Fatal Error - Part 1 Casualty

We've done some DNA comparisons.

Mercedes Christie has a criminal record so we have hers on file.

-She was the mugger.

-Why did you lie?

It just got out of control so quick.

I'm you're best mate, man. Your best mate.

I'm moving out.

The application form is straightforward.

I'll help you with that.

It's not about the application. I've got no time.

Well, as I said, I'll help you with it.

He doesn't give up, does he?

You wanted the promotion, Lofty, you got it.

Robyn seems to think you're a bit under the cosh.

-Loving it.

-The extra responsibility and everything, I don't know.

We've all got to work hard to get somewhere, right?

I should've seen it.

I let you down. I'm sorry.

What do I do now?

BEEPING

-ECHOING VOICES: All clear shocking.

-Wait, wait, wait.

OK. Can we gather around, please, people? All right.

Listen up.

Now, Rita and Charlie are on a course until this afternoon,

so I'll be running the shift.

So let's just keep this smooth and easy.

Just like you.

Go girl.

Now, we're short on staff so I've hired an agency support.

-You should be doing this.

-What?

You should be leading. You can't keep ducking out.

No, I don't think that's a good idea.

Time-wasters or any refusals from other departments

to take on patients, please refer them to me.

-I think Senior Staff Nurse Chiltern would like to lead.

-No, I don't...

What's that?

You're both band six, I don't see why you get priority.

OK, so you want a shot at the hot seat, Benjamin?

Don't be melodramatic. You're not piloting a 747.

If this place isn't run right, you doctors are the first to complain.

So, are you up for this, Lofty?

Come on, it's your post to fill.

Yes.

OK, all right, let's do it.

So, what's the plan, my man?

Erm...

I think we'll pick up from where you went just then

and take it from there.

All right, well, you heard the boss, let's get to work.

Have a good shift, people.

Hey. I thought you were having a girls' day out.

I am. We are going to the hairdresser's, milkshakes, the lot.

I have a very impatient daughter waiting in the car.

-Then don't be here.

-No, I'm not here, you didn't see me.

Oh, well. Have fun.

Listen, I don't say it often, but thank you.

No problem.

All the best, boss.

Did Lofty win something?

He won't think so by end of shift.

He's the nurse in charge today.

Really? You, Lofty?

Thanks for the support, Lily(!)

Oi! Oi! He took my bag!

No! I had my phone in there, my purse.

All my money's in my purse... and my cards!

All right, all right, OK. We'll work it out. Calm down.

Whoa, whoa, back on the bed. Come on.

Please, come on.

Could be a ruptured spleen.

OK, let's get him prepped for CT and I'll call the surgeons.

Right, Robyn, I need to keep her still.

-Yeah, I'm trying.

-I'm trying to get another line in.

Right, come on, Abby, please stay still for me, love, come on.

Abby, listen to me. I'm Lofty, OK?

Look at me, you're going to be fine.

I'm with you, OK? It's fine.

I am going to have to take you with me next time I go to the dentist.

Ben, come and have a look at this.

Oi, this handbag is empty.

Yeah, just like your head.

How did we do?

A fiver.

That's it?

I told you we should get these guys before they go in.

Not when they're horny, thank you very much.

Do we have enough now? I can't do another night out here.

Tell you what, we get you some pain killers,

get a bag of chips, then come up with a plan, OK?

OK.

Oi!

All righty.

How's the search for a new partner in crime going?

Yeah, fine.

Fine. Fine is... Fine is good.

So what did the judge do to you?

It never came to that.

They give me a telling off for wasting police time.

You got off lightly, then.

Yeah.

Thing is, Mac. You wore the uniform.

You served with heroes,

men who gave their lives for their mates.

You ought to be ashamed, really.

Through here.

I can't fit through that.

You'll be fine, babe, OK? Just trust me.

SHE YELLS

Calm down, big man.

How about we tell your Mrs where you've been?

WHIMPERING

Ky?

Ky?

Ky!

Look at his little face!

Don't stop on my account. What's so funny?

Just a video we took in the pub the other night.

Oh, right, you went out.

We didn't not invite you cos you lied or anything.

No. We just thought you'd be busy,

with the arrest and everything.

Yeah, just more a misunderstanding. Soon got sorted out.

Cool.

Well, fancy meeting you here.

Don't.

Come on, Noel. I've said I am sorry.

