Episode 15 Casualty


Episode 15

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Transcript


LineFromTo

-"I need to take responsibility for my actions."

-Pull yourself together, get downstairs,

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-and treat a long line of irate patients.

-"I think the scans you showed me are yours.

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Because you have cancer.

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Boys, this is Marty.

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-Marty's having an allergic reaction.

-To what? You did this?

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It was a joke. I never meant for you to get hurt. I'm sorry.

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Ethan, I am running out of time.

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If I don't hand myself in,

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would you get help?

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I need you to run the ED in my absence.

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WATER TRICKLES

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-Mate, are you sure this is going to be safe?

-Kyle, I'm sure.

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What do we need all this for, then?

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Just being doubly safe. Professional.

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HE IMITATES LIGHTSABER

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Ha-ha! Luke, I am your father!

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You're less Star Wars, more Muppets From Space.

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Come on, follow me.

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-Where are we going, man?

-You'll see.

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Oh, wicked, man! Oh, my days! This is so sick!

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Mate, we are going to be millionaires, man!

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All my own work.

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When I took the lease on this place, I knew

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we had a guaranteed hard-core of daytime drinkers to cover the nut.

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What I didn't know was how long they could make a pint last.

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So I've decided to diversify.

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Yeah, first batch will be on the streets this weekend.

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This time next month, we'll be sitting on a Caribbean beach.

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-It doesn't look very safe, though, mate.

-Whoa!

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Do you want to cough up a lung?

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-It's safe, as long as you don't touch anything.

-Yeah, all right.

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Just do as you're told and I'll make you rich, all right?

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Go on, pass me the gloves.

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Hey, did we finish A Christmas Carol last night?

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Yeah, you fell asleep.

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Oh, I can't help it. Sorry. Your voice is so soothing.

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-I'll do the last chapter again.

-No, you're all right.

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I know how it ends. Listen, let's move on to Jane Austen next,

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cos I love it when you do Mr Darcy.

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-Morning.

-Morning.

-Morning.

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See you later.

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-Hey, pudding. How was evening?

-All protein shakes and workouts.

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-You seem perky. How was yours?

-Oh, exactly the same.

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Well, except for protein shakes, we had wine.

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Wait, so, momma got some last night?

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A doctor never tells.

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I can tell.

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We have two patients that are about to breech.

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They should have been discharged earlier

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and there is a backlog in minors. Can we sort that, please?

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-You can ask me all you want. I am not telling you.

-Dr Gardner.

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Thank you for turning up.

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We have an elderly patient in retention in cubicle three.

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-Charge Nurse Masters, can you...?

-HE RETCHES

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Can you get some fluids into the remains of last night's rugby

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club outing and get them out, please?

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Right, I have lots of paperwork to catch up on, so do your jobs,

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don't disturb me.

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Right, then. Time to get the superhero outfits on.

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Still feeling perky, pancake?

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No.

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Morning.

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KNOCK AT DOOR

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What part of "do not disturb"...?

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What are you doing?

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My job.

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You can't be here in your condition.

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The risk of infection is too high.

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I'm far too busy to sit at home and feel sorry for myself.

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So are you, in fact.

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There is a child in Reception with a needle in her foot.

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Go and see to her.

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-I've got...

-Now, please.

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Sure.

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BANGING ON DOOR

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-BANGING CONTINUES

-Go on, get rid of them.

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Even the local alkies know we're not open till 11.

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BANGING CONTINUES

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Oi, come back at 11, yeah?

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KNOCKING

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Don't let me come out there and sort you out.

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LOUD BANG

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RAP MUSIC PLAYS

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Argh!

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Argh!

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What?!

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Argh! Argh!

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Ricky!

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Ricky!

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Argh!

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Argh!

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No!

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No!

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No!

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RAP MUSIC PLAYS

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Ricky!

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Ricky! Help me!

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Ricky!

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Ricky!

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RAP MUSIC CONTINUES

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Rick!

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Ricky!

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Ricky, help me, man!

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Argh! Argh!

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-BOLT LOCK CLATTERS

-Ricky! Help me!

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Right, so you stood on one of Mummy's needles.

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Well, I think she owes you a new pair of socks.

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Sorry, Dr Hardy.

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I wonder if I could ask you to sign off on a couple of cubicles for me.

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It's just that I've got four patients coming in from an RTC.

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So I wonder if you could make a cubicle your next port of call?

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It's quite urgent.

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-Yes, um, I can. Minor injuries, if possible though, please.

-Sure.

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OK.

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Sorry about that. Er, yes. It's a little unusual,

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but I'm sure we can get that out without having to amputate your leg.

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Sorry, Dr Hardy, could I have a word?

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Excuse me.

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-It's your clinical exam this morning, isn't it?

-Er, yes.

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Quite soon actually.

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Right, sorry. I completely forgot. You'd better move it.

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Um, Mrs Beauchamp wants me to take this patient.

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Did you mention it to her?

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She wasn't really in the mood.

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Look, I'll take this patient.

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You'd better go.

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-Er, are you sure?

-Yeah.

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When I started nursing, people did a lot more sewing,

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so I am quite familiar with this.

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Go, good luck.

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Thank you. Thanks.

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-Morning, lads.

-Morning, boss.

-Morning.

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Everybody fit and well?

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Christmas party season's starting

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and Red Watch have already reported an increase in alcohol-related

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RTCs, so let's double check the jaws of life

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and make sure they're in good working order.

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Sorry, boss! Sorry, all!

