Avoidable Harm Casualty


Avoidable Harm

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Transcript


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-Did you ever kiss Dixie?

-So, we're friends now?

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-What about the fact that I'm still...

-Friends.

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-Take it or leave it.

-I'll take it.

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The armed response officer who shot you,

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they're not recommending disciplinary action.

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Well, I want a name. Man who pulled the trigger.

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-And have you had a chance to look at the dates?

-For?

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My MCEM?

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I'm definitely keen to just get cracking as soon as possible.

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Let's not get ahead of ourselves.

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Look, I could show you this Fasal Technique.

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I've seen it done lots of times before.

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You're here to be mentored by me. Not the other way round.

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TITLE MUSIC

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'For as long as I can remember, I always wanted to be a doctor.

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'I wanted to help people.

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'Being able to leave at the end of a day,

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'knowing you've made a difference.

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'Who wouldn't want that?

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'In med school there's all this talk about the team around you.

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'The Firm.

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'Oh, I like that. The firm.

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'But what they never tell you is that these people your colleagues.

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'They become your friends. They become your family.

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'Walking into work each day, never knowing what might happen.'

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Oh!

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'Who you'd be helping, who you'd be saving.

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'I have never felt happier.'

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Morning!

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Mrs Beauchamp wants to see you.

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Oh, right. Anything wrong?

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How would I know? She's upstairs in the meeting room.

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'But that's the trouble with happiness. It's fleeting.

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'Just like life. Blink and it's gone.'

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Oh, come on. A couple of drinks.

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She was practically in tears on the phone to me last night.

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It's never just a couple of drinks, though, is it?

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Yeah, all right, count me in.

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-Morning, all right?

-Yeah, good. You?

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Yeah, great, brilliant. Really, really good.

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Err, we're just organising some drinks for Alicia.

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Lily's being a bit erm...

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She's being a witch, making her life hell.

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Yep, when Alicia arrived she was like Taylor Swift

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and now Lily's turned her into Britney, circa 2007.

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The bald years.

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Oh, I won't have a bad word said about Britney.

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Might... might see you all later on.

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-Yeah. Have a good one.

-Yeah, you too.

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KNOCK AT THE DOOR

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Come in.

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-You wanted to see me?

-Ah, yeah, just prepping for a presentation

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with the Clinical Commissioning Group.

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Endless fun.

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Right... I got your e-mail.

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Yeah, sorry, I didn't know if that was the done thing.

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I just kind of guessed the address.

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I mean they're all the same, aren't they?

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Well, change the name, but anyway,

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I just wanted to explain myself and say...

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Right. The MCEM exam is an opportunity for the candidate

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to demonstrate their breadth of knowledge

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within Emergency Medicine...

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As well as the application of that knowledge to common

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clinical scenarios.

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I know, and that's why...

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Can I finish?

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Sorry.

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Now, I understand you're disappointed that

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I pulled you from sitting the exam early.

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Yeah, I mean the thing is...

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What I didn't appreciate was just how driven you are.

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So, I'm going to reconsider. All right?

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Doesn't mean I've changed my mind.

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I want you to prove to me today that you're an F2 worthy

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of the opportunity and then we'll talk again later, all right?

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Thank you. That is, erm...

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Anyway. Thank you, really.

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OK. Close the door on your way out.

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'My first term in med school.

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'This consultant, she came in to talk to us.

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'She said, "Junior doctors are like children.

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'"They run out into the road

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'"because they don't know what danger lurks."

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'Because that's the thing. We haven't made mistakes. Not yet.

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'Mistakes that will play on our mind, mistakes that will

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'haunt us for the rest of our lives.

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'That's all we really are.

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'Children running out into the road.'

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-Do you want to go for drinks today?

-Who told you?

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Eh?

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Nothing. Yeah, drinks would be good. Pub?

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Sold.

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Guess what, Mrs Beauchamp is reconsidering

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signing off my application for the exam.

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Good news, innit?

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The best. Teenage boy, with Charlie.

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Erm, sorry, Alicia, can you just sign that for me, please?

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Ah, cheers.

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Such warmth and humanity.

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Ah, she's all right, deep down.

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Right. Alicia, this is Leo, age 14.

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He was playing outside with his brother and had a bit

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of a fight with the pavement.

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And lost? I'm Alicia, I'm one of the doctors here.

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We were playing football.

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Josh, please. You should know, Leo's in remission.

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There is some PMH. And this is mum, Irene, and brother, Josh.

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-He had cancer.

-Josh!

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-So you were playing football and...

-I tripped.

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He's been in remission for eight months now.

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-Nearly nine.

-Ah, that's great news.

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I'm just going to have a listen to your chest.

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He's only just started back at school full time.

