Episode 14 Casualty

How could you not tell me that he was still alive?

I was trying to do the right thing for you.

-Staff Nurse David Hide.

-Ha-ha! Not seek?

-Sorry, what are you doing?

-Putting up some saline, boss.

That has 40 millimoles of potassium in it.

Seriously, Dr Masum, get your head in the game.

You'd make a good clinical lead if you put yourself to it.

Have you heard any news?

I had an e-mail about two weeks ago.

-And?

-I deleted it.

Why? You could be wasting valuable treatment time.

You have your demons, I have mine.

Let's just leave it at that, shall we?

How are you feeling?

Sorry. It's a stupid question.

Thank you for the lift, but there's no need to come in.

Of course there is.

You haven't told me how your counselling session went.

It was fine. I want to stay.

-No.

-I think you should have someone with you.

No. I'll be sat in a chair, reading a book all day.

All right? I'm sure I'll manage.

Besides, I need you to run the ED in my absence.

There is so many other people better qualified.

Most doctors would have jumped at the opportunity.

Yes. I'm never in charge of anything.

-Well, I've never had chemo before, so look at us, eh?

-Yes.

All right, I'm sure we'll be fine. It's just another day.

OK.

Morning. Well, I'm choosing to be optimistic. Hanssen assured me

the merger won't affect the ED, and, quite frankly, the hospital

could do with the extra staff from St Francis.

I think change is rarely a good thing.

MAN KICKS HIS TROLLEY

-Late night, Dylan?

-No later than normal.

Morning. Um...

I'm not sure if you know, but Mrs Beauchamp is on leave today.

Ah. Has she said who she wants to fill in, or shall Dylan and I

-flip a coin for it?

-No, we won't do that, I've been here for six years,

I think that carries a bit more weight.

We're both consultants, Dylan.

It's not as if I'm some jumped-up registrar with

ideas above my station.

This is awkward.

Why, has she got a locum?

No, um... She's, um...

For some reason, probably a test or something,

but she's asked me to do it.

You knew that, didn't you?

Yes, it's a planned absence. Of course we knew, Ethan.

Is that all right?

Really? I'm still counting the grey hairs from my last time I did it.

But I'm sure you'll be fine, though.

-No doubt it will be a very quiet, uneventful shift.

-Yes.

Feeling any better, mate?

My head hurts.

Yeah, mine, too, Danny. It's just the flu, eh?

It will be gone in a couple of days.

I know.

I've got an idea, though. Close your eyes.

What if I kill a patient? Or burn down the hospital?

Come on, Rash. You can survive one day

without Alicia holding your hand.

And, look, if she does get Lily's old job,

-she won't have any time for you anyway. Morning.

-Morning.

-Not helping, mate.

-I reckon she'll be really impressed

when she comes back and finds that you've completed

some of your e-portfolio competencies.

Sure. Maybe I'll cure Ebola as well.

HE SIGHS

Come on, Rash. Come on!

We can do this!

I'll be your wing man.

Eh? You want to take me out on the pull?

What? No, I'm talking Top Gun, Rash.

I'll be Goose to your Maverick.

Please tell me you've seen Top Gun?

Must've been before my time.

Then I am going to give you the education of a lifetime, my friend.

Hello, folks.

Nothing formal but I thought I'd say a few motivational words

before we all get up and at 'em, so to speak. Um...

I haven't really prepared anything.

Very uplifting.

Dylan, let him speak.

No, it's fine. Words aren't really my strong suit

but work hard, which I'm sure you will.

That's all. Thank you.

So, I'm guessing there must be something seriously wrong

-with Connie.

-How do you mean?

Cos she asked you fill in for her.

Joking, man, I'm joking!

No, but seriously, look, I know how this place works.

So if you just want to focus on the meetings and admin, I've got this.

I just hand over my responsibilities?

So long as the job gets done.

No. Mrs Beauchamp has entrusted me

-and I'm not going to let her down.

-All right.

JUNGLE NOISES PLAY

It's the Serengeti!

Man, it's roasting out here!

Come on, then, let's see what's about.