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Also, I'm sorry to have to tell you this,

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but the area budget has been reached until the next financial

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quarter, so there'll be no overtime over the Christmas period.

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Except in the case of a majax.

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But even then, pay will be at the standard rate.

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No time and a half or double time.

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Right. Kit check. Let's be ready to roll if we get a shout.

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Fall out. Fire Officer Johnson.

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-If you would like to get suited up.

-Sorry.

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Lenny, if I can get out of my bed in time to get to work in the

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-morning, I expect you to get out of my bed in time to do the same.

-You broke me.

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I just needed an extra ten minutes.

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Get suited up.

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You know I love a man in uniform.

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-ALARM SOUNDS

-OK, lads. That's a shout, let's go.

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Argh!

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Help!

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COUGHING

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Control, this is Crew Manager Adams.

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There isn't a Fox and Flag pub on Lowerton Road.

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There's one nearby on Bramwell Street.

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There's a Fox and Bull on Lowerton Road.

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Please confirm name of target premises.

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-ON RADIO:

-Apologies, Crew Manager Adams.

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That's the Fox and Bull on Lowerton Road.

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Bravo, Uniform, Lima, Lima.

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Crew Manager Adams confirms. Let's go! Now!

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-Swiss roll?

-No.

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-On a diet?

-Can't afford it.

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Can I get a green tea, please? Decaff.

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Doctor's orders.

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Hm?

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New face.

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Not to me. I see it in the mirror every day.

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-I'm Max. This is Glen.

-Polly. Nice to meet you.

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-What'll you have?

-Oh, Max likes his coffee like he likes his women.

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-Tall and skinny.

-Right...

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Actually, it's flat and white. The coffee, not the women.

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Not that there's anything wrong with flat...women.

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And when I say flat, I'm not talking about...

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One decaff green tea, one flat white.

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I don't know why I'm doing this. Yes.

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SIRENS APPROACHING

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Help me!

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Boss, what are you doing here? I thought it was your day off.

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Yeah, I was my way into town, heard the call-out over the radio.

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Listen, go and get your air on, Trish.

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Fire Officer Johnson, come on!

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You have to learn to tool up quicker than that, son!

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-Are you in charge?

-I am, Robert Kearns, Area Manager.

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Iain Deans and Sam Nicholls.

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-INSIDE:

-Help me! Help me!

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Looks like we've got at least one person inside.

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Right, Johnson, on me, let's go.

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Help me!

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Help me!

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Help me!

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Kyle?!

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Let's get him over here, please.

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Ricky, in back!

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Ricky!

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Lenny?

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What's that?

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Looks like some sort of flare.

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Right, let's get a tourniquet on him.

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Breathe on this for me.

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That's it. Deep breaths. In and out.

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LIQUID GLUGS

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HE COUGHS

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Argh!

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Ricky!

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BANGING

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Lenny, no!

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EXPLOSION

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Trish!

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Trish!

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Trish!

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COUGHING

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Trish!

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Ah, sorry. It's Ethan Hardy. I am a doctor, obviously.

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Sorry, I'm not late, am I? I was dealing with an actual patient.

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-Go straight through.

-Straight through.

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Thank you.

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Thank you.

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There's one fatality. Ricky Carlson.

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Right, I'll radio ahead. Tell them I've got two for the price of one.

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Trish, I'm sorry.

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Oi, Johnson! Get on with your job! I'll deal with you later!

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Look after her, OK? She's one of our own.

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Argh, it's burning me!

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The morphine will kick in shortly, I promise.

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Someone shot me! It was like a rocket or something.

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Iain! Iain!

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It hasn't ignited!

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-What do you mean?

-I mean, it's still live. It could go off at any second.

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-What?!

-What?!

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-Stay nice and calm.

-Can we not put some water on it?

-No, we can't.

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I think it's a magnesium flare. The water would react with it!

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Well, we can't drive an unexploded bomb round the streets of Holby!

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It's hardly a bomb. Anyway, the ambulance should contain it.

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-Probably. Hopefully.

-Is that supposed to make me feel better?

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-Listen, why don't we just take it out?

-Yeah, just pull it out, man!

-We can't just pull it out.

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It needs to be done in a controlled environment. We don't know what's going on in there,

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we don't know if it's still primed.

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I need a scan, at least, and preferably in theatre.

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-Well, I'm not loving your options there.

-What do you want me to say?

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We need to get him to hospital and we cannot do it here.

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-Right. Well, this is going to make a hell of a story in the pub later.

-Free drinks for us(!)

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Nice and calm. Nice and calm. Right. Let's radio ahead.

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I need a bomb squad and we need a decontamination tent set up on site.

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-Argh!

-And, Iain? Try not to go over any speedbumps.

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Right, thanks. All received.

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You all right?

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You're going to love this(!)

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Um, can you just get Ethan to deal with it, whatever it is?

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-OK.

-Um, I'm afraid he's gone already.

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-Gone? Gone where?

-I released him to his exam.

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Sorry.

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Thank you.

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We're going to have to set up the decontamination tent.

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Paramedics are on their way in with a patient who has

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an unexploded device embedded in his leg,

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along with a senior fire officer,

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who was caught in an explosion at a meth lab.

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You OK?

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Tell them we'll meet them outside.

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Can you just give me a minute? Thanks.

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Yeah, sure.

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BELL SOUNDS

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Right, thank you.

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Right.

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Um, I'm sanitising my hands. And then I'm checking airway.

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Have a listen.

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Right, if that's a female patient, she goes straight through to Resus.

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-Most serious injured.