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I bet you've seen your fair share of hospitals.

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You could say that.

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Happy birthday.

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I'm getting Iron Man stuff.

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-Cool.

-Mum. Can we still go bowling?

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What do you think?

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So it looks like there are a couple of subungual haematomas.

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It's nothing to worry about, just a couple of tiny clots under the nail.

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We will get an X-ray done, but it doesn't look like anything's broken.

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-Do you have any pain anywhere else?

-No.

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Can you listen to my chest?

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Josh! The doctor's busy! Here, play a game.

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Could you sort out the X-ray, please, Charlie?

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Smell the alcohol on him. Surprised he didn't kill himself.

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Better that, than someone else. Idiot.

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Ten more of morphine, please. Jacob, with me.

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Firstly, I've been upstairs waiting for those figures.

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What figures?

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I asked you to collate some figures for my presentation.

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Yeah. Yeah. Sorry, I'll get them to you.

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It's OK, my office is open, so feel free to use the computer.

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Secondly, why did you not give your patient more pain relief?

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Well, he's had plenty of his own anaesthetic on board already.

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No. It's your job to treat a patient as and when they present.

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It's the job of the courts to decide appropriate punishment.

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Anything else?

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-No.

-OK.

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I thought I might find you here.

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Is it nearly home time yet?

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Err, no, not quite.

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I... I just... I want...

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You tell me to mind my own business.

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Mind your own business.

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I just... I wanted to check in.

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You and Max. Your husband.

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What about us? We're just friends.

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Yeah, I know, I got that bit loud and clear.

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Erm... Have you signed the divorce papers?

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No. I... He hasn't asked for them.

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He's not pushing me for them.

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So, you think that there still might be something

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there for the two of you?

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I don't know.

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We're friends and if that's all he'll offer at the minute,

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then I'll take it.

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Don't... Do friends still wear wedding rings?

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I don't think he's wearing his.

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What do you want me to do, Dylan? Throw it away?

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No, I'm not suggesting you do anything. I just...

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I want to see you happy again.

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And I'm not sure that that's possible while

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you're seemingly in this...

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Sort of limbo...

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You'll be fine, you know.

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-You will.

-Will I?

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For you.

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Good news - no breaks.

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So we'll just relieve the little clots and you should be good to go.

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Ah, this is Dr Chao, she's one of our registrars here.

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Right. And we're all set up.

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I've never actually trephined a nail before. Would you mind, Charlie?

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You ask me. I'm your superior.

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Oh, sorry.

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Actually, that's Senior, Lily, not superior.

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Could you talk me through it, Dr Chao?

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It's a simple enough process. Slow and steady, please.

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There you go.

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That didn't hurt at all.

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You must be an old pro by now, eh?

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Mum, can we go bowling?

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Josh, can you please just stop being so selfish, just for one minute?

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You know, I found this coin earlier

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and there's a pretty great vending machine down the corridor.

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-I could show you it if it's OK with mum?

-Yeah.

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Right, then. To the chocolate, young man.

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-Yes! Oooh!

-Ow!

-Are you all right?

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-Yeah, yeah, I'll be fine.

-Quick, you better get it under a cold tap.

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It's not funny, it really hurts.

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-Get it under the tap.

-All right.

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Only if you meet me in ambulance station on your tea break.

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See you in ten minutes.

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Hand drier in that women's toilets never works. You OK mate?

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Yeah. Err... No, actually, I've got a bit of a headache.

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Might try and get a quick half hour's quiet time before I go home.

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-You all right, pal?

-Oh, yeah, yeah. It's fine. It'll pass.

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Just burnt me hand on some coffee and all.

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I dunno. I can't leave you alone for two minutes!

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-Chocolate or crisps?

-Or both?

-Thanks!

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Louise, about those drinks tonight...

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I can't stop babes, I'm manic.

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I was going to invite Max, as well, if that's all right?

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-He's coming. And Lofty.

-Oh, cool.

-How's Lily?

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-I can handle her.

-Well, if you need anything, let me know, OK?

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Thanks.

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What's up?

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Have you seen Josh anywhere?

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No. I thought he was with you?

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Noel, have you seen Josh Stancombe? This high, specs.

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His brother, Leo, was admitted earlier?

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I'm not sure really. Have you tried outside?

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No. Thanks.

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-Thought you had a headache.

-Sorry.

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Oh, right. Right, I get it.

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Can I just remind you two that this is my office?

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-It's not some cheap hotel?

-I was just showing, Rita...

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I don't want to know what you were showing her.

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Just not in here! Right?

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-Busted.

-Yeah, busted.

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-Do you reckon she's all right?

-Why wouldn't she be?