This is doing my head in...

What, the small "misunderstanding"?

I know it wasn't small...

Good, then you know why I don't want anything to do with you.

Oh, God.

KNOCK AT DOOR

TOY EMITS SHOOTING SOUND EFFECTS

James?

Liam, don't come up!

James!

James!

HE YELLS

No, Holby ED. We requested an agency nurse

about half an hour ago.

Thank you.

Ben, I have a patient that's been waiting

since shift hand-over to go upstairs, OK?

I'm onto it.

That is not who I spoke to.

Great, Greensleeves.

Loft, Monitor aren't happy,

so they've told us to cut down on waiting time.

The bosses have helped us out when it comes to breaching, though.

-Yeah?

-Yeah.

They've sent a memo telling us not to do it.

Lofty, where is this agency nurse? I'm cream crackered out here.

I'm literally onto it now.

Oi! Somebody help her.

Have you been through triage?

Tell me what they say.

-What happened?

-Let's get her onto the bed.

She cut her stomach on a fence.

OK...

Yeah, there are lacerations there. When?

Half an hour ago.

It took us ages to walk it.

She's tachycardic.

Why didn't you call an ambulance?

Sorry, mate, my smartphone's not charged.

Hello? Paramedics.

All right, lads?

He fell.

OK. What's your names?

Liam.

This is my mental brother, James.

I said sorry! And don't call me mental.

He's got ADHD.

You hurt at all?

All right.

My name is Iain. I need you to stay nice and still for me

while I check you over, all right?

And I promise to stop it hurting. Deal?

OK, deal.

Breathe in.

HE TAKES SHALLOW BREATHS

And again.

OK.

Well, now's a good time to ask what's happened.

Is she all right?

Sounds like your journey here was a little bit fraught

and she's lost a fair amount of blood.

But, yeah, she will be fine.

Can I take a look at that?

No, I'm all right. I ain't leaving her.

We can do it just here.

Yeah, all right.

So, what happened?

We had to make a short cut, get away from some lunatic.

Make a fist.

Good. Do you know her or...?

She's my fiancee.

How'd you meet?

A garden party.

We're friends with the Prime Minister, aren't we?

Ignore him, we met at college.

I need you to keep very still.

Is there someone we can call for her? Her parents or something?

We're not living rough out of choice, mate.

Right, this is Liam Whyte, 22.

At 9:30 he's taken a fall and landed on the wing of a Spitfire warplane.

A Mark II.

Yeah, Mark II. It's a long story.

Short version is he's got a piece of tin sticking out of his chest.

Cleared his neck at the scene. He wasn't KO'd, GCS15.

-Bed three, please.

-Bed three.

Pulse 80, BP 135/85, sats 97.

Given him O2 en-route and 5mg of morphine.

Right, Liam, when you're ready, buddy,

if you could just wiggle your way across this bed for us.

Nice and gently. Take it slowly.

Right, I would like obs as soon as, please.

There you go, mate.

Hi, Liam.

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

It hurts... It hurts to breathe.

You've got to keep still for us, Liam.

OK, he's got shallow breath sounds to the right.

Could be a small pneumothorax.

Can we get X-ray down to do a portable chest?

-And we might need to stand by with a chest drain.

-Sure.

I was trying to make it safe.

Safe?! Ow!

OK, he needs to go.

Come on, Macaulay Culkin, let's wait outside.

No, I want to stay.

Right, his sats are down and his resps are up to 30.

He really needs to go now.

He's got ADHD. Take your time with him.

Hi, there.

Is he going to die?

I'm Lofty.

That's a silly name.

I'm James.

James, I need you to help me, OK?

-See that green light on the monitor over there?

-Yeah.

I need you to tell me when it turns red.

Yeah.

Can you do that for your brother?

Yeah.

Good lad.

OK, obs are stable. Temperature's still a little bit high

so can we have a gram of paracetamol, please?

When can she get out?

Well, we're still waiting on blood results,

but all things being equal we won't need to admit you.

You've been a satisfactory patient.

Thanks, I think.

How you feeling?

Things keeps getting worse.

I know.

-I'm sorry, Ky.

-No, it's not your fault.

It's my mum's, she wouldn't let us be together.

But I should be taking better care of you.

We should have somewhere to stay, at least.

Sorry, I just need to double check on something.

Just pretend I'm not here.

You deserve better.