Here.

Tell me. What's that?

HE ROARS

Lion.

Lion? More like 20!

Looks like they're chasing those wildebeests.

HE MAKES WILD ANIMAL SOUNDS

Sounds more like cows!

Yeah, well, there's cows out there, too.

Max. I got a present for you.

I don't want any protein shakes.

I'll be constipated for a week.

No, but thanks for the image.

Actually, I've pulled a couple of strings,

and hooked you up with a new porter.

-Seriously?

-Yes, Cubicle 1.

He's a little green, so you'll have to show him the ropes.

Have I ever told you how much I like you, Jacob?

Feel like I don't say it enough. We should chat more.

-I enjoy this.

-Keep that in mind.

And, er, remember how much you wanted this.

Spend half my life in hospitals.

Might as well get paid for it, right? I brought coffees if you...

HE ROARS

Am I boring you?

The music stopped.

Me phone's dead. I'll stick it on charge.

Hey, er, Danny...

..let's play the hiding game.

-I feel sick.

-Please, mate.

For five minutes, then we can do whatever you want, eh?

Come on, Danny, come on, come on.

Mind your head.

OK, that's it.

KNOCK ON DOOR

What are we hiding from?

It's either a witch or a crone, hard to tell.

But, as long as you stay quiet, she can't find us.

BANGING ON DOOR

BANGING CONTINUES

Ben?

Ben Hannigen?

SHE BANGS ON DOOR

Shouldn't I be moving patients or something?

You know, I used to manage a team of salespeople.

So, what, you sold a few mobile phones

and now you're too good to be a porter?

No, I meant I'm used to interacting with people.

OK, I suppose you could collect that patient from chapel. Oh, no, wait.

You wouldn't know where the chapel is, would you? Shame.

Glen? Seriously.

I'm not stalking you, I promise. I know where I stand.

It's just work.

Downside to extending your life expectancy is you actually

have to earn a living.

You know what, I can't even deal with this right now.

I suppose you knew about this as well, did you?

-So, Max, you play guitar, right?

-Actually, do you know what,

since you're clearly over-qualified to clean wheelchairs,

our salmonella patient needs sick bowls.

You're OK with projectile vomit, right?

Only another eight hours to go.

Ben?

Mr Hannigen are you in there?

HER FOOTSTEPS FADE AWAY

The Witch is gone, Danny. You did great, mate.

Danny?

Danny, wake up, mate.

Danny? Danny!

Check list. No fracture, sling fitted.

I think your patient is ready to go home.

What if she drops dead on the way out?

With a sprained wrist?

Yes, you're right, OK, let's do this.

-Dr Hardy.

-Yes.

Would you care to witness Dr Masum's first solo discharge?

Yes, can I just check the notes cos I am reviewing all junior

-doctors' patients prior to discharge.

-Ethan. Budget meeting.

Yes, sorry. Two minutes.

-Don't worry. We'll tick another box.

-Which box?

-There you go.

-Thank you.

What have we got, Robyn?

I thought you were on majors today?

Ethan reassigned me.

Don't tell me, another stag party has gone wild?

No, it's worse, I'm afraid. I'm the real deal.

I'm Father Anthony.

Sorry, do excuse him, his bedside manner isn't all there.

OK. How did you hurt your head?

Oh, you know, priest walks into a bar.

Sorry. We've have a large, wooden cross in the rectory.

It fell when I was cleaning.

Perhaps it was a sign?

No, it was definitely a cross.

Call that the divine comedy do we?

OK, well, doesn't look too bad. Was he KO'd?

I would have told you that.

Yes. Yes, right, OK, all right. Yeah.

We can clean it up and glue it.

Other than that, I don't think there is any need to detain you.

Shouldn't I have antibiotics or something? In case it gets infected.

No, it looks pretty clean to me. I wouldn't worry yourself.

I trust they're giving you the best possible care, Father?

Yes, thank you, Mrs Clarke.

I won't have any reprobates prioritised over a man of God.

This is Mrs Clarke, she's the secretary of the church council.

She insisted I be brought here.