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I dunno. Just after the adoption stuff. She just a bit...

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-She'll bounce back.

-Yeah.

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-Just us, then? Yeah.

-Just us.

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-Oh, Dixie!

-What you doing here?

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I'm looking for a little boy - Josh, 11, he's gone AWOL.

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The only little kid round here is Iain

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and he's a bit preoccupied at the moment.

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Can I do ought to help?

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No, it's fine. I'm sure he'll turn up, thanks.

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OK.

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Josh?!

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The way you spoke to Alicia was unprofessional.

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I'm simply doing my job.

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No, that's not what you're doing. You're bullying her.

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I want you to think back to how you felt

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when you thought Ash was being unnecessarily hard on you.

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Remember how that felt. Both professionally and personally.

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Don't be that person.

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That's not you. You're better than that.

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Dr Munroe is a capable F2.

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And under my tutelage, she could be an exceptional one. Excuse me.

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Josh?! Josh?!

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-Help, please help him.

-What's happened?

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-He just hit him.

-Who did?

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-Sarah.

-Leave him alone. LEAVE HIM ALONE!

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Sarah, get out of my way.

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Dad, no. Please, dad, no!

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Why are these patients still here?

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Because I decided they should be here.

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Leo's complaining of pain.

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Yeah, in his back and his stomach.

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Tell the doctor, Leo.

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Pulse is up at 90, BP is OK at 120/60.

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Resps up a little, at 22.

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-Where's Dr Munroe?

-She's not here.

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-Leo, can you tell me exactly where it hurts?

-In my belly.

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Right, I'm just going to have a little look.

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I can't feel anything untoward.

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I don't think there's anything to be alarmed about

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but I'm still going to take some tests.

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Lofty, can you get some U's and E's, LFT, FBC,

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clotting and a group and save.

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Any time today.

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-Oh...

-What's happening?

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Most likely he's just feeling a little bit nauseous, nothing more.

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Excuse me.

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Jacob, sorry, ah... This arrived for you earlier.

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They said it was for you.

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Everything all right?

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Yeah, yeah, yeah, I'm fine. Cheers, mate.

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-Can I get some help?

-Move out my way.

-No. Please, put it down.

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Somebody, please!

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What's going on? Step back, mate. Get back, Rita.

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-Dad, please just go home.

-I need the police.

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Whatever this is, this isn't the way, all right?

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-It's not what you think it is.

-Shut up. Tell him to shut up.

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-SHUT UP!

-Dad!

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Let's all just take a second, OK.

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We can just talk through this.

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Get him out of here, now!

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This way, this way, come on.

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Quick.

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Iain.

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Dad!

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Get him out of there! GET HIM OUT OF THERE!

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The police have been called.

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Just stay back.

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You're not helping anybody like this, are you?

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She's my daughter. I trusted him!

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In my house, my house!

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Stay back.

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Get out!

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'My educational supervisor in med school,

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'he used to say that faith could move mountains, but bring a shovel.

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'I never knew what he meant... until today.'

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GET HIM OUT OF THERE!

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How are you getting on with those numbers?

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It's on the list.

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Get him out!

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Tachypnoeic.

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Resps are over 30, hyper-resonant.

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Resonant.

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Please, please, don't do this.

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OK, think, Alicia, think.

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Chest decompression with needle thoracostomy.

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-Please.

-I'm trying, I'm trying.

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Insert the cannula in-between the second and third rib space.

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Mid-clavicular line.

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Get him out! Get him out!

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'And if my day had ended there, well, who knows?

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'It could have all been very different.

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'Because I had done my job.

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'I had saved a life.'

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He should be feeling better, not worse.

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I want the other doctor.

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Lofty, can you put a call out for Dr Munroe, please?

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All right, nice and easy. You're doing very well.

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His heart rate is up.

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I want to go home.

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Can I have another feel of your abdomen, please?

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You've already done that.

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I want the nice doctor back.

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Yeah, I think we all do.

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You fell when you were playing football?

0:19:450:19:48

Leo?

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No.

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What do you mean, no?

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We were climbing in the tree. I fell out.

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That's the first I've heard of this.

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He's Dr Munroe's patient.

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You fell out?

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I told you not to go anywhere near that tree!

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He's our responsibility at the moment.

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How tall is this tree?

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Ten foot. Maybe taller. I don't know.

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-Any pain here?

-There.

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Charlie. A moment?

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-What is it?

-Just give us a moment, please.

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Call the lab and cross match four units of blood

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on the group and save.

0:20:250:20:27

-What are you thinking?

-I don't really know yet.

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Abdomen is tender in the upper right quadrant.

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And we'll need a FAST scan.

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And where the hell is Dr Munroe?

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All right, mate.