Than you?

There is no-one better.

If you wanted to call your mum, I'd understand.

What would you do without me?

I'd die without you there.

Well, there we go. End of, we stay together.

I love you, Gary.

I love you too.

OK, actually, stop pretending I'm not here.

You're both old enough to make your own decisions

but you, young lady, should not be sleeping outside tonight.

She's been through a great deal today

and she needs a course of antibiotics.

And, if there is an option of taking a bed

and a roof over your heads this evening, I would do so.

-I don't want to go home.

-Just...

Give me some time, OK?

I'll look after you, Ky, I promise.

This might feel a little uncomfortable, Liam.

This is the first time I've ever taken a plane

out of someone's chest. Scalpel.

OK, Liam, I am going to try and extend the entry wound.

Keep your eye on the light, James.

Liam, keep breathing, regular, steady. Nice and slow, OK?

There we go.

Right, let's get this tidied up.

Can we order a repeat chest X-ray, please?

Um... Is he OK?

He is. Well done.

Could we escort the young assistant out, please, Lofty?

-You can come back later. Ready for the next job?

-Yeah.

Noel, can I ask a favour?

James needs to write down all the things he knows about his brother.

It might help us.

-Well...actually, Lofty, I...

-It won't take too long.

HE SIGHS

Um, I'll need a pen.

Oi! Oi! Hey, careful! This isn't a playground.

When can I see Liam?

Er, soon. He needs his rest to get better.

Good. Then he can come back home.

-Has he been gone long?

-Yeah.

We used to hang out all the time, until he left.

Do you have a brother?

No.

You should get one.

What does STI stand for?

-Why?

-I saw it on a poster.

Er...s-sodium...triazepam... in-in-injection.

It's a medicine.

No, it stands for sexually transmitted infection.

Oh.

-Oh, what's in here?

-Hang on, leav...!

Cheers, Lofty(!)

Fletch? It's Lofty.

Got a patient here, been waiting hours to go up...

Mrs Dobbs.

Thanks, mate, I owe you one.

-AAU will take Mrs Dobbs up now.

-Cool.

Right, agency nurse...

Yes!

Sorry?

As if by magic!

I-I'm Diane Stuart, agency.

Sorry I'm late. The traffic was awful, football match or something.

-Then idiots started pushing in from the outside lane so...

-It's fine.

-Really?

-Lofty.

OK. Er, well, I'm raring to go, ready to get stuck in.

Great. One sec...

Mac! Can you check on the Whyte brothers,

and see if there's any more old notes, please?

Never fear, Big Mac is here.

THEY LAUGH

So last night we did this Death Wish marathon,

and Jack made the best rogan josh EVER.

Best in Holby, maybe.

CHATTER CONTINUES

You look rough.

Ah, yeah, my back's bad.

-So take a painkiller.

-I've run out.

Talk to Zoe and get another prescription, then.

THEY LAUGH

Are you sure that's it?

Cos you've been staring at Noel like a lovesick teen all week.

Want me to pass him a note?

Yeah, that's right - you wouldn't understand friendship, would you?

You'd have to have a heart for that.

Right, Lofty, about today's football match.

We can expect an influx of mindless hooligans later on today.

The cavalry have arrived. No need to be pessimistic, Lily.

CLATTERING

I-I'm so sorry! I stumbled. I'll clear it up.

No, leave it. It needs to be dealt with by the cleaning team.

If this is the cavalry, we've already lost the battle.

We prioritise by emergency, and not season tickets.

You're going to have to wait like everyone else. Sorry.

Sorry to disturb. I'm looking for Mrs Dobbs.

Stop making excuses. I don't want to talk to you.

Mac! Any luck tracing the mother?

Er, no. Sorry. I'll... I'll get on it.

Excuse me.

When can I get out of here?

They want to keep you in observation for a few hours,

then we'll probably admit you.

I've got a plane to catch. I'm off travelling tomorrow.

Haven't you caught enough planes already this week?

I'm sorry, that's not going to happen.

I saved for a year for this.

Know how many dishes I had to wash?

-Where were you going?

-India.

Well, India will still be there.

Well, the chest seems to be draining well.

You should start to feel better soon.

We can't seem to locate your mam to take James home.

Any ideas?

She's usually back by the evening.

Does she leave him alone?

Or not. I don't know. She...

I don't live there any more.

Late night?