-What did the bomb squad say?

-40 minutes out.

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Um, Alicia? This is yours. I've set up a decontamination tent, OK? But it's going to be a while.

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-I need you to treat him in the ambulance. You OK with that?

-Er, yes, of course, Mrs Beauchamp.

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Right, assess, make comfortable and wait for the bomb squad.

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I'll be back as soon as my patient is stable.

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Hi, this Kyle, he's 22 years old. This morning, approximately 8.30am,

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he's been hit in the leg with what we believe is a magnesium flare.

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He was caught up in the fire, but he suffered no inhalation wounds.

0:18:150:18:19

We put a tourniquet on him on site and given him

0:18:190:18:21

10mg of morphine en route.

0:18:210:18:23

-Do you want to take a look?

-Hi, Kyle. I'm Dr Munroe.

0:18:230:18:26

You are safe here now, OK?

0:18:260:18:28

So, obs wise, GCS 16, resps 26,

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his BP is 110/60. SATS are 97%.

0:18:310:18:35

He's got no medical history, he's not on any medication

0:18:350:18:39

and he's got no allergies.

0:18:390:18:41

Hey, one day, I'll give a lecture about this to junior doctors!

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I just want to get a better look at what I'm dealing with, OK? Rash.

0:18:440:18:48

-Rash? Can you find out how long it'll be before we can move Kyle to the tent, please?

-Yes.

0:18:480:18:53

Yes, Dr Munroe.

0:18:530:18:55

Trish Adams, 35, caught in an explosion

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while fighting a fire at approximately 8.50.

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Query pelvic fracture, binder in place.

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Temporary loss of consciousness, GCS 11 on arrival,

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climbing to 14 en route.

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She's had one gram of TXA, 10mg of morphine, 250ml of saline.

0:19:100:19:13

Previous obs.

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Pulse 110. BP 90/60.

0:19:150:19:18

Resps 22. SATS 94.

0:19:180:19:20

All right. Thanks, Charlie.

0:19:200:19:22

OK, Trish. Mrs Beauchamp. I'll be looking after you.

0:19:220:19:27

Is Lenny OK?

0:19:270:19:28

Let's just focus on you for now, shall we?

0:19:280:19:31

Right, let's keep her on high flow oxygen

0:19:310:19:33

and leave the binder in place until I have done the primary survey.

0:19:330:19:36

Hi. It's Charge Nurse Fairhead from ED.

0:19:360:19:39

-We've just received a patient with...

-Yes. Widespread wheezing. Keep an eye on the BP.

0:19:390:19:44

If it starts falling, let's activate the major haemorrhage protocol, please.

0:19:440:19:49

Um, let's get a full trauma CT.

0:19:500:19:54

-Yes, sorted.

-SHE COUGHS

0:19:540:19:57

Sorry, can you get me some water, please?

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Um, and let's get a large cannula in, please.

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Everything all right?

0:20:040:20:06

Yeah. Fine.

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Um, can we get full bloods, cross match, FBCs, U&Es, LFT and um...

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COUGHING

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..venous blood gas.

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COUGHING

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Sorry. I've just got a tickle.

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Thank you.

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BELL SOUNDS Right. Hello.

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Mrs Cartwright.

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Her husband. Right.

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Hi, I'm Dr Hardy.

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Can you tell me what you understand has happened to your husband?

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He had a very bad headache.

0:21:000:21:01

Yes.

0:21:030:21:05

We have the results of the CT scan

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and I'm afraid to say your husband suffered a catastrophic bleed..

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SHE SOBS

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..of the brain.

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CONTINUES SOBBING

0:21:180:21:20

How is she? Trish? Trish? It's Bobby. How you feeling?

0:21:360:21:39

Sorry, you are?

0:21:390:21:40

I'm her boss, love. Listen, she is my best crew manager.

0:21:400:21:43

She gets the five-star service, right?

0:21:430:21:45

-Let's get her to the scanner and then we'll see.

-Trish...

-Hey. Hey.

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-You don't touch her.

-Um, Charlie.

-Yes, I'll sort it.

0:21:480:21:51

Listen, I'd like to stay with her.

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It might be best if you just let the staff get on with looking after her.

0:21:570:22:00

Fine, fine. But I want your best man on her.

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Actually, Mrs Beauchamp is our Clinical Lead.

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Right.

0:22:050:22:07

Er, you know where you're going.

0:22:080:22:10

It might be best if you follow me and we'll get you cleaned up.

0:22:100:22:13

You can see her after her scan.

0:22:130:22:15

Trish, I'll see you in a minute, all right? You stay strong.

0:22:150:22:18

-OK?

-Yeah, yeah.

0:22:200:22:22

-When are you going to get this thing out?

-As soon as the bomb squad get here.

0:22:470:22:50

-Can we get an update on that, please?

-Bomb squad, right.

-Keep everybody well back, please.

0:22:500:22:55

Good luck, guys.

0:22:590:23:01

All right, get the fast scanner in here and the oxygen out, please.

0:23:010:23:05

Yeah, will do.

0:23:050:23:06

-BELL SOUNDS

-Argh!

0:23:060:23:10

Dr Hardy, when you're ready.

0:23:160:23:18

Argh!

0:23:210:23:23

-Argh!

-Airway's obviously clear.

0:23:260:23:28

PANTING

0:23:320:23:35

Do we have decreased breath sounds on the left-hand side?

0:23:370:23:40

Then we are looking at a possible pneumothorax,

0:23:400:23:42

so we need to put in a chest drain.