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You're all right.

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Dad?

0:21:060:21:08

What have you done?

0:21:100:21:11

Get in the truck.

0:21:150:21:17

No!

0:21:170:21:18

-I said, get in the truck.

-I'm staying here.

0:21:200:21:24

You're 16-years-old. 16.

0:21:240:21:26

If your mother could see you now.

0:21:310:21:33

Yeah, well, she can't, can she?

0:21:330:21:35

Dad, please, I love him.

0:21:400:21:43

-CAR SCREECHES

-Ah!

0:21:530:21:56

Right, take over in the van and send Alicia to me now.

0:22:020:22:05

Alicia, open up.

0:22:050:22:06

Go and see to the girl. She's gone down.

0:22:060:22:07

OK, Sarah, can you hear me, darling?

0:22:070:22:09

Right, just stay nice and still for us. There you go.

0:22:090:22:13

Right, she's breathing. Airway is clear. She's got a pulse.

0:22:160:22:19

Noel. Have you seen Dr Munroe?

0:22:230:22:25

Not since this morning. Why? Anything wrong?

0:22:250:22:27

-If you see her, can you tell her I'm looking for her, please?

-OK.

0:22:270:22:30

I could have a word with Rita, see if she could give you a couple

0:22:300:22:33

of days off, get your head together.

0:22:330:22:34

Why do I need to get my head together?

0:22:340:22:36

Because it's buried in the sand.

0:22:360:22:37

I need you both in resus. Control just called ahead.

0:22:370:22:39

-Something's happened at the ambulance station.

-What do you mean?

0:22:390:22:42

-I don't know. They said two are critically injured.

-Robyn, with me.

0:22:420:22:45

We're need to get her immobilised.

0:22:450:22:47

Can I get a collar and board, please! How's he doing, Rita?

0:22:470:22:51

He's not good, Iain.

0:22:510:22:53

I didn't mean to...

0:22:530:22:54

There's crepitus around the pelvis.

0:22:540:22:56

We need to get a pelvic splint on her, now.

0:22:560:22:58

Right. Pelvic splint, please!

0:22:580:23:00

-Look. I don't want you to panic.

-What now?

0:23:070:23:10

But there's still no sign of Alicia or Josh.

0:23:100:23:13

Apparently, there was an incident at the ambulance station.

0:23:130:23:17

And Alicia was there... I don't have the details.

0:23:170:23:20

Where's the boy?

0:23:200:23:22

Well, once again...

0:23:220:23:23

Go and find out, please, Charlie. Josh was in her care...

0:23:230:23:26

If something has happened to him...

0:23:260:23:29

I'm sure he'll be fine.

0:23:290:23:30

Were you just talking about Josh? Where is he?

0:23:330:23:37

Right. This is Sarah Chester, 16-year-old female.

0:23:380:23:41

She's just been hit by a car and run over.

0:23:410:23:42

Her pelvis is clinically fractured with soft tissue damage to

0:23:420:23:45

her thigh.

0:23:450:23:47

GCS ten, pulse 100, resps 30, BP 100 over 50.

0:23:470:23:49

-Sarah, please!

-One, two, three.

0:23:490:23:52

You absolutely can't be in here.

0:23:520:23:54

Her belly is more distended than when we picked her up.

0:23:540:23:56

She's my daughter.

0:23:560:23:58

That's Lawrence, he was the driver.

0:23:580:23:59

Someone get him to the relative's room, please.

0:23:590:24:01

He slept with her. She's 16-years-old. 16.

0:24:010:24:05

Look, we'll come and talk to you as soon as we know anything, all right?

0:24:050:24:08

-Resus two, please!

-It was him!

0:24:080:24:09

You need to stand back! Stay there!

0:24:090:24:11

Don't make this any worse than it already is, mate.

0:24:110:24:13

-He did this to her.

-Get him out!

-Nathan Flynn!

0:24:130:24:15

His name is Nathan Flynn!

0:24:150:24:17

OK. Let's get a second line in and some 0 Neg straightaway.

0:24:170:24:21

Activate the major haemorrhage protocol.

0:24:210:24:23

Robyn, clothes, please.

0:24:230:24:25

All right. Let CT know we're on our way.

0:24:270:24:29

OK. She's tolerating the guedel. We'll need to protect the airway.

0:24:290:24:33

Right. Let's prep for an RSI.

0:24:330:24:36

Go and get cleaned up!

0:24:410:24:43

And back down...

0:24:470:24:48

That pen can't be sterile, can it?

0:24:510:24:53

I wouldn't have thought so, no...

0:24:530:24:55

There's significant respiratory compromise.

0:24:550:24:58

Let's set up for a chest drain.

0:24:580:25:00

Help me.