My daughter, 14, rolls home at two in the morning,

can barely string a sentence together...

Did you write down where the pharmacy is?

OK, your temperature is going up, rather than down.

Are you in pain anywhere else, Kylie?

I've got a headache,

and my tooth hurts, but I've had that for a while.

OK, can we chase up the bloods, then, please?

Um, let's do a liver function test,

start a stat dose of co-amoxiclav IV.

Sorry, hold on a sec! You all talk so fast.

Right. Liver function test. A stat dose of co-amoxiclav IV.

You do have experience, do you, in the ED?

Or did you just wander in from a fancy dress party?

-Dr Keogh.

-Er, Dylan...

a football fan's been glassed in the face.

Give us a hand?

Well, I'm more of a backgammon person. Yeah, OK.

I don't have to leave yet, do I?

No, you're not going anywhere quite yet.

Kylie, er...that guy you're with...

Gary?

He had...

a few scratches on his face.

Anything you tell me is in confidence. OK?

It's my fault.

Not his.

That's never the case, lovey.

Can she, er... Can she leave yet?

Not yet, petal. Um...can you give us a minute?

Why?

Lady things. We need to talk to Kylie.

OK.

Anything you want to say or anyone you want us to call,

you tell me, all right?

OK, here you go.

Um, I've spoken to your airline and explained the situation.

And they said that, on this occasion,

they are prepared to let you re-book your flight for an alternative date,

-at no extra cost.

-You are a superstar.

I really am not.

I'm looking at James's history here

and there's a long list of treatments, stretching back years.

Heavy bruising, lacerations, broken bones.

He's always injuring himself - it's his ADHD.

Is it not possible that somebody might be hurting him?

You know, your mam?

No, she's not mean, just drunk.

OK.

Have you got any idea where she is?

She used to go out and hook up with people -

anyone who'd buy her booze, really -

be gone for a day or two and come back all tears and sorrys.

Thought she would have sorted herself out

if I wasn't there to look after him.

Doesn't seem so. Can James stay with you?

-No.

-Any particular reason?

-I mean, he really looks up to his big brother.

-Cos I need a life!

OK, no sudden movements. Not just yet.

It's OK. It's a lot to ask someone your age.

Since I was 13, I had to look after him.

Never had anything for myself.

Honestly, Liam, you don't have to explain yourself to us.

-We understand.

-I'll have a word with Lofty,

-get him to talk to social services, yeah?

-Cheers, Mac.

-You shouldn't feel responsible.

-I don't.

As soon as I'm better, I'm out of here.

Lofty, I need a patient moving from cubicle six.

-Diane's covering that.

-I don't want any excuses.

I need to be out with the paramedics this afternoon,

and I want the patient off my list.

-Lofty.

-I think he went that way.

Mate, listen, we've had some stock go missing.

Some syringes, needles, a tablet.

A tablet?

Of the computerised kind, I ain't talking about missing paracetamol.

Are you sure it's not been misplaced?

No, no, no. Robyn's checked.

-I'll tell security to keep an eye out.

-All right.

Er, Noel, can I have a word, please?

It's about hospital business, I promise.

NOEL SIGHS

What?

We need to get Liam and his brother talking again.

Oh, stop meddling, Mac. It's not our job.

We can stop them splitting up. Help me, that's all I ask.

PHONE RINGS

Holby... Oh, for the love of...!

-ED. How can I help?

-'Oh, hi...'

You look tired.

I am.

Got a teenage girl coming home at all hours, worrying me sick.

I think my mum would know how you feel.

We can help, you know. The nice nurse with the curly hair...

-Lofty.

-Yeah, him.

He can help. Especially if your boyfriend's

making you do things you don't want to.

What? Gary doesn't...

That's why he asked about the scratches.

No, he gets them from the others.

-What others?

-Just idiots.

Drunks, other homeless people. They try...

He protects me.

He has fights to protect me.

That's why he's always beat up.

What about ringing your mum, though?

Gary was a foster kid.

My mum never approved, just because of that.

I think that makes her a horrible person.

Blood pressure's getting quite erratic, isn't it?

-How are you feeling at the moment?

-My head is really hurting.

OK. Shall we get some more saline, please, nurse?

I think what you really need is a good night's sleep,

-so I'm going to admit you.

-What about Gary?

Um, Gary's not ill, so I'm afraid he'll have to fend for himself.

