:21Cup of tea?

0:32:25 > 0:32:26What?

0:32:28 > 0:32:29HE SIGHS

0:32:29 > 0:32:31Nothing.

0:32:31 > 0:32:33Cup of tea?

0:32:33 > 0:32:34Yeah.

0:32:34 > 0:32:35Sugar?

0:32:35 > 0:32:36Just one.

0:32:39 > 0:32:40SHE TAPS HIM

0:32:46 > 0:32:47WATER RUNS

0:32:47 > 0:32:49MACHINE BEEPS

0:32:51 > 0:32:53Right, that's two minutes.

0:32:53 > 0:32:54Pulse check.

0:32:54 > 0:32:55MACHINE BEEPS

0:32:56 > 0:32:58Still asystolic.

0:32:58 > 0:33:00Another milligram of adrenaline.

0:33:00 > 0:33:02Let's go again.

0:33:02 > 0:33:03MACHINE BEEPS

0:33:06 > 0:33:07Come on, Sarah.

0:33:07 > 0:33:09Come on.

0:33:10 > 0:33:12I think that's a cow.

0:33:12 > 0:33:15I can see its legs and its head.

0:33:15 > 0:33:16Have you never played this game?

0:33:16 > 0:33:18No, cos I'm not a kid.

0:33:18 > 0:33:19All right, fair enough.

0:33:21 > 0:33:23Sometimes, I wish I had cancer.

0:33:27 > 0:33:28How come?

0:33:28 > 0:33:30You get loads of new stuff.

0:33:30 > 0:33:31And people love you.

0:33:32 > 0:33:34Mum doesn't even notice me.

0:33:35 > 0:33:39Well, I think she's really worried about you.

0:33:41 > 0:33:43Do you want to know how I know?

0:33:44 > 0:33:45Cos I've got...

0:33:45 > 0:33:47psychic powers.

0:33:47 > 0:33:49- You- don't- have psychic powers.

0:33:49 > 0:33:51How much do you want to bet?

0:33:52 > 0:33:53HE BREATHES DEEPLY

0:33:55 > 0:33:57You like the Avenger films.

0:33:57 > 0:33:59Everyone likes the Avenger films.

0:34:00 > 0:34:01Your favourite's Iron Man.

0:34:01 > 0:34:04- That's- everyone's- favourite.

0:34:06 > 0:34:09And your brother's is Captain America.

0:34:09 > 0:34:10You guessed.

0:34:11 > 0:34:14If you really think that she doesn't care...

0:34:14 > 0:34:18She always blames me! For everything.

0:34:18 > 0:34:20Well, sometimes...

0:34:20 > 0:34:22sometimes it's easier.

0:34:22 > 0:34:24Cos you're the healthier kid.

0:34:24 > 0:34:26And sometimes people think that the healthier kid

0:34:26 > 0:34:29can cope with more responsibility.

0:34:29 > 0:34:31It's OK to get scared as well.

0:34:31 > 0:34:33It's normal. Even I get scared.

0:34:33 > 0:34:35What, of your hair?

0:34:35 > 0:34:36THEY LAUGH

0:34:37 > 0:34:40It's all right to get a bit upset as well.

0:34:40 > 0:34:41And jealous.

0:34:41 > 0:34:43We all do.

0:34:43 > 0:34:46But what you need to know is that

0:34:46 > 0:34:48she loves you very, very much, OK?

0:34:53 > 0:34:54It's got horns and udders.

0:35:02 > 0:35:03MACHINE BEEPS

0:35:03 > 0:35:05I really think this is futile.

0:35:05 > 0:35:06We keep going.

0:35:09 > 0:35:13Jacob, she's been in PEA and now asystole with no response

0:35:13 > 0:35:15to aggressive resuscitation for the last 30 minutes.

0:35:15 > 0:35:16I think we should stop.

0:35:16 > 0:35:19Look, she's only 16. We keep going.

0:35:19 > 0:35:20MACHINE BEEPS

0:35:20 > 0:35:21OK.

0:35:41 > 0:35:43White, two sugars.

0:35:45 > 0:35:48This isn't happening. It really isn't.

0:35:48 > 0:35:50I didn't mean to be so...

0:35:52 > 0:35:54..with Josh, you know?

0:35:54 > 0:35:55I've failed him.

0:35:55 > 0:35:58No, you haven't.

0:35:58 > 0:36:00It's all been about Leo.

0:36:00 > 0:36:01Yes, of course it has.

0:36:04 > 0:36:06When a child has cancer,

0:36:06 > 0:36:09it puts an incredible strain on the family,

0:36:09 > 0:36:10it happens in every case.

0:36:12 > 0:36:14He hasn't been ill for eight months now.

0:36:14 > 0:36:16I'm still a mess.

0:36:16 > 0:36:18That's perfectly normal.

0:36:20 > 0:36:22I had to put Leo first, you know?

0:36:22 > 0:36:24I had to.