0:25:020:25:03

That's exactly what we're going to try and do, OK?

0:25:030:25:06

Try and stay calm for me.

0:25:060:25:08

What the hell happened out there?

0:25:100:25:12

Your guess is as good as mine.

0:25:120:25:13

Tube in. Inflate the cuff.

0:25:170:25:19

Position good. OK. Cricoid off.

0:25:310:25:33

Secure the tube.

0:25:350:25:37

Oh, look at this.

0:25:420:25:45

Increasingly distended abdomen.

0:25:470:25:50

Yeah.

0:25:500:25:51

Sorry guys. Just had a message. CT are ready for you.

0:25:540:25:56

OK. Thank you.

0:25:560:25:57

Shall I notify the father?

0:25:570:25:59

-If you wouldn't mind.

-OK.

-OK.

0:25:590:26:02

'It's funny the things you remember from med school.

0:26:060:26:09

'The little ear worms that go around and around.

0:26:090:26:12

'Common things are common.

0:26:140:26:16

'You're born to it.

0:26:180:26:20

'It's a labour of love.

0:26:210:26:23

'You never forget your first death.'

0:26:260:26:28

This isn't happening.

0:26:430:26:45

The other guy. What did he do?

0:26:490:26:51

He was meant to be her tutor.

0:26:570:26:59

The teachers... They reckon, she's definitely good enough for Uni.

0:27:030:27:09

It's just maths, she's not good with maths.

0:27:140:27:17

So...

0:27:190:27:20

..here am I working all the hours God sends, to pay for a tutor...

0:27:220:27:27

..to pay him.

0:27:280:27:29

Did he?

0:27:310:27:33

I came home early from a job and...

0:27:380:27:40

..he was...

0:27:420:27:43

The FAST scan will just allow me to see inside your abdomen, is that OK?

0:27:500:27:53

This is going to be a little bit cold.

0:27:530:27:55

This is ridiculous. We need to call the police.

0:27:590:28:01

I've already informed the police.

0:28:010:28:03

What if someone's snatched him?

0:28:030:28:05

Look. We're doing everything we can.

0:28:050:28:07

We're making every effort to contact Dr Munroe.

0:28:070:28:11

I'm sure Josh is going to be fine.

0:28:110:28:12

Please, go and find my boy.

0:28:120:28:14

I'll check back in with security.

0:28:150:28:17

Looks like there's some free fluid.

0:28:220:28:24

Free fluid? What does that mean? Is that bad?

0:28:240:28:26

I'm going to call down one of the paediatric surgeons who'll

0:28:260:28:29

-assess him before we take him up to theatre.

-What, now?

0:28:290:28:33

I believe Leo might be bleeding internally.

0:28:330:28:35

I would ask you not to panic, but we have to move quickly.

0:28:350:28:38

Mum, I'm scared.

0:28:380:28:41

Don't worry, son, you're going to be fine.

0:28:410:28:43

Poor girl.

0:28:460:28:47

What was Alicia doing there?

0:28:540:28:56

Here you are. What do you think you've been playing at?

0:29:020:29:04

Where's Josh?

0:29:040:29:06

Erm, I don't know.

0:29:070:29:10

What do you mean you don't know?

0:29:100:29:12

Do you realise Leo is on his way up to theatre because of you.

0:29:120:29:15

-Why?

-A child who suffered a trauma and has a history of cancer.

0:29:150:29:18

You should have run trauma bloods and done clotting.

0:29:180:29:20

You stupid, incompetent girl.

0:29:200:29:22

Hey! What's going on?

0:29:220:29:23

I am sorry, Mrs Beauchamp, I can no longer work with Dr Munroe.

0:29:230:29:26

Out. Both of you. In my office, now!

0:29:260:29:28

Out!

0:29:300:29:31

Come on, Josh, pick up. It's gone to answer phone.

0:29:370:29:42

Josh. Where are you? I love you, son.

0:29:430:29:47

You're not in any trouble at all. Please, just come back.

0:29:480:29:52

-Thank you.

-That's all right.

0:29:540:29:57

Where is he?

0:29:570:29:58

Do you have one of those Find Your Phone apps?

0:30:000:30:02

I've got a Cloud thing?

0:30:020:30:04

Perfect.

0:30:040:30:06

OK, so we're on top of the chest issues,

0:30:060:30:08

we're just going to wait for the ortho to come have a look.

0:30:080:30:12

Can I see her?

0:30:120:30:14

Who? The girl?

0:30:140:30:15

Her name is Sarah.

0:30:150:30:17

How do you know her?

0:30:170:30:19

It's not what you think.

0:30:190:30:21

I waited. I didn't touch her.

0:30:220:30:26

She's 16.