You may be willing to risk your health, Father,

but we need you alive to lead mass.

Did you tell them about your dizzy spell?

What dizzy spell?

I guess the cross must have hit me much harder than I thought.

Right, OK. We'll get it cleaned and glued and then send him

for a CT to rule out any depressed skull fracture.

I need a phone. My brother needs an ambulance.

-What? Where is he?

-Come on.

Danny. Danny, can you hear me? You're going to be all right.

I'm going to call for an ambulance.

Maybe it's best if I take you to the hospital.

You from the council or the police?

What? No, I'm... I'm no-one. Look, you can trust me.

-Shall I take his legs?

-No, I've got him. You start the car.

Come on, mate. Come on. There we are.

Ethan, is it true that every junior doctor that wants to

discharge a patient has to go through you now?

Yes. I thought I'd be vigilant so there's no mistakes.

Except that's impossible! You can't review 16 patients

an hour on top of your other duties. You've already created a backlog.

-Right.

-We should advise waiting patients to consider

going to another hospital.

No, then I'll just look incompetent.

The department will, I mean.

OK, no, let's start signposting -

quick assessments then send them up to wards.

There aren't have enough beds.

I'm sure that wouldn't stop Mrs Beauchamp.

Yeah, yeah, that is nicely done, Robyn.

Yeah, I'm a Senior Band 5, I know how to glue.

Yeah, OK. CT is clear.

So have you had any more dizzy spells, any blurred vision?

Anything like that?

Well, once I saw a vision of Christ in a potato.

But the bishop thought it looked more like Dumbledore.

Thou shalt not take the name of the Lord in vain.

Exodus 20:7. Yes, you're quite right, Mrs Clarke.

I should know better.

Do I take that as a no?

Sorry, no.

Are you sure I don't need antibiotics?

I mean, just to be safe.

Is there anything else that's bothering you?

Did I mention I'm diabetic?

No. No, you didn't.

Sorry to interrupt. Is your patient ready to discharge?

I beg your pardon.

I not trying to step on your toes, just if they're not ready to

leave, it would really helpful if they could be moved upstairs.

Thank you.

Oh, fine. Fine.

Cheers for the lift.

Wait.

Maybe it's best you don't tell the doctors more than they need to hear.

You know, about how you live.

OK.

The last thing you want is to have your brother taken away from you.

Would they do that?!

I don't know. Look...

..I can park up and I can come in with you, if you want.

Yeah, all right. Thanks.

Come on, Danny.

Where's your scary friend gone?

Mrs Clarke, yes?

She's visiting a man upstairs.

A sick parishioner, not "the Man upstairs".

Yeah, yeah, I got that.

I am so sorry, Father.

There's been a mix-up, the ward's full at the minute.

Hang on, so what happens now then?

I'm going to go and find out what's gone wrong.

And in the meantime I am sure this porter will keep you company.

Hang on, Robyn.

Robyn.

New beginnings can be quite tough, can't they?

So my plan to look like I know what I'm doing is clearly working then.

I can relate.

I just transferred to the Holby parish last month.

I'm guessing you're fitting in as well as I am?

Mm.

Right.

The last priest was a bit more, er,

fire and brimstone.

I think it takes time for the Mrs Clarkes of this world

to warm to the new.

And what if everyone hates you already

because you jilted their favourite nurse at the altar?

Ah.

Yeah.

Well, at least things can't get any worse.

Yeah, that's true.

Hey, you couldn't get me any wound dressings, please?

The doc said I might need them for some reason.

Right, OK. Um...

-..I'll see what I can do.

-Thank you.

This is Daniel Hannigen, he is nine years old.

His brother, Ben, found him unconscious about, what, an hour ago.

Daniel had been complaining of headaches with nausea.

His GCS is 12, but that seems to be rising.

All right. Daniel?

Hi, Daniel, I'm Ethan.

Can you tell me what happened?

We've both been feeling bad, I just thought it was the flu.

-His pulse is 110.

-OK.

Airway's clear...

Yeah, he's a bit short of breath.