0:23:420:23:44

I'd like two large cannula and bloods for urgent cross match.

0:23:440:23:48

I need 10mg of morphine and we need a senior surgeon down here

0:23:480:23:51

while we stabilise him and arrange for a CT.

0:23:510:23:53

-I think I've lost my mojo.

-Speak to one of the doctors.

0:23:550:23:57

-I'm sure they'll prescribe something for you.

-Er, not that mojo! That mojo's fine!

0:23:570:24:01

-I think. It's been a while.

-Prescribe what? Something wrong, Max?

-No.

0:24:010:24:04

Fancies the new girl in the coffee shop.

0:24:040:24:05

-We're trying to get him back in the game.

-The game?

0:24:050:24:08

La Ronde. L'amour. Une liaison dangereuse.

0:24:080:24:13

Please, don't.

0:24:130:24:15

-Speak French to her. That works(!)

-So it seems.

-Just ask her out.

0:24:150:24:19

-It's not that simple.

-Yes, it is.

0:24:190:24:21

Women like a man who knows his own mind. Just, you know, don't dither.

0:24:210:24:24

-OK.

-Attaboy!

-Actually, do you know what? We...

-It's time to move on.

0:24:260:24:30

-She's long ago and far away. Go, get her, Tiger.

-Ruff! Ruff!

0:24:300:24:34

Rargh!

0:24:340:24:36

Hey.

0:24:400:24:42

Flat white?

0:24:420:24:44

You remembered.

0:24:440:24:45

-That's my job.

-Right. And you're Polly.

0:24:450:24:48

See, I remember because I thought Pretty Polly, like the parrot.

0:24:480:24:52

Are you commenting on my physical appearance in the workplace?

0:24:520:24:55

No, no, no. it was just a Pavlovian response.

0:24:550:24:57

You know, how you say the first thing that comes into your head.

0:24:570:25:00

Like I say... I don't know, whatever, carrot cake.

0:25:000:25:04

And you say...

0:25:040:25:06

You want carrot cake too?

0:25:060:25:07

-No. OK, yes. But...

-Ah! Max, with me.

0:25:070:25:11

We need some equipment for the decontamination tent.

0:25:110:25:14

-Where the bomb is?

-It's not a bomb.

-It's a live bomb. In fact, you know what? Hold the carrot cake.

0:25:140:25:18

I'll be back once I've finished risking life and limb.

0:25:180:25:20

-You know I've got my whole life in front of me, don't you? And there's no other porter who can do this?

-No.

0:25:200:25:24

-Charlie then?

-No.

0:25:240:25:26

Right. Well, this shouldn't take too long.

0:25:260:25:29

It appears to be quite superficial.

0:25:290:25:31

If you'd like to just hold that dressing in place for me.

0:25:310:25:35

So, how long have you been with the Fire Service?

0:25:350:25:37

Oh, whole career.

0:25:370:25:39

So, nearly 30 years now.

0:25:390:25:41

All in Holby?

0:25:410:25:43

Pretty much.

0:25:430:25:45

Well, we must have worked a few of the same major incidents

0:25:450:25:48

together then.

0:25:480:25:50

Yeah, probably. Yeah.

0:25:500:25:52

Do you ever think you've wasted your life?

0:25:540:25:58

Me? No.

0:25:580:26:00

Us emergency service types. I mean, it just gets worse every year.

0:26:000:26:05

It doesn't matter who is in the government, it just...

0:26:050:26:08

You know, the last lot, they shifted the goalposts on Fire Service pensions.

0:26:080:26:12

I'm going to have to work an extra, I don't know, decade now.

0:26:120:26:16

Damn it!

0:26:170:26:19

This dodgy shoulder from falling off a ladder a couple of years ago.

0:26:190:26:22

Right.

0:26:220:26:24

Plus you probably have to deal with all the paperwork

0:26:240:26:27

problems that we do.

0:26:270:26:29

Yeah. Half my crew are shattered all the time cos they have to work second jobs to make ends meet.

0:26:290:26:35

It's just...

0:26:350:26:36

Right. Well, you seem to have been lucky with that.

0:26:360:26:39

It won't need stitches.

0:26:390:26:41

-You've got a bit of a rash there.

-Yes, that was a hot fire today.

0:26:410:26:44

Sweat. Happens all the time.

0:26:440:26:47

How does your partner feel about the job?

0:26:470:26:49

Sorry. Do you have a partner?

0:26:490:26:51

No. I mean, there was, a while back.

0:26:510:26:55

But that went south about a year ago.

0:26:550:26:57

Trish, actually.

0:26:590:27:01

The woman in Resus.

0:27:010:27:03

Oh, I'm sorry.

0:27:030:27:06

She will get the very best care.

0:27:070:27:08

Ever feel like yesterday's man?

0:27:100:27:12

Getting old is not for wimps. I know that.

0:27:140:27:17

Yeah, she's with a younger man now.

0:27:190:27:21

Like, ten years younger than her.

0:27:210:27:23

-Ah.

-He knew the dealers at that scene today.

0:27:270:27:30

And I'm thinking, how come, eh?

0:27:300:27:32

Sorry, just... Excuse me a moment.

0:27:330:27:35

She's the best thing that ever happened to me.

0:27:370:27:39

-That and joining the Fire Service.

-Women will do that to you.

0:27:390:27:43

As long as you listen to them.

0:27:430:27:45

-Most men don't.

-The age gap makes no difference.

0:27:450:27:49

I mean, these days, ten years is nothing.

0:27:490:27:51

I agree.