I can call round some...hostels...

What are you doing?

Putting up the saline.

Right. Well, that bag has 40 millimoles of potassium in it.

I-I thought it was saline.

Don't care what you think.

I-I didn't realise. I-I...

OK. I don't need good intentions, I need competence.

Can you just go somewhere else,

where you can't do as much damage, please?

Go.

I have a patient in resus and can be moved to a cubicle, please.

Cubicle seven is clear.

Er, seven's no good. I just filled it.

And we've got four alcohol-related injuries waiting.

Why do they serve alcohol at football?

I'm still waiting, Lofty.

How about I move your patient to HDC and I'll clear one and two for you?

Fine.

Oh, dear...

-DOOR OPENS

-You humiliated her.

Well, what would you rather I'd done, given her a lollipop?

Look, if there's a problem, you talk to the lead nurse

and we'll deal it with together. Right, Loft?

Um...yes.

Fine. OK, I'll leave you to get rid of her.

Dylan, wait.

I don't think I can do this.

Well, of course you can.

If it were easy, Big Mac would be running the department.

Dylan, please.

As a nurse, compassion is admirable.

But, as a manager, you must be more assertive. Focus on facts.

-Be assertive.

-Yes.

Yes.

Good man.

DOOR OPENS

(Be assertive.)

Diane, can I have a word, please?

Sounds ominous.

Can I? Just in there.

Sorry. Um...

What's happening?

He's cautioning Diane.

I don't want you to be nervous, OK?

Please, let me say how sorry I am.

I-I-I don't know what got into me.

It's OK to have a one or two mishaps but to put a patient at risk...

And I feel awful about that.

But I promise, it was a momentary lapse.

I'm tired, that's all.

What's going on?

My husband left and between the mortgage and my daughter,

that's a lot of sleepless nights.

I'm sorry to hear that.

I've mainly done palliative care,

but the big agency wages are on the front line, so here I am.

I don't blame you if you let me go. I'm useless.

I've always been useless.

This is brutal.

I didn't know he had it in him.

I'm going to put you on restricted duty.

You'll make up the trolleys, and escort people till the end of the shift.

And I have to tell your agency, OK?

You can't! They'll sack me.

If I don't, next time the error could be fatal.

Please. I made a mistake, that's all. I'll do better.

If the agency drops me for incompetence,

who's going to hire me?

I'll think about it.

Gary!

Look, all I did was grab them up off the floor, OK? Technically, I found them.

They say I should stay here tonight.

Ky, that's just so they bully you into calling your mum or get

you into some programme.

I'll sell the needles and I'll get us a decent bed for tonight.

Tomorrow I'll flog the tablet and I'll buy us

some weed to shift. Regular business model.

We're drug dealers now?

I can't think of any other way.

It's all right. It's only a bit of weed.

Come on. What would you give for a place of our own?

Anything.

How are you feeling?

I want to leave.

That's not advisable.

It's her choice.

She is very ill.

Pretty sure you have to if she asks.

Deep breath.

Sorry, Doc, I need to pop in another patient.

Hey, there's no ambulance in here.

No, but your brother is. Is there anything you want to say to him?

Soz. When are you better?

It might take a while. I did have a wing in my chest.

You behaving?

Yeah. Can I stay with you now?

No. You're hard work, James.

Cos you left me with her!

I needed to get away.

What, and I didn't?

You can when you're old enough.

Mum's gone. You should be there.

Yeah, and she always comes back.

No, she doesn't. You don't know her now.

Erm, sorry, how long has your mum been gone?

Two weeks.

You've been living alone for two weeks?!

James, are you lying?

No! You have to come back.

Look, I can't.

James! Wait!

James, James.

-LOFTY:

-What's going on?

Family problems. James!

I'll talk to security and find him.

We're not going to stop the breaches if we can't clear people out faster.

It would help if the agency nurse would stop disappearing.

Diane? She's fine. I just spoke to her.

-What're you doing?

-Headache. Onto the IV coffee next.

-You need to stay available.

-Lofty, they found the kid.

We might need to get a steer on this.

I'm coming.

Wait till the shift's ended to call my boss. Let me prove myself. Please.

Just get back out there, all right?

SHE EXHALES

Have they got him back?

Not yet, no. I've just spoken to the police, Liam.

It's about your mum.

-Cheers.

-Nice one.