His skin looks red, as well.

I dunno if it helps, but his blood type is B positive

and he's allergic to penicillin.

Right, that's helpful, thank you.

Are you their mum?

Me? No, I'm a neighbour, Sylvia.

I brought them in.

So where are your parents, Ben?

It's just us.

You're looking after him on your own?

It's no sob story. I'm 19, and we're doing fine.

Well, Ben's been managing perfectly, and that's all that matters.

So what's wrong with him?

Just we need to leave soon, Danny's got schoolwork.

Yes, of course. We need to run a few tests.

Can we get venous blood gas, LFTs, Us and Es.

And can we arrange for Ben to be seen, as well, please.

-No, I'm staying with him.

-You look a bit flushed.

If you're suffering from the same thing, it could be vital to your brother's treatment.

-Come on, let's get you seen to.

-He'll be all right.

I'm so sorry you're in the corridor, we'll try and get back to you.

A bit early to be backing-up in corridors, aren't we?

Ethan tried to send some of them up to wards

that do not have any beds.

Apparently, he lacks Connie's art of persuasion. Shocker.

Well, shouldn't we send them back inside.

We can't, Cubicles are full.

Where is Ethan? He's got to fix this.

Or we could cut him some slack? And sort this out ourselves.

Please, if you can't trust a priest, who can you trust?

No, you need a prescription.

Everything OK?

If you need anything, I can ask Dr Keogh.

-Just a misunderstanding. Thanks.

-Robyn said to take him to cubicles.

-Where's that?

-You've got eyes. Follow the signs.

Max, I was thinking.

Maybe you fancied watching the game tonight?

-What game?

-I dunno, whichever one gets you talking to me.

A piece of advice, if I may...

"Respect earned is quicker than, um...

-.."forgiveness". Er, no.

-Is that in the Bible, or something?

That's not right, um...

Whoa!

Are you all right?

I don't think I should be standing.

Yeah, let's try and find those cubicles, eh?

Park there.

Here you go.

-You up?

-Yeah.

-Right, then.

Hi.

There's no respiratory distress.

He does have a minor skin rash, but it's not petechial or non-blanching.

His carboxyhemoglobin level is 35.

Right.

Could be carbon monoxide poisoning? That would fit.

OK, let's keep him on high-flow oxygen.

Carbon monoxide?

Yes, do you know anything about your neighbours' living conditions?

I don't really know them that well.

I should probably be getting back to work.

OK.

Shall I call Social Services?

Er, I know Ben's young, but he did seem diligent.

Covering Clinical Lead sometimes involves making unpleasant decisions.

Or knowing when you're going to cause a fuss about nothing.

Let me speak to him.

But do pull up their medical records

and see if there's any patterns of neglect?

Why is he still wearing a mask?

We think Daniel has carbon monoxide poisoning.

So we are keeping him on oxygen. As long as he stays

away from the source, he should make a full recovery.

How'd he get that?

Often it's a faulty heater of some kind.

I've been calling about the boiler for weeks now!

Someone should've fixed it.

Can you tell me a bit about where you live?

Why?

Just if it's not safe,

then there are people who can provide assistance.

Don't do this.

They'll take Danny!

-I'm sure that's...

-I'm all he has! Please.

Ben, I'm trying to help.

No, people don't help. They ruin things and then they leave.

OK.

The letting agents are just over the road,

If I can get a phone I'll call them now about the boiler.

No, you don't need to worry about that. We need to keep an eye on you here.

OK.

Just don't call Social Services.

OK.

Hey, listen, I know I'm not in your good books,

but I'm really worried about Father Anthony.

He's been acting weird, and I saw him trying to get something from the Pharmacy.

Some people will do anything to get drugs.

Come on, he's a Catholic priest!

People will surprise you, Glen.

I don't think he's an addict but he's definitely hiding something.

Robyn, will you just look at me, please?

I thought you didn't come here to bother her?!

It's fine, Max. He's doing his job.

Look, if the patient does anything else suspicious,

then report him to security.

All right, come on. Back to work.

All right. Here we go. Benjamin Hannigen, age 19.