0:27:510:27:54

I got off lightly. Should have been me.

0:27:540:27:56

If I hadn't have bashed that door in, if Trish had stopped me, I...

0:27:560:27:59

Listen, none of this is your fault.

0:27:590:28:01

Whoever started that fire, well, that's down to them.

0:28:010:28:04

Never mind the blokes trying to run a meth lab.

0:28:040:28:07

I knew them and all.

0:28:070:28:09

Grew up on the same estate.

0:28:090:28:11

Must have done about 1,000 hours of gaming together.

0:28:110:28:14

Fire Service got me out.

0:28:140:28:15

But I might have blown that up alongside my girl now.

0:28:170:28:20

KNOCK AT DOOR

0:28:330:28:35

Are you feeling OK?

0:28:410:28:43

Yeah, of course, why? Why do you say that?

0:28:440:28:47

Well...

0:28:490:28:51

30 years of nursing.

0:28:550:28:57

I'm fine, Charlie.

0:29:050:29:07

Really. Thank you.

0:29:070:29:09

You, um...

0:29:130:29:14

You let me know when my patient comes out from her scan.

0:29:160:29:18

OK, yes, I will.

0:29:230:29:26

Lenny, isn't it? How is your gaffer doing?

0:29:380:29:41

Gone for scans. Will Kyle be all right?

0:29:410:29:44

Yeah, as long as they manage to get the flare out of his leg

0:29:440:29:46

without it going boom.

0:29:460:29:48

But he's got no other significant injuries.

0:29:480:29:50

And he managed to avoid the worst of the smoke because he was lying on the floor.

0:29:500:29:54

Yeah, that stuff was rank. Can still smell it.

0:29:540:29:56

It shouldn't have been so dense. Cheap flammable furniture, probably. But if you're going to have

0:29:560:30:00

a meth lab out back, I guess you aren't so worried about fire safety laws.

0:30:000:30:03

Still, somebody's head's going to roll for licensing them.

0:30:030:30:06

-See you later.

-Yeah.

0:30:060:30:08

Erm, listen. Is there a computer round here I could use?

0:30:080:30:11

-Er, yeah. You could ask Noel in reception. He'll help you.

-Cool.

0:30:110:30:15

-Thanks.

-See you later.

-See you.

0:30:150:30:17

Look, I want all the details about what happened last night.

0:30:200:30:23

Dream on, pudding. Ain't going to happen!

0:30:230:30:26

I haven't seen you this excited about a man since Mr Tim Devonport.

0:30:260:30:30

Remember him? Yeah, he made you that home-made Valentine's card in sixth form.

0:30:300:30:34

It wasn't the card I got excited about.

0:30:340:30:36

It was the box of chocolates that came with it.

0:30:360:30:39

-Just this.

-A pound.

0:30:390:30:41

Nah, you're all right. You know what?

0:30:410:30:43

Clearly, Marty must be doing something right.

0:30:430:30:45

Oh, Marty's doing OK, thank you.

0:30:450:30:47

OK. Well, you show me the next text he sends, or it didn't happen.

0:30:470:30:50

That's men for you, huh?

0:30:520:30:54

-They can be bears of very little brain sometimes.

-I don't know.

0:30:540:30:57

As long as they mean well and they're pretty,

0:30:570:31:00

sometimes they're worth putting up with. Welcome to the ED, Polly.

0:31:000:31:03

Thank you.

0:31:030:31:05

-Thanks, Max.

-Didn't think I'd be standing by an unexploded ordinance when I woke up this morning.

0:31:090:31:14

Still, keeps it interesting.

0:31:140:31:16

Bomb squad latest ETA is now 30 minutes.

0:31:180:31:20

Well, the projectile's stable. It's penetrated two inches into your thigh muscle,

0:31:220:31:26

but the good news is it hasn't damaged the bone.

0:31:260:31:29

Very lucky.

0:31:290:31:31

About as lucky as a man can be with an unexploded device sticking out of his leg!

0:31:310:31:35

So, I guess you and your mate will be getting out of the drugs business, eh?

0:31:370:31:41

It was Ricky's idea.

0:31:410:31:42

Just trying to make ends meet.

0:31:420:31:44

Thank you, Dr Masum(!)

0:31:440:31:45

OK, that tourniquet's been on longer than I'd like,

0:31:460:31:49

so while we're waiting for the bomb squad, I'm going

0:31:490:31:51

to release it a little, see if the bleeding's under control and let your lower leg get some oxygen, OK?

0:31:510:31:57

Ah, here we go. Sorry about that, mate.

0:31:590:32:02

Cheers, thanks.

0:32:030:32:05

-You survived!

-What can I say? Just doing my job.

0:32:110:32:15

Coffee? It's on the house, for a brave soldier.

0:32:150:32:18

Er, yeah. That'd be great. Thanks.

0:32:180:32:21

-Actually, better make it unleaded.

-That's Max speak for decaff, right?

0:32:210:32:25

Yeah. So, listen, a few of us usually go to the pub after work.

0:32:250:32:29

You should come and meet everyone.

0:32:290:32:31

-Which pub?

-The Hope and Anchor, right across the road.

-What time?

-About five-ish?

0:32:310:32:34

-Who'll be there?

-Me, obviously, and various others.

0:32:340:32:39

Can I let you know later?

0:32:390:32:41

Might be a bit tired, but thanks. Enjoy.

0:32:410:32:45

Yes, no, um...

0:32:470:32:48

Yeah...

0:32:490:32:51

Oh!