0:30:270:30:29

But you are her teacher?

0:30:290:30:31

Her tutor.

0:30:310:30:33

She's still 16.

0:30:330:30:34

Exactly. I've done nothing wrong.

0:30:350:30:38

In the eyes of the law, you've done nothing wrong.

0:30:380:30:41

PHONE RINGS

0:31:140:31:17

Am I in trouble?

0:31:290:31:30

Of course you're not.

0:31:300:31:32

Her BP's fading.

0:31:370:31:39

MACHINE BEEPS

0:31:390:31:40

SHE SIGHS

0:31:400:31:41

No, I've lost it.

0:31:420:31:43

She's throwing off some VEs.

0:31:450:31:47

MACHINE BEEPS

0:31:470:31:48

She's lost her output.

0:31:480:31:49

Come on, Sarah. Come on.

0:31:540:31:56

HE PANTS

0:31:560:31:57

That was mad, that.

0:32:030:32:05

Yep.

0:32:060:32:07

Cup of tea?

0:32:200:32:21

What?

0:32:250:32:26

HE SIGHS

0:32:280:32:29

Nothing.

0:32:290:32:31

Cup of tea?

0:32:310:32:33

Yeah.

0:32:330:32:34

Sugar?

0:32:340:32:35

Just one.

0:32:350:32:36

SHE TAPS HIM

0:32:390:32:40

WATER RUNS

0:32:460:32:47

MACHINE BEEPS

0:32:470:32:49

Right, that's two minutes.

0:32:510:32:53

Pulse check.

0:32:530:32:54

MACHINE BEEPS

0:32:540:32:55

Still asystolic.

0:32:560:32:58

Another milligram of adrenaline.

0:32:580:33:00

Let's go again.

0:33:000:33:02

MACHINE BEEPS

0:33:020:33:03

Come on, Sarah.

0:33:060:33:07

Come on.

0:33:070:33:09

I think that's a cow.

0:33:100:33:12

I can see its legs and its head.

0:33:120:33:15

Have you never played this game?

0:33:150:33:16

No, cos I'm not a kid.

0:33:160:33:18

All right, fair enough.

0:33:180:33:19

Sometimes, I wish I had cancer.

0:33:210:33:23

How come?

0:33:270:33:28

You get loads of new stuff.

0:33:280:33:30

And people love you.

0:33:300:33:31

Mum doesn't even notice me.

0:33:320:33:34

Well, I think she's really worried about you.

0:33:350:33:39

Do you want to know how I know?

0:33:410:33:43

Cos I've got...

0:33:440:33:45

psychic powers.

0:33:450:33:47

-You

-don't

-have psychic powers.

0:33:470:33:49

How much do you want to bet?

0:33:490:33:51

HE BREATHES DEEPLY

0:33:520:33:53

You like the Avenger films.

0:33:550:33:57

Everyone likes the Avenger films.

0:33:570:33:59

Your favourite's Iron Man.

0:34:000:34:01

-That's

-everyone's

-favourite.

0:34:010:34:04

And your brother's is Captain America.

0:34:060:34:09

You guessed.

0:34:090:34:10

If you really think that she doesn't care...

0:34:110:34:14

She always blames me! For everything.

0:34:140:34:18

Well, sometimes...

0:34:180:34:20

sometimes it's easier.

0:34:200:34:22

Cos you're the healthier kid.

0:34:220:34:24

And sometimes people think that the healthier kid

0:34:240:34:26

can cope with more responsibility.

0:34:260:34:29

It's OK to get scared as well.

0:34:290:34:31

It's normal. Even I get scared.

0:34:310:34:33

What, of your hair?

0:34:330:34:35

THEY LAUGH

0:34:350:34:36

It's all right to get a bit upset as well.

0:34:370:34:40

And jealous.

0:34:400:34:41

We all do.

0:34:410:34:43

But what you need to know is that

0:34:430:34:46

she loves you very, very much, OK?

0:34:460:34:48

It's got horns and udders.

0:34:530:34:54

MACHINE BEEPS

0:35:020:35:03

I really think this is futile.

0:35:030:35:05

We keep going.

0:35:050:35:06

Jacob, she's been in PEA and now asystole with no response

0:35:090:35:13

to aggressive resuscitation for the last 30 minutes.

0:35:130:35:15

I think we should stop.

0:35:150:35:16

Look, she's only 16. We keep going.

0:35:160:35:19

MACHINE BEEPS

0:35:190:35:20

OK.

0:35:200:35:21

White, two sugars.

0:35:410:35:43

This isn't happening. It really isn't.

0:35:450:35:48

I didn't mean to be so...

0:35:480:35:50

..with Josh, you know?