0:36:24 > 0:36:25Yes. I know.

0:36:28 > 0:36:29Mum?

0:36:29 > 0:36:31Josh! Oh, God!

0:36:31 > 0:36:33- SHE SIGHS - Been on a bit of an adventure,

0:36:33 > 0:36:34haven't you Josh?

0:36:34 > 0:36:35Are you mad at me?

0:36:35 > 0:36:38Oh, course I'm not, son. I love you!

0:36:38 > 0:36:41I love you so much...

0:36:41 > 0:36:42SHE BREATHES DEEPLY

0:36:42 > 0:36:43Thank you.

0:36:52 > 0:36:54The injury was superficial...

0:36:54 > 0:36:56to the hand.

0:36:57 > 0:36:59Except it wasn't.

0:36:59 > 0:37:01You failed to ask the adequate questions

0:37:01 > 0:37:04and now the boy pays the price of your incompetence.

0:37:17 > 0:37:19- MACHINE BEEPS - Pulse check.

0:37:22 > 0:37:23Nothing.

0:37:23 > 0:37:25No change.

0:37:26 > 0:37:29We can't get her to theatre without a pulse.

0:37:30 > 0:37:33All right, I'm going to call it.

0:37:33 > 0:37:34MACHINE BEEPS

0:37:36 > 0:37:38Time of death, 16.15. OK.

0:37:39 > 0:37:40Thank you, both of you.

0:37:42 > 0:37:45We need to go and speak the police and somehow...

0:37:45 > 0:37:46Let me do it.

0:37:47 > 0:37:49Let me speak to the father.

0:37:49 > 0:37:51Thank you.

0:38:17 > 0:38:19No!

0:38:20 > 0:38:22- HE CRIES - Not my little girl!

0:38:32 > 0:38:33Not my baby!

0:38:36 > 0:38:38I was looking for a patient,

0:38:38 > 0:38:40a brother of a patient. He went missing.

0:38:40 > 0:38:42What on earth were you doing that for?

0:38:43 > 0:38:47Dr Munroe took it upon herself to take the boy to the vending machine.

0:38:47 > 0:38:49I just don't understand.

0:38:49 > 0:38:51- You're not the only one. - Right, that's enough!

0:38:54 > 0:38:56Well, there's no doubt you did an excellent job

0:38:56 > 0:38:58in a very dangerous situation.

0:38:58 > 0:39:00What I can't fathom is why you put yourself in harm's way

0:39:00 > 0:39:02in the first place!

0:39:02 > 0:39:05And this after missing a potentially fatal bleed.

0:39:05 > 0:39:07I'm sorry.

0:39:09 > 0:39:11You've leave me no choice.

0:39:11 > 0:39:13I have to launch a formal investigation

0:39:13 > 0:39:15into what happened today.

0:39:15 > 0:39:18I want written reports on my desk by the end of the day.

0:39:18 > 0:39:20Is that clear?

0:39:20 > 0:39:23- Is that clear? - Yes, Mrs Beauchamp.

0:39:23 > 0:39:24- Dr Chao? - Yes, Mrs Beauchamp.

0:39:24 > 0:39:26Right, get out my sight.

0:39:29 > 0:39:30And Dr Munroe?

0:39:30 > 0:39:31Forget about the exam.

0:39:50 > 0:39:51DOOR SHUTS

0:39:56 > 0:39:59Do you want to tell me what's going on?

0:40:08 > 0:40:10The name of the officer that shot me.

0:40:19 > 0:40:21- Where did you get this? - Does it matter?

0:40:24 > 0:40:25No.

0:40:30 > 0:40:31You haven't opened it?

0:40:32 > 0:40:33Not yet.

0:40:41 > 0:40:44You open this, you ruin your life, you know that?

0:40:47 > 0:40:49He can't just get away with it.

0:40:49 > 0:40:52- SHE WHISPERS:- He can.

0:40:52 > 0:40:53He can and he has.

0:40:54 > 0:40:57It was just a terrible mistake.

0:40:57 > 0:40:59And you need to accept it.

0:40:59 > 0:41:02- Accept it? - Yeah. Accept it.

0:41:02 > 0:41:04You were the wrong man, in the wrong place, at the wrong time.

0:41:04 > 0:41:06No! No.

0:41:06 > 0:41:08No, I was the wrong black man,

0:41:08 > 0:41:09in the wrong place, at the wrong time.

0:41:09 > 0:41:11No, that's simply not true.

0:41:11 > 0:41:12So, what?

0:41:12 > 0:41:14So what, if it was a white man...

0:41:14 > 0:41:16- If I was Charlie...- Yep.

0:41:16 > 0:41:18What, they'd just shoot first and ask questions later?

0:41:18 > 0:41:20- Yes.- Then you're wrong!

0:41:20 > 0:41:23You're wrong! And he needs to be punished.

0:41:23 > 0:41:27What, the way Nathan Flynn needed to be punished?