0:33:100:33:12

-Are you feeling OK?

-Argh!

0:33:130:33:15

-That hurts!

-That's just the blood flow returning, OK? It will pass.

-Argh! Argh!

0:33:150:33:19

-I'm sorry, you can't be in here.

-He's an old friend. I just need a word.

0:33:190:33:22

-Where's Ricky?

-Ricky's... Ricky didn't make it.

-Make what?

0:33:220:33:26

Ricky's dead?!

0:33:270:33:29

You should have got him out of there, man!

0:33:290:33:31

Mate, Ricky locked himself in the back room. He abandoned you, Kyle.

0:33:310:33:34

-Ricky was trying to save his own skin.

-No, he wouldn't.

0:33:340:33:36

He died because he broke every fire safety law in the book!

0:33:360:33:39

-You have no idea how lucky you were, man!

-Lucky?! I told him it was stupid!

0:33:390:33:42

You know what else was stupid? Forging my name

0:33:420:33:44

on the Fire Risk Assessment for the premises!

0:33:440:33:46

-How could you do that to me, man?

-I didn't know anything about that!

0:33:460:33:49

-Ricky said he had a contact in the Fire Service. Argh!

-What contact?

0:33:490:33:52

I think you should leave, OK? Yeah, he's suffering a reperfusion injury.

0:33:520:33:55

-Acid and metabolites have build up in the leg.

-Systolic BP's fallen.

-HR's gone up. He's getting tachy.

0:33:550:33:59

We're going to have to remove this flare.

0:33:590:34:01

Excuse me, have you seen my colleague, Fire Officer Johnson?

0:34:030:34:06

Oh, he went to see Kyle Robinson.

0:34:060:34:08

Listen, is it all right if I log out of the Fire Service website now?

0:34:080:34:12

Er, where is Robinson?

0:34:150:34:17

-Argh!

-Push in the saline.

-Argh! Get it out!

0:34:190:34:21

Oh, yeah? Getting your story straight, are you? I saw that Fire Risk Assessment you signed!

0:34:210:34:25

OK, there's an unacceptable number of people in here.

0:34:250:34:28

-Security!

-I want a word with my officer and his co-conspirator here!

-Can you leave?

0:34:280:34:32

Count yourself very lucky you didn't end up like your pal!

0:34:320:34:34

-Kyle, stay still, please.

-Argh!

0:34:340:34:36

Argh!

0:34:360:34:38

-Yeah, the flare's moved.

-Yeah, it's caught the femoral artery.

0:34:380:34:42

-You two, out! Out! Security!

-Argh!

0:34:420:34:45

Escort these two gentlemen and clear the area around the tent, please.

0:34:450:34:49

We need to remove this flare, or he'll bleed out.

0:34:490:34:52

-Get Mrs Beauchamp, please, now.

-Argh!

0:34:520:34:55

OK, I need forceps and two fire buckets,

0:34:570:35:00

one empty and one full of sand.

0:35:000:35:02

-Two buckets, yeah, OK. You got that?

-Yeah.

0:35:020:35:04

Argh! Ha-ha-hargh!

0:35:060:35:08

She has an open book pelvic fracture.

0:35:110:35:13

-And a haematoma in her pelvis with active bleeding.

-Mrs Beauchamp.

0:35:130:35:16

Keep the binder on. Can we chase theatre?

0:35:160:35:19

-She really needs to go up as soon as possible.

-Mrs Beauchamp.

-What?

0:35:190:35:22

Just hold on, OK?

0:35:230:35:25

-What's going on?

-Heart rate 140. BP still falling.

0:35:260:35:30

-Right.

-Oh, thank you.

0:35:300:35:32

All right.

0:35:320:35:34

-Please tell me you're building sand castles.

-He will bleed out or go into cardiac arrest before the

0:35:350:35:39

-bomb squad get here.

-No, Alicia, on the day you get your registrar application results,

0:35:390:35:44

-you really want to try this?

-I have no choice, Mrs Beauchamp.

0:35:440:35:47

-How are you going to do it?

-I'm going to remove the projectile with forceps and then

0:35:490:35:53

as soon as it's out, I'll place it in the empty bucket and pour the bucket of sand on top of it.

0:35:530:35:57

Right, got it.

0:35:570:36:00

-You should leave, Mrs Beauchamp.

-No. I'll do it, you leave.

0:36:000:36:03

It's my patient.

0:36:030:36:04

My department.

0:36:040:36:06

-Right, well, you leave.

-You leave.

0:36:060:36:09

So, you need someone to remove the flare, someone to control the

0:36:090:36:13

haemorrhage and someone to dump sand on the device

0:36:130:36:16

because when it's out, that's when it's most likely to explode.

0:36:160:36:20

Six hands.

0:36:200:36:22

So, can one of you please hurry up and yank the damn thing out?

0:36:220:36:25

-Ready?

-Yeah.

0:36:270:36:29

Good.

0:36:290:36:31

Oh!

0:36:310:36:33

Here goes.

0:36:330:36:35

HE WHIMPERS

0:36:390:36:42

Argh!

0:36:420:36:44

Rash, hold him steady.

0:36:440:36:47

-Ah, something's come loose.

-What?

0:36:470:36:48

Something's come loose?!

0:36:480:36:50

Argh!

0:36:500:36:53

I'm just going to use my hands.

0:36:530:36:54

-Yeah.

-I'm going to have to make an incision, I think,

0:36:540:36:58

to make some room for it.

0:36:580:37:00

Mrs Beauchamp, scalpel, please.