0:35:520:35:54

I've failed him.

0:35:540:35:55

No, you haven't.

0:35:550:35:58

It's all been about Leo.

0:35:580:36:00

Yes, of course it has.

0:36:000:36:01

When a child has cancer,

0:36:040:36:06

it puts an incredible strain on the family,

0:36:060:36:09

it happens in every case.

0:36:090:36:10

He hasn't been ill for eight months now.

0:36:120:36:14

I'm still a mess.

0:36:140:36:16

That's perfectly normal.

0:36:160:36:18

I had to put Leo first, you know?

0:36:200:36:22

I had to.

0:36:220:36:24

Yes. I know.

0:36:240:36:25

Mum?

0:36:280:36:29

Josh! Oh, God!

0:36:290:36:31

-SHE SIGHS

-Been on a bit of an adventure,

0:36:310:36:33

haven't you Josh?

0:36:330:36:34

Are you mad at me?

0:36:340:36:35

Oh, course I'm not, son. I love you!

0:36:350:36:38

I love you so much...

0:36:380:36:41

SHE BREATHES DEEPLY

0:36:410:36:42

Thank you.

0:36:420:36:43

The injury was superficial...

0:36:520:36:54

to the hand.

0:36:540:36:56

Except it wasn't.

0:36:570:36:59

You failed to ask the adequate questions

0:36:590:37:01

and now the boy pays the price of your incompetence.

0:37:010:37:04

-MACHINE BEEPS

-Pulse check.

0:37:170:37:19

Nothing.

0:37:220:37:23

No change.

0:37:230:37:25

We can't get her to theatre without a pulse.

0:37:260:37:29

All right, I'm going to call it.

0:37:300:37:33

MACHINE BEEPS

0:37:330:37:34

Time of death, 16.15. OK.

0:37:360:37:38

Thank you, both of you.

0:37:390:37:40

We need to go and speak the police and somehow...

0:37:420:37:45

Let me do it.

0:37:450:37:46

Let me speak to the father.

0:37:470:37:49

Thank you.

0:37:490:37:51

No!

0:38:170:38:19

-HE CRIES

-Not my little girl!

0:38:200:38:22

Not my baby!

0:38:320:38:33

I was looking for a patient,

0:38:360:38:38

a brother of a patient. He went missing.

0:38:380:38:40

What on earth were you doing that for?

0:38:400:38:42

Dr Munroe took it upon herself to take the boy to the vending machine.

0:38:430:38:47

I just don't understand.

0:38:470:38:49

-You're not the only one.

-Right, that's enough!

0:38:490:38:51

Well, there's no doubt you did an excellent job

0:38:540:38:56

in a very dangerous situation.

0:38:560:38:58

What I can't fathom is why you put yourself in harm's way

0:38:580:39:00

in the first place!

0:39:000:39:02

And this after missing a potentially fatal bleed.

0:39:020:39:05

I'm sorry.

0:39:050:39:07

You've leave me no choice.

0:39:090:39:11

I have to launch a formal investigation

0:39:110:39:13

into what happened today.

0:39:130:39:15

I want written reports on my desk by the end of the day.

0:39:150:39:18

Is that clear?

0:39:180:39:20

-Is that clear?

-Yes, Mrs Beauchamp.

0:39:200:39:23

-Dr Chao?

-Yes, Mrs Beauchamp.

0:39:230:39:24

Right, get out my sight.

0:39:240:39:26

And Dr Munroe?

0:39:290:39:30

Forget about the exam.

0:39:300:39:31

DOOR SHUTS

0:39:500:39:51

Do you want to tell me what's going on?

0:39:560:39:59

The name of the officer that shot me.

0:40:080:40:10

-Where did you get this?

-Does it matter?

0:40:190:40:21

No.

0:40:240:40:25

You haven't opened it?

0:40:300:40:31

Not yet.

0:40:320:40:33

You open this, you ruin your life, you know that?

0:40:410:40:44

He can't just get away with it.

0:40:470:40:49

-SHE WHISPERS:

-He can.

0:40:490:40:52

He can and he has.

0:40:520:40:53

It was just a terrible mistake.

0:40:540:40:57

And you need to accept it.

0:40:570:40:59

-Accept it?

-Yeah. Accept it.

0:40:590:41:02

You were the wrong man, in the wrong place, at the wrong time.

0:41:020:41:04

No! No.

0:41:040:41:06

No, I was the wrong black man,

0:41:060:41:08

in the wrong place, at the wrong time.

0:41:080:41:09

No, that's simply not true.

0:41:090:41:11

So, what?

0:41:110:41:12

So what, if it was a white man...

0:41:120:41:14

-If I was Charlie...

-Yep.