Oldest of three brothers.

Two drug overdoses.

Radius fracture after crashing a stolen car.

Stab wound in the neck from gang-related fight!

This thug is your patient?

Looks like he's been in and out of young offenders since he was 12.

He can't be fit to raise a young boy.

No, I will call Social Services. Sorry.

So you'd rather let things pile up than accept my help?

What's piling up?

My nurses are juggling patients just to stop them blocking corridors!

James...

We've got a serious liability problem at one of our properties.

-Why wasn't I told?

-Cos Dylan and I felt you had quite enough on your plate, so we dealt with it.

Brilliant. I'm sure Mrs Beauchamp will be thrilled when she finds out you had to bail me out?

If you spent less time worrying about trying to impress Connie, you'd probably do a better job.

I'm sorry that she chose me over you but next time I want your advice, I'll ask for it. OK?

What are you doing?

Thanks for the help but we're leaving.

No, Daniel needs treatment, all right, he's not well.

Don't tell me you called them?

Ben...

If you leave now it won't be Social Services you need to worry about!

Can I get security, please.

Where are we going?

We're going to play the spy game, OK?

The doctor said I'm sick.

You just need some fresh air.

Listen, we've stolen files from the enemy's base, so we have to escape.

Come on, Daniel. It's just the getaway vehicle.

Seat belt, please.

I don't like this game.

I know it's scary mate, but once we're out the base,

we'll be safe again.

CAR STARTS

Oi!

Whoa, whoa, whoa, stop!

Think about what you're doing.

HE BREATHES DEEPLY

CAR HORN

3006 to Control. A response vehicle has been stolen

and driven into the estate agents opposite the hospital.

-Ethan?

-I need fire and police. Over.

-Is everyone OK?

Ethan, come on!

Can you get me some more help, please.

Yeah, yeah.

PHONE BLEEPS

My name is Sam I'm a paramedic.

Can you tell me your name?

DANNY GASPS FOR BREATH

Danny, are you all right?

Can you open the window.

Are you all right, Daniel?

OK, you just sit tight.

We'll get you out of there, all right?

Let me have a feel of your neck, please.

I'm sorry. It was an accident.

It's not the first time you've crashed a stolen car, is it?

I don't know what you're talking about.

So you ran me over because I didn't fix your boiler?!

Stay nice and still for me.

No! I didn't know you worked here!

She's your landlord?

I manage lots of properties.

Stay calm for me, Sylvia.

I sorted the mould out, and I put down the rat traps

and you couldn't even fix the boiler.

I can't respond to every complaint, not with the rent you pay.

Guys, can we finish this argument later? Iain, what have we got?

Right, we have got at least three walking wounded,

we've got three in here. Daniel, he's got carbon monoxide poisoning,

-so he's our priority, OK.

-All right, Ethan we've got this.

It is our job to lead until we get inside.

Thank you, Iain, but this is on me.

So I would like to make it right, OK?

RTC on Evelyn Road. Bring a trolley.

Where's Evelyn Road?

Max!

Front passenger seat, please.

What happened, guys?

We were playing the spy game.

Just take care of Danny.

I've heard you're a bit poorly, Danny,

so we need to get the magic mask back on you, OK? David.

I am one step ahead of you. What did I tell you?

I am so your wing man.

The fire brigade will be here any minute to get you out, lads.

Can't we lift him out ourselves?

Strictly no, but on this occasion

OK.

I'm not a thief.

I don't know what I was thinking.

And there is me thinking you were a decent bloke.

My real sin is vanity.

You know we're not so dissimilar, Glen.

If you had a chance to go back and erase a mistake,

-wouldn't you take it?

-Yeah.

But whilst I'm searching for that time machine, you're nicking drugs.

How dare you accuse a clergyman of theft!

He wasn't, Mrs Clarke, it was just a misunderstanding.

I was trying to explain that I need a course of antibiotics.

Are you telling me you've got an STI?

-No!

-I beg your pardon?!

Oi! When I say get a trolley, that's not code for confess your sins!