0:37:010:37:02

You OK?

0:37:060:37:07

Just get it out!

0:37:120:37:14

Make a lateral incision.

0:37:140:37:16

Get it out!

0:37:160:37:18

I haven't got time for local anaesthetic, Kyle, OK?

0:37:180:37:21

This is going to sting a bit.

0:37:210:37:23

Right, hold still.

0:37:230:37:25

Argh!

0:37:250:37:26

It's all right. Take all the time you need.

0:37:350:37:38

Argh!

0:37:400:37:42

It's clear.

0:37:440:37:45

Argh!

0:37:450:37:47

Argh!

0:37:470:37:49

You all right, Mrs Beauchamp?

0:37:540:37:56

Yeah, I'm fine.

0:37:560:37:58

Well done.

0:37:580:37:59

-BEEPING

-Oh.

0:38:020:38:04

Is the pelvic binding still stable?

0:38:040:38:06

Yes.

0:38:060:38:08

Well, why's her BP dropping into her boots?

0:38:080:38:10

No, 80 systolic.

0:38:110:38:13

Right, let's activate the major haemorrhage protocol.

0:38:130:38:17

-Er, where's Mrs Beauchamp?

-Exactly what I was wondering.

0:38:170:38:20

We could use a hand here.

0:38:200:38:21

This is Trish, who's a firefighter who was caught in an explosion.

0:38:210:38:24

-BP is 80 systolic and her SATS are dropping.

-Yep.

0:38:240:38:28

-Scans.

-Yup.

0:38:320:38:34

SATS are still dropping.

0:38:370:38:39

She's cyanosed.

0:38:390:38:41

This looks like blast lung. The butterfly image on her chest scans.

0:38:420:38:47

OK, let's pre-oxygenate with 100% O2, please.

0:38:470:38:51

Oi! This won't just be a disciplinary charge.

0:39:000:39:02

-You're looking at criminal charges!

-You have no proof!

0:39:020:39:04

-I've got a Fire Risk Assessment with your name on it!

-On a computer. Anyone can forge that!

0:39:040:39:08

You admitted yourself, those dealers are old friends of yours!

0:39:080:39:11

So, I'll take your resignation now,

0:39:110:39:12

unless you want me to fire you first!

0:39:120:39:14

-MACHINES BEEP

-What happened?

0:39:170:39:20

-There's no way...

-Gentlemen, gentlemen.

0:39:200:39:23

Not the time or the place, yeah?

0:39:230:39:25

I had to intubate. The scans show blast lung, but she's stable.

0:39:280:39:33

I didn't get time look at all her scans. Dr Masum came in... I was worried about...

0:39:330:39:38

It's OK, Connie. Ethan called it.

0:39:380:39:40

-It's not OK.

-It's teamwork. You came to cover Alicia's back.

0:39:400:39:44

-They covered yours.

-No, I should have just focused on my patient.

-What's happened?

0:39:440:39:49

Um, there has been further respiratory developments

0:39:490:39:53

and she will need an operation to fix her pelvis.

0:39:530:39:56

-You did this!

-It was a mistake. I've admitted that.

0:39:560:39:59

Too busy worrying about your drug dealer mates

0:39:590:40:01

-instead of your colleagues!

-No!

-OK, OK.

0:40:010:40:04

-You supplied those dealers with industrial chemicals too, didn't you?

-How could I?

0:40:040:40:07

Only a registered safety officer has access to those.

0:40:070:40:10

Just as they have access to completing Fire Risk Assessments online.

0:40:100:40:13

Can fill in any name in the signature box with a keyboard.

0:40:130:40:16

Right, Mr Kearns, let's take this to my office.

0:40:160:40:19

-Hey!

-All right, OK. I'm sorry, I'm sorry. I'm fine!

0:40:190:40:23

This morning, you were at the scene of the fire before us.

0:40:230:40:26

-Said you heard it on the radio.

-You...

0:40:260:40:28

Don't even start trying to tell me how to do my job, son!

0:40:280:40:30

You've never had to carry another human

0:40:300:40:33

being down 20 flights of stairs. On your back.

0:40:330:40:36

-You're not the one watching your pension go up in flames.

-Dispatch gave the wrong address at first.

0:40:360:40:40

How did you get there before us,

0:40:400:40:42

unless you knew where the fire was already?

0:40:420:40:44

You're not the one who has to come to work every day in pain

0:40:440:40:46

because insurance won't cover long-term treatment.

0:40:460:40:49

-And disability allowance is a joke!

-OK. Why don't we all...?

0:40:490:40:52

You signed the Fire Safety Certificate, didn't you?

0:40:520:40:54

-You supplied them with the chemicals they needed.

-Jog on.

0:40:540:40:57

I know what Ricky Carlson was like.

0:40:570:40:58

-He had you in his pocket and weren't going to let you go!

-Shut up!

0:40:580:41:01

-Maybe he was starting to blackmail you.

-I said shut up! Shut up!

0:41:010:41:06

-Calm down.

-I'll get security.

0:41:060:41:07

Just calm down.

0:41:090:41:10

-Let me help you.

-Help me how, eh? Look at Trish, look at her!

0:41:100:41:13

-Her career's over!

-Do you think she wants this? Does she?

0:41:130:41:17

Look, I feel for you. I really do.

0:41:200:41:22

I can understand why you did what you did.

0:41:220:41:24

Because you're hurting.

0:41:240:41:27

Well, we can help.

0:41:270:41:30

Look, that rash on your neck.

0:41:300:41:34

I think you're self-medicating.