All right? Crack on.

Look at that.

Let's get out of here.

You OK?

Talk to me then.

Ky. Ky. Ky.

I can't believe I let you rope me into another one of your schemes.

I was only trying to help.

Please. You wanted to play the big man.

What's that supposed to mean?

You wanted to be the hero again, now look what's happened.

Well, I'm sorry Jack isn't here.

Maybe one sniff of his delicious Rogan blinking Josh, the boy would give himself up.

-Where is he?

-On the ambulance.

-Let's get him out then.

No, he's on the ambulance.

You've got to get him down. Connie is going to kill me.

We're open to ideas.

Come on, son, you made your point.

What's going on?

Hey, what are you doing, kid?

Have you injured your hand?

I'm sorry, Ky. I'm so sorry.

SHE GASPS

Excuse me, mate, can I use your phone?

Come on, I've got to get back out, I'm covering the Pride event.

-Let's just get a ladder and grab him.

-And if he falls, we get sued.

I tell you what then, Lofty, you can phone my gaffer and tell him I've been hijacked by an 11-year old.

-Has anyone told him about Mum?

-Has she been found?

-Her body has.

-Please don't film it.

-Are you still in charge?

-Yes, I'm dealing with an incident here.

-And avoiding one in there. I just treated an elderly patient in a corridor.

-I'll deal with it!

-Lofty? Mrs Adams, still needs a cubicle.

-I'm on it. I'm on it.

-Cubicle 3 is free.

-Thank you, Diane.

Full of beans now!

-She won't be coming back.

-Why not?

Just come down and I'll explain.

Why doesn't anybody want me?

Listen, you're my brother, that won't change. But when I was looking

after you, all my mates were out having parties and seeing girls...

Now they're all out having adventures and I haven't even started yet!

It's not selfish to want to have a normal life.

I wouldn't know.

The mirror on the hall was smashed too.

So?

So, why don't you want to see yourself?

Cos...you don't want to see me, neither does Mum...

so I don't.

-JAMES SCREAMS, LOUD THUD

-James!

Airway's clear.

I'll get him started on some neuro obs.

Pupils are equal and reactive.

I should've got him down sooner.

DOORS BURST OPEN

What happened?

Ambulance brought her in, she was alone.

What was she doing outside of the hospital anyway?

I...she discharged herself.

How on earth did that happen? She's seriously ill!

-You requested her blood results, Doctor.

-Thank you very much indeed.

Right, well, she's got an elevated white blood cell count

and elevated CRP. So, plenty of reasons to have kept her in.

I didn't know that then...

-CONTINUOUS BEEPING

-She's in VT.

How is this happening? Is there an output?

Can I get a defib, please?

-BEEPING STOPS

-Wait, OK, pulse is returning to normal.

Right, OK. The paramedics' ECG picked up an abnormal rhythm too.

That's two un-sustained runs of VT. (What is going on?)

Kylie, have you had any...infected wounds that haven't healed properly?

Any old injuries, anything like that?

-I don't know. My tooth's been bad for a while...

-Your teeth, OK, can you show me?

Open up for me, I'll have a look.

Your gum's pretty inflamed, isn't it? OK...

What does that mean?

Well, it could mean any number of things but an infected tooth can be pretty serious.

-Where's Gary?

-You were found on your own, darling.

Can I get a heart echo please?

Dylan, we have to help her, I allowed her to leave.

OK. Panicking isn't going to help now.

Let's carry on with the IV fluids, please, and start co-amoxiclav.

Wait! I need Jacob to take over.

No, no, no. Things go wrong. That's part of leadership.

You told me to lead!

You could have said "no", but you didn't, now you need to keep doing your job.

Can I have a 12 lead ECG, please?

Mr Kamal has been transferred. What's next?

Ms Davies in cubicles 4 needs help with the toilet.

I'm on it! Ooh, head rush.

MACHINE BEEPS STEADILY

Yeah, OK, you have a large vegetation

on the bicuspid valve.

What does that mean?

Endocarditis. It's a...bacterial infection on your heart valve.

It can be very serious if not treated immediately.

I've spoken to the cardiac unit. They've got room upstairs.

-I'll get her prepped for transfer.

-No, I think her vitals are a little erratic.

I'm going to treat her here. Can we start her on amiodarone, please?

CCU can answer your ifs and maybes. Give her the best chance.