-Oh, I'm sorry. I got sidetracked.

-OK, great.

If someone dies because of you, I'll tell the family you got sidetracked.

I'm so sorry, Max. I'll come and help you now.

-You've done enough.

-It's my first day, Max, give me a chance!

You have had your chance!

Don't you think I realise how badly I screwed up with Robyn?

Mate, you didn't screw up, you abandoned her.

You let her think you were dead!

-I know you love your sister.

-We all do.

No-one wants you here.

You are meant to be here to work, yes, not give vent

to your emotional fragility.

I tried, Dylan.

-Maybe this was a bad idea.

-No, no, no, no, that is not an option.

-Excuse me?

-Whatever this is, you are going to have to fix it. All right?

-Oh, no.

-What now?

He's gone.

Father Anthony's not well.

I am going to have to go and find him!

-Wait, wait, wait.

-I'll be with you soon, Danny!

Let's get him thoroughly checked over in Paeds Resus,

-but I want to avoid a CT unless absolutely necessary.

-OK.

-You all right, Daniel?

-I want Lewis.

All right we'll call whoever you like,

but for now you'll just have to put up with us, I'm afraid.

Danny could have died.

And now social services are going to take him away.

How we doing?

She's a bit tachy. Increased resps and complaining of chest pain.

We need to get this beam off her ASAP.

OK, I'm just going to have a listen.

You think I'm a bad person cos I provide cheap housing?

We're not here to judge.

Too many families can't afford to live anywhere.

Yes, but I'm not sure slumlords are the solution.

A damp bedsit's better than a park bench, isn't it?

Scoop's ready.

Let's get this thing shifted, all right?

Safe?

All right, on my three.

One, two, three.

-SHE SCREAMS

-Stop! Stop!

-Whoa, whoa.

-I think there's something in her back.

All right. OK, OK.

Have you seen our comedy priest?

Nope. He's not in here.

If you ever want to talk...

..about anything.

Dylan, this is the first chance I've had for a break all day.

-What do you want?

-No, it's fine. I'll go, I'll go.

I do...I understand you being angry with him.

But everything that he has been through he went through

because he loves you and Charlotte very much.

OK, if you do see our befrocked jester, will you let me know?

Thank you.

OK, there is no fluid in the abdomen, or lungs.

Could it be the heart?

What's wrong with me?

That's what we're trying to find out. OK.

Just take some nice deep breaths for me.

I'm sorry, Ben.

I'm sure he knows you had good intentions.

No...

I cut corners.

But if I thought a child...

But you didn't! He is going to be fine.

OK, mate, just sit tight, we'll get you out of there in a minute.

There's...

There's fluid in the pericardial sac. It's a cardiac tamponade.

Then we need to aspirate. Now!

We can't do a pericardiocentesis outside the hospital!

It could kill her.

If we move her prematurely, she could bleed out or arrest.

-We need...

-That's not a paramedic's call, Sam. That's up to Dr Hardy.

What do you want to do, mate?

Right, can I get some TXA,

a 20ml syringe a three-way tap.

Four units of O neg, and a pericardiocentesis needle, please.

Yeah, on it.

Ethan, if you need to be, overseeing the ED,

I am sure we can get Dylan or Elle down here to do it.

No.

No, I need to do this myself.

OK.

OK.

Sylvia...

The injury has caused the sac around your heart to fill with fluid.

I'm going to try and drain it, but I need you to stay very calm.

OK.

What's her chances?

Ready?

Yeah, all right.

I am going to go in.

SHE BREATHS DEEPLY

I can't find the pericardial sac.

I think you need to pull back out.

You went in too far.

OK.

All right, I am going to try again.

OK.

OK, that feels better.

-Yeah?

-Yeah.

OK, got it.

Well done, it's draining.

Right, let's get the fire brigade in here

-and get her into theatre now.

-Yeah.

Well done, Sylvia.

Well done.

Father?

Ah, um...

-Do you want me to go and get a doctor?

-No.

You know, I found my faith.

I wanted to mark it to celebrate.