0:41:340:41:37

And I would guess it's Tramadol. For the shoulder pain.

0:41:370:41:41

The only trouble is that it gives you rashes all over the place, makes you sweat.

0:41:410:41:46

It also forces you to make bad decisions. Now, just stop. Think.

0:41:460:41:52

Have a look around.

0:41:520:41:54

You think this is what she wants?

0:41:540:41:56

Trish needs you to be here for her when she wakes up.

0:41:580:42:01

You want someone else telling her what happened,

0:42:010:42:04

or do you think that should be you?

0:42:040:42:06

I...

0:42:060:42:08

They were meant to be dead before anybody even got there.

0:42:100:42:13

Meth lab goes boom, who cares?

0:42:140:42:17

What have I done?

0:42:210:42:23

Will Trish really be OK?

0:42:280:42:31

Well, she'll have an awful lot to process when she comes round.

0:42:310:42:34

All you can do really is just be there for her.

0:42:340:42:37

-Good luck.

-Thanks.

0:42:370:42:38

Sorry, could I have a word?

0:42:410:42:44

You all right?

0:42:440:42:46

Yeah, I think so.

0:42:460:42:49

A few things to sort out.

0:42:490:42:51

Mate, I'm so sorry.

0:42:540:42:56

-Ricky, he was hard to say no to, you know?

-Yeah, I do know.

0:42:570:43:02

But he's gone now, so make that work for you, yeah?

0:43:030:43:06

Thanks, guys.

0:43:070:43:09

Well, I chose a heck of a time to give up drinking,

0:43:240:43:27

-what with defusing a bomb today and all.

-Ooh!

0:43:270:43:30

-Max, did you ask her out?

-I did.

0:43:370:43:39

And she said she'd probably be too tired,

0:43:390:43:41

-so I think that went well, yeah. That was...

-Come on, Max.

0:43:410:43:44

You know the girl likes you.

0:43:440:43:46

She's just doing that playing hard to get thing.

0:43:460:43:49

Do you want me to go over and say,

0:43:490:43:51

"Hey, my brother really fancies you?"

0:43:510:43:53

-Would you? That's be great(!)

-I'll go.

-No, no, no, no.

0:43:530:43:56

LAUGHTER

0:43:560:44:00

Er, we'll all off to the pub, if you fancy joining us.

0:44:000:44:03

Um...

0:44:050:44:06

Er, yeah. All right, then.

0:44:060:44:09

Thanks.

0:44:090:44:11

-Mrs Beauchamp.

-I'm so sorry I forgot about your exam. How did it go?

0:44:250:44:29

Er, I could have been more confident.

0:44:290:44:32

Well, I'm sure it'll be fine. And thank you...for today.

0:44:320:44:36

I was just doing my job.

0:44:360:44:38

Look, I don't care that you forgot my exam.

0:44:380:44:41

I don't care that I had to intubate a patient that

0:44:410:44:44

I shouldn't have had to intervene with.

0:44:440:44:47

But I do care about you getting better.

0:44:470:44:50

-I'm fine.

-No.

0:44:500:44:53

You're not. We were lucky today.

0:44:530:44:56

If you mess up, it reflects on the whole department.

0:44:560:44:59

Mistakes made by the Clinical Lead are mistakes made by all of us.

0:44:590:45:03

That's how it's perceived.

0:45:030:45:05

-I now know that.

-I will take the blame for everything that happened.

0:45:050:45:09

If you don't look after yourself,

0:45:090:45:11

you can't look after the ED or the patients.

0:45:110:45:14

The ED only really exists with one purpose,

0:45:140:45:17

and that is to give help to people who need it,

0:45:170:45:19

and we don't just do that for the patients, we do that for each other.

0:45:190:45:23

OK?

0:45:240:45:26

Everybody here would back you up if you'd just tell them the truth.

0:45:260:45:29

You need to look after yourself better, Mrs Beauchamp.

0:45:320:45:35

I will.

0:45:410:45:42

Thank you.

0:45:430:45:45

It's OK.

0:45:450:45:46

-So, do you think she likes you, then?

-Why wouldn't she?

0:45:520:45:55

Well, you offended her, you've got no money...

0:45:550:45:58

-We don't need a list, do we? Yes, please.

-Scruffy...

-OK, we've finished the list.

0:45:580:46:02

-The list goes on.

-Shush!

0:46:020:46:04

Marty, yeah?

0:46:040:46:07

-Yeah.

-Look at you. Pancake all loved up!

0:46:070:46:10

I'm happy for you.

0:46:100:46:13

-Really?

-Yeah, of course.

0:46:130:46:15

So, would you mind if I asked you a small favour?

0:46:150:46:18

Marty wants to take me away this weekend.

0:46:180:46:20

Would you mind keeping an eye on the boys?

0:46:200:46:23

They'd love to spend some time with their Uncle Jacob. Please?

0:46:230:46:27

Yeah, sure.

0:46:270:46:29

-No problem.

-Thank you, thank you. I owe you.

-There you go.

-Cheers.

0:46:290:46:32

All right.

0:46:340:46:36

For the ladies. Granny's perfume, that'll be yours.

0:46:360:46:40

Triple vodka, all in one drink.

0:46:400:46:42

-Cheers.

-Cheers, guys!

-Cheers.

-Cheers.

0:46:420:46:45

-Iechyd da!

-Iechyd da!

-I got the job!

0:46:450:46:49

CHEERING

0:46:490:46:53

Say hello to your new Specialist Registrar!

0:46:530:46:55

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