OK, no, I'm not carting her around the hospital just yet.

Doctor Keogh, what's best for Kylie? Yourself or the heart specialists?

OK, fine.

-Let's prep for CCU.

-All right.

Can I get some ice cream now?

That's what you get when you're poorly.

Looking at your bloods, you could do with some fruit

and veg more than ice cream but I will see what I can do.

I'll give you a few minutes, OK?

He's going to be all right, yeah?

Yes, the CT scan came back clear but we'll keep him in overnight just for observation.

Some kids don't half have to grow up quick.

Mm...and some of us never grow up.

You OK?

Yeah.

Is it bad that I don't feel sad?

No.

Sorry, James,

got a couple of nice ladies from social services to see you.

I'll go with them... I won't cause any more trouble.

You're not going anywhere, they can help us keep the house,

or better still, find a new one.

India's always going to be there...

I need to sort you out first, don't I?

LIFT PINGS

She'll be fine, boss. Don't worry.

MACHINE BEEPS STEADILY

Glad this isn't awkward(!)

KYLIE MUMBLES How are you, Kylie?

Can you hear me, darling? Kylie.

-MACHINE BEEPS ALERT

-She's back in VT.

Yeah, there's no pulse there. OK, let's start compressions then, please.

-Can you put that side down, please?

-MACHINE BEEPS RAPIDLY

-Well, can we get the bag and mask on?

-Sorry. Sorry.

Quickly!

-She's not much older than mine.

-That's not helpful.

Kylie, I'm with you, OK? I'm here. Stay with me.

25, 26, 27, 28, 29, 30...

OK, still nothing. Let's shock her then.

-Charging. All clear?

-Clear.

-Shocking.

OK, still no pulse VT. Re-starting compressions then.

LIFT PINGS

Will you get some help, please?

Stop the door! STOP THE...

Let's shock again then, please.

-Charging. All clear?

-Clear.

-Shocking.

-Wait, wait, wait!

MACHINE BEEPS RAPIDLY

LIFT PINGS

-Carry on with compressions. Can we get some help in here, please?

-What happened?

-She's been electrocuted.

-We need her in Resus, now please!

-OK, I've got a pulse.

-Good.

(There is no pulse. There is no pulse.)

-OK, I'll start CPR.

-Diane?

-Let's get a trolley, please!

-Diane!

She's in cardiac arrest. She got shocked by the defib.

Let's see what rhythm she is in. What happened?

She didn't clear in time.

She's in VF. OK, charging...

-Oxygen away. Everyone clear?

-Clear.

Shocking.

No. Nothing. OK, let's shock again, please.

-What's going on?

-A patient crashed in the lift.

Well, the boys seem to be getting on with the social worker.

So, all's well that ends well.

For some.

I was thinking maybe we could go for a pint after work?

I can't choose who I work with, but I only drink with mates.

But after today?

What? Help a patient out and we're back to normal?

You lied to me over and over again.

You made me look like a right fool.

-I gave up Batman for you!

-I know.

You know what the worst thing is?

You think it can be fixed like that. Like it's nothing.

I guess we weren't as close as I thought.

There you are. Are we still on for tonight? I've got cider in the fridge,

and a Chuck Norris film that won't watch itself!

Sounds good. Mate.

All right, Mackenzie. A lot of the team are in Resus.

So, I am going to need your help with the backlog. OK?

-All right...

-When you're ready?

Sorry... My back's giving me gyp.

Probably going to need some more pain relief.

-Find Zoe then.

-Yeah.

MACHINE SOUNDS CONTINOUS TONE

We have been here for 30 minutes, Lofty.

She has been asystolic for 20.

-We have to keep trying.

-Ben? Ben? Ben! She's gone.

BEN BREATHES HEAVILY

Time of death, 13:23.

MACHINE BEEPS STEADILY

Where am I?

You are in CCU. You're stable.

But they think you need a valve replacement.

You're in safe hands.

-Where's Gary?

-I don't know.

Did you call my mum?

No. Gary did.

TRAIN HORN BLARES

BIRDS CHIRP

I should've seen it. I let you down. I'm...I'm sorry.

What do I do now?

It wasn't your fault.

(I should've been better.)

You believed in me... I...

I let YOU down and I let HER down.

Rita is on her way in.

She's going to want to take a statement from you.

Ben?

Think carefully about what you're going to say.