At my old parish, I could have covered my entire

body in tattoos and nobody would have even batted an eyelid.

That thing's a tattoo?!

It was.

But then I met my new congregation.

People like Mrs Clarke,

old school Catholics.

I mean, a pierced ear would probably give them a coronary, you know?

Don't you wear robes and dog collars.

-Surely nobody would even see.

-I'd know.

I'd know I'd be hiding something.

Anyway...

I couldn't afford the laser treatment.

So I found an online...

..found an online tattoo removal kit.

-It's like TCA...

-Whoa, OK.

-All right.

-How's my brother?

He's doing really well.

You should know, a social worker is in with him now,

and the police want to talk to you when you're ready.

-Thanks for telling me.

-OK.

Where's the scar on your neck, Ben?

I didn't see it earlier.

In your records it said you'd been stabbed.

I guess it just healed.

Whatever you think you know about me,

I'm the only one that's never left Danny.

-Who is this?

-It's OK we've got it.

Thanks, Duffy. Ethan, where have you been?

What's going on?

Seriously?

ITU is full, so we are stuck with critical patients awaiting

transfer, multiple patients are about to breach the four-hour rule

-and reception is this.

-Ethan.

We are busting a gut to clear cubicles,

so why are your junior docs scared to discharge patients?!

Um.

Help!

What's happened?

That's my priest. Take him straight through to Resus.

I think you tried to off-load this one a little earlier.

Are you sure I can't call anyone for you?

It's fine.

They only worry, don't they?

CLEARS THROAT

I can't do it. I'm sorry.

What is it you think you can't do?

All of it.

Be in a million places at once.

Make impossible decisions.

Try and stop the next medical catastrophe.

That's what you do every day.

Yes, but...

..I've always got a safety net.

Mrs Beauchamp's asked me to fill in for one day.

I can't handle the responsibility.

HE SIGHS

Every day patients come in here and put their life in your hands.

There is no greater responsibility than that.

I know.

I'm failing her.

You don't fail

until you stop trying.

We're on the ropes out there.

-Yes.

-Connie trusted you

because she believes you have what it takes to step up and lead.

And I wouldn't be in here if I didn't believe that too.

Pity party's over, Ethan.

Time to do your job.

Pulse is 130, BP's dropping.

Sats probe isn't even picking anything up.

-OK, what's the temperature?

-39.

Yeah, this is sepsis.

Whatever chemical he's used here, his burnt his skin

-has become infected.

-I think this is the stuff.

He's been dizzy all day, that's why he fell and banged his head.

Yeah, TCA, that's very corrosive, you don't use that on the skin.

Well done, Glen.

-Right.

-What do we do?

I'll irrigate the wound.

Can you fetch the sepsis kit.

Please.

Ethan, do we really have enough time for this?

Yes.

OK, it won't take long.

Thank you.

OK.

Now in light of this evening's events...

Sorry, today's events.

Let me start again.

OK, in light of today's events I've decided to activate

an internal major incident protocol.

OK. I've already asked staff to come in early for their evening shifts.

But in the meantime, David and Rash, I would like you to help with the backlog in triage?

-The dream team, we're on it.

-OK.

Noel, please let new arrivals know that they can expect delays and they can go elsewhere if they can't wait.

-OK. I'll let St James's know.

-Perfect.

Jacob and Elle, please clear all non-urgent patients from cubicles.

And, Duffy, pull whatever strings you can to free some beds upstairs.

All right? Louise, you and are going to tackle Resus.

Everyone in agreement?

Sounds good to me.

Thank you, and thank you for all your hard work.

Blood pressure's rising.

I'm guessing that's a good thing otherwise you would be saying,

"Help, help, his blood pressure's rising!"

Sense of humour's back.

I'm sorry.

You must think I'm the worst priest ever.

Actually, it's quite reassuring to know that

you're as flawed as the rest of us.

I just hope you're done with trying to erase the past.

Mmm.

No-one can forgive your mistakes until you own them.

Remind me never to get into a sermon-off with you.

-Mrs Clarke...

-Tell me it's not true, Father!