0:41:140:41:16

What, they'd just shoot first and ask questions later?

0:41:160:41:18

-Yes.

-Then you're wrong!

0:41:180:41:20

You're wrong! And he needs to be punished.

0:41:200:41:23

What, the way Nathan Flynn needed to be punished?

0:41:230:41:27

Hm?

0:41:270:41:29

A man lost his daughter today, because he couldn't control himself.

0:41:290:41:33

That was different.

0:41:350:41:37

You open that envelope, you ruin your life, your career.

0:41:370:41:40

Then maybe that's what I want!

0:41:400:41:42

How about that?

0:41:420:41:43

Do it.

0:41:480:41:50

You...

0:41:550:41:57

You go ahead and open it.

0:41:570:41:58

Condemn yourself.

0:42:010:42:02

DOOR CLOSES

0:42:060:42:07

DOOR CLOSES

0:42:180:42:19

I hear you and Alicia were in with Connie.

0:42:200:42:23

Are you OK?

0:42:300:42:31

Anything I can do?

0:42:340:42:35

I don't know...

0:42:380:42:40

which one to choose.

0:42:400:42:41

It's for my father.

0:42:490:42:50

Look, look. He's coming. Do you have a camera?

0:42:590:43:01

Have you got any comment, Mr Appleby?

0:43:010:43:03

CAMERAS CLICK

0:43:030:43:04

Get his face. Get a shot of his face!

0:43:040:43:06

Mr Appleby?

0:43:060:43:07

POLICE CAR STARTS

0:43:070:43:09

THEY TALK

0:43:090:43:10

Mr Appleby?

0:43:100:43:11

CAMERAS CLICK

0:43:120:43:13

SIREN WAILS

0:43:150:43:16

CLANGING

0:43:520:43:53

HE SIGHS

0:43:580:43:59

'"It's a labour of love.

0:44:030:44:05

'"Hard work and long hours.

0:44:050:44:08

'"But certain patients will make it all worthwhile."

0:44:080:44:12

'That's what they told me in med school.

0:44:120:44:15

'And that's what I believe.

0:44:150:44:18

'And if all I had to contend with were the patients,

0:44:180:44:20

'then, perhaps, I could have muddled through.

0:44:200:44:24

PHONE RINGS

0:44:240:44:27

'Truth is, I should have spoken up earlier.'

0:44:270:44:30

Babes, it's me. Where are you?

0:44:420:44:44

Look, give me a call me back when you get this, please.

0:44:440:44:47

-She's not answering.

-Night.

0:44:470:44:49

You can join us if you want?

0:44:490:44:50

No, I've got a hot date with a bubble bath.

0:44:500:44:53

How very '90s.

0:44:540:44:55

Right, come on! Let's wait for her at the bar.

0:44:560:44:58

That doesn't mean I'm buying the first round.

0:44:580:45:00

-You never do.

-THEY LAUGH

0:45:000:45:02

'I realised fairly early on that Dr Lily Chao

0:45:210:45:24

'hailed from the school of tough love.

0:45:240:45:27

'So I bit my tongue at first.

0:45:270:45:29

'I believed I could cope.

0:45:290:45:31

'The pressure she piled on, I thought I could thrive on it.

0:45:310:45:35

'The truth is...

0:45:360:45:38

'I can't.

0:45:380:45:39

'Dr Chao has not made life easy during my time here.

0:45:400:45:44

'In fact, she has made it harder than it needed to be.

0:45:450:45:48

'And now, because of her,

0:45:500:45:52

'my position has become untenable.'

0:45:520:45:55

Thanks.

0:45:550:45:56

'Bottom line - I've been bullied out of a job that I love.'

0:45:570:46:00

BUS DOORS SHUT

0:46:010:46:03

'There is, however, no doubt

0:46:040:46:06

'that Doctor Chao is a gifted physician.'

0:46:060:46:09

THEY TALK

0:46:090:46:10

'And, despite our very real and obvious differences,

0:46:100:46:13

'I can but wish her well.'

0:46:130:46:14

-PCS?

-PCS is 14.

-And airway?

-Airway is clear.

0:46:140:46:17

'That being said,

0:46:180:46:20

'I hereby give notice of my resignation with immediate effect.

0:46:200:46:24

'Yours sincerely,

0:46:260:46:29

'Dr Alicia Munroe.'

0:46:290:46:30

-LILY:

-Good. Nice and slowly, no rush.

0:46:400:46:42

Good.

0:46:430:46:45

My name is Doctor Chao. Can you talk?

0:46:450:46:47

-IN WEAK VOICE: Yeah.

-Good.

0:46:470:46:48

I'm just going to have a listen to your chest, all right?

0:46:480:46:51

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