0:41:27 > 0:41:29Hm?

0:41:29 > 0:41:33A man lost his daughter today, because he couldn't control himself.

0:41:35 > 0:41:37That was different.

0:41:37 > 0:41:40You open that envelope, you ruin your life, your career.

0:41:40 > 0:41:42Then maybe that's what I want!

0:41:42 > 0:41:43How about that?

0:41:48 > 0:41:50Do it.

0:41:55 > 0:41:57You...

0:41:57 > 0:41:58You go ahead and open it.

0:42:01 > 0:42:02Condemn yourself.

0:42:06 > 0:42:07DOOR CLOSES

0:42:18 > 0:42:19DOOR CLOSES

0:42:20 > 0:42:23I hear you and Alicia were in with Connie.

0:42:30 > 0:42:31Are you OK?

0:42:34 > 0:42:35Anything I can do?

0:42:38 > 0:42:40I don't know...

0:42:40 > 0:42:41which one to choose.

0:42:49 > 0:42:50It's for my father.

0:42:59 > 0:43:01Look, look. He's coming. Do you have a camera?

0:43:01 > 0:43:03Have you got any comment, Mr Appleby?

0:43:03 > 0:43:04CAMERAS CLICK

0:43:04 > 0:43:06Get his face. Get a shot of his face!

0:43:06 > 0:43:07Mr Appleby?

0:43:07 > 0:43:09POLICE CAR STARTS

0:43:09 > 0:43:10THEY TALK

0:43:10 > 0:43:11Mr Appleby?

0:43:12 > 0:43:13CAMERAS CLICK

0:43:15 > 0:43:16SIREN WAILS

0:43:52 > 0:43:53CLANGING

0:43:58 > 0:43:59HE SIGHS

0:44:03 > 0:44:05'"It's a labour of love.

0:44:05 > 0:44:08'"Hard work and long hours.

0:44:08 > 0:44:12'"But certain patients will make it all worthwhile."

0:44:12 > 0:44:15'That's what they told me in med school.

0:44:15 > 0:44:18'And that's what I believe.

0:44:18 > 0:44:20'And if all I had to contend with were the patients,

0:44:20 > 0:44:24'then, perhaps, I could have muddled through.

0:44:24 > 0:44:27PHONE RINGS

0:44:27 > 0:44:30'Truth is, I should have spoken up earlier.'

0:44:42 > 0:44:44Babes, it's me. Where are you?

0:44:44 > 0:44:47Look, give me a call me back when you get this, please.

0:44:47 > 0:44:49- She's not answering. - Night.

0:44:49 > 0:44:50You can join us if you want?

0:44:50 > 0:44:53No, I've got a hot date with a bubble bath.

0:44:54 > 0:44:55How very '90s.

0:44:56 > 0:44:58Right, come on! Let's wait for her at the bar.

0:44:58 > 0:45:00That doesn't mean I'm buying the first round.

0:45:00 > 0:45:02- You never do. - THEY LAUGH

0:45:21 > 0:45:24'I realised fairly early on that Dr Lily Chao

0:45:24 > 0:45:27'hailed from the school of tough love.

0:45:27 > 0:45:29'So I bit my tongue at first.

0:45:29 > 0:45:31'I believed I could cope.

0:45:31 > 0:45:35'The pressure she piled on, I thought I could thrive on it.

0:45:36 > 0:45:38'The truth is...

0:45:38 > 0:45:39'I can't.

0:45:40 > 0:45:44'Dr Chao has not made life easy during my time here.

0:45:45 > 0:45:48'In fact, she has made it harder than it needed to be.

0:45:50 > 0:45:52'And now, because of her,

0:45:52 > 0:45:55'my position has become untenable.'

0:45:55 > 0:45:56Thanks.

0:45:57 > 0:46:00'Bottom line - I've been bullied out of a job that I love.'

0:46:01 > 0:46:03BUS DOORS SHUT

0:46:04 > 0:46:06'There is, however, no doubt

0:46:06 > 0:46:09'that Doctor Chao is a gifted physician.'

0:46:09 > 0:46:10THEY TALK

0:46:10 > 0:46:13'And, despite our very real and obvious differences,

0:46:13 > 0:46:14'I can but wish her well.'

0:46:14 > 0:46:17- PCS?- PCS is 14. - And airway?- Airway is clear.

0:46:18 > 0:46:20'That being said,

0:46:20 > 0:46:24'I hereby give notice of my resignation with immediate effect.

0:46:26 > 0:46:29'Yours sincerely,

0:46:29 > 0:46:30'Dr Alicia Munroe.'

0:46:40 > 0:46:42- LILY:- Good. Nice and slowly, no rush.

0:46:43 > 0:46:45Good.

0:46:45 > 0:46:47My name is Doctor Chao. Can you talk?

0:46:47 > 0:46:48- IN WEAK VOICE: Yeah. - Good.

0:46:48 > 0:46:51I'm just going to have a listen to your chest, all right?