How on Earth could you have been so reckless?!

I am so very sorry.

I put self image in front of biblical observance,

I never meant to offend you or the congregation.

What are you blathering on about?

Look...

I've got one.

I had it done to celebrate my grandson's communion.

You're a wonderful priest, Father.

Much better than that previous bore,

but, honestly, loosen up a little.

Yes, ma'am.

CT scan is clear.

Right, that's good.

What's that look?

You said you were the oldest of three brothers.

I should have worked it out.

He's not Ben Hannigen?

No, this is Lewis Hannigen.

No knife fights, no overdoses.

A regular 15-year-old.

You're only 15?!

Ben left us a few weeks ago.

He's a bad influence on Danny, anyway.

You should have told someone, though, you could have got help.

It's too late now, after what's happened today.

Well, you don't have a criminal record,

so you might avoid a custodial sentence.

But I'll still lose Danny?

I heard you saved someone's life today.

Not really, I just let Robyn and Dylan work their magic.

So...

..I could've made things easier for you.

No, no, no, you were fine, man.

All right, you were a bit of a nightmare...

..but I understand.

And if you want me to resign, I will.

I just wish you'd hear me out.

I'm listening now.

Right, er...

..I couldn't think of anything worse

than watching someone you love wither away.

I thought I was sparing her the pain of having to go through all that.

But now I realise Robyn's ten times stronger than me.

-She's ten times stronger than all of us.

-Yeah.

I think second chances exist for us to put things right.

So I'll do everything I can to earn Robyn's forgiveness,

and I'll gladly take any job to provide for her and Charlotte,

even if they never love me back.

You get that, right?

Thanks for being honest.

Max.

Let's not push it.

Shift starts at nine tomorrow.

Be here at 8.30 and bring coffee.

Thanks for being so understanding,

St James's is a great hospital too.

OK, Mr Thomas, Dr Gardner agrees you're better now.

-Here is some more info about wound care.

-Thank you.

I do believe you just discharged your first patient.

Congratulations, Dr Masum!

He cut his hand on a fruit bowl, I don't think that counts.

No, he came into hospital, you treated him, he left.

I would say that was a box ticked.

Yeah, I guess you're right. It's just...

..I feel.

What?

"I feel the need..."

-BOTH:

-"The need for speed!

"Ow!"

Come on, mate. Who hasn't seen Top Gun?

Another quiet day in paradise.

A bit more like purgatory, actually.

Thanks for swapping with me, though, I do appreciate it.

Hey, you're welcome.

I still don't understand why you actually volunteered for minors.

Night-night.

You actually chose to be stuck with me all day?!

We'll talk about this another time?

I have been horrible to you. Why would you do that?

Well, I heard that it was Glen's first day and I thought maybe

you could do with somebody to, you know, make sure that you were OK.

If it wasn't my place to do that, I apologise.

Thank you.

Looks like you could do with some good news.

Cubicles are clearing up.

And we might even have a free bed.

Thank you.

And I am sorry about this morning.

Fans only remember the three points,

not the shaky first half.

Yeah, I have no idea what you're talking about

but I assume it's a football metaphor?

SHOP BELL RINGS

Um, could I have a bottle of the whisky, please?

Thank you.

Actually have you got any miniatures?

Yeah, um...

Three of those.

Um, no four. No, that should be enough, shouldn't it? Yeah. OK.

Anything else?

No, no, that's it, that's it.

SHOP BELL RINGS

Can I please carry your bag?

Stop fussing.

I would have got a taxi otherwise.

How was your day being me?

The heels aren't comfy, are they?

Er...

The main thing is... Sorry.

Er, well, the hospital's still standing.

Don't be so modest.

According to Jacob, you did me proud.

I just hope I'm not going to have to arm wrestle you

to get my department back.

Yeah, it's funny.

As tough as it was, I'm a little sad it's over.

It is like a drug, isn't it?

The more you do it, the more you want it.

I'm starting to think you're superhuman.

There is no mystery in that?

Half machine, half doctor.

The indestructible Connie Beauchamp!

Dr Indestructible.