Episode 15 Casualty

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

-Pull yourself together, get downstairs,

-and treat a long line of irate patients.

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

Because you have cancer.

Boys, this is Marty.

-Marty's having an allergic reaction.

-To what? You did this?

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

Ethan, I am running out of time.

If I don't hand myself in,

would you get help?

I need you to run the ED in my absence.

WATER TRICKLES

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

-Kyle, I'm sure.

What do we need all this for, then?

Just being doubly safe. Professional.

HE IMITATES LIGHTSABER

Ha-ha! Luke, I am your father!

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

Come on, follow me.

-Where are we going, man?

-You'll see.

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

Mate, we are going to be millionaires, man!

All my own work.

When I took the lease on this place, I knew

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

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

So I've decided to diversify.

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

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

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

-Whoa!

Do you want to cough up a lung?

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

-Yeah, all right.

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

Go on, pass me the gloves.

Hey, did we finish A Christmas Carol last night?

Yeah, you fell asleep.

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

-I'll do the last chapter again.

-No, you're all right.

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

cos I love it when you do Mr Darcy.

-Morning.

-Morning.

-Morning.

See you later.

-Hey, pudding. How was evening?

-All protein shakes and workouts.

-You seem perky. How was yours?

-Oh, exactly the same.

Well, except for protein shakes, we had wine.

Wait, so, momma got some last night?

A doctor never tells.

I can tell.

We have two patients that are about to breech.

They should have been discharged earlier

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

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

-Dr Gardner.

Thank you for turning up.

We have an elderly patient in retention in cubicle three.

-Charge Nurse Masters, can you...?

-HE RETCHES

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

club outing and get them out, please?

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

don't disturb me.

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

Still feeling perky, pancake?

No.

Morning.

KNOCK AT DOOR

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

What are you doing?

My job.

You can't be here in your condition.

The risk of infection is too high.

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

So are you, in fact.

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

Go and see to her.

-I've got...

-Now, please.

Sure.

BANGING ON DOOR

-BANGING CONTINUES

-Go on, get rid of them.

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

BANGING CONTINUES

Oi, come back at 11, yeah?

KNOCKING

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

LOUD BANG

RAP MUSIC PLAYS

Argh!

Argh!

What?!

Argh! Argh!

Ricky!

Ricky!

Argh!

Argh!

No!

No!

No!

RAP MUSIC PLAYS

Ricky!

Ricky! Help me!

Ricky!

Ricky!

RAP MUSIC CONTINUES

Rick!

Ricky!

Ricky, help me, man!

Argh! Argh!

-BOLT LOCK CLATTERS

-Ricky! Help me!

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

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

Sorry, Dr Hardy.

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

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

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

It's quite urgent.

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

-Sure.

OK.

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

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

Sorry, Dr Hardy, could I have a word?

Excuse me.

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

-Er, yes.

Quite soon actually.

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

Um, Mrs Beauchamp wants me to take this patient.

Did you mention it to her?

She wasn't really in the mood.

Look, I'll take this patient.

You'd better go.

-Er, are you sure?

-Yeah.

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

so I am quite familiar with this.

Go, good luck.

Thank you. Thanks.

-Morning, lads.

-Morning, boss.

-Morning.

Everybody fit and well?

Christmas party season's starting

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

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

and make sure they're in good working order.

Sorry, boss! Sorry, all!

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

but the area budget has been reached until the next financial

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

Except in the case of a majax.

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

No time and a half or double time.

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

Fall out. Fire Officer Johnson.

-If you would like to get suited up.

-Sorry.

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

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

-You broke me.

I just needed an extra ten minutes.

Get suited up.

You know I love a man in uniform.

-ALARM SOUNDS

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

Argh!

Help!

COUGHING

Control, this is Crew Manager Adams.

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

There's one nearby on Bramwell Street.

There's a Fox and Bull on Lowerton Road.

Please confirm name of target premises.

-ON RADIO:

-Apologies, Crew Manager Adams.

That's the Fox and Bull on Lowerton Road.

Bravo, Uniform, Lima, Lima.

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

-Swiss roll?

-No.

-On a diet?

-Can't afford it.

Can I get a green tea, please? Decaff.

Doctor's orders.

Hm?

New face.

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

-I'm Max. This is Glen.

-Polly. Nice to meet you.

-What'll you have?

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

-Tall and skinny.

-Right...

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

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

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

One decaff green tea, one flat white.

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

SIRENS APPROACHING

Help me!

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

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

Listen, go and get your air on, Trish.

Fire Officer Johnson, come on!

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

-Are you in charge?

-I am, Robert Kearns, Area Manager.

Iain Deans and Sam Nicholls.

-INSIDE:

-Help me! Help me!

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

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

Help me!

Help me!

Help me!

Kyle?!

Let's get him over here, please.

Ricky, in back!

Ricky!

Lenny?

What's that?

Looks like some sort of flare.

Right, let's get a tourniquet on him.

Breathe on this for me.

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

LIQUID GLUGS

HE COUGHS

Argh!

Ricky!

BANGING

Lenny, no!

EXPLOSION

Trish!

Trish!

Trish!

COUGHING

Trish!

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

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

-Go straight through.

-Straight through.

Thank you.

Thank you.

There's one fatality. Ricky Carlson.

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

Trish, I'm sorry.

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

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

Argh, it's burning me!

The morphine will kick in shortly, I promise.

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

Iain! Iain!

It hasn't ignited!

-What do you mean?

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

-What?!

-What?!

-Stay nice and calm.

-Can we not put some water on it?

-No, we can't.

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

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

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

-Probably. Hopefully.

-Is that supposed to make me feel better?

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

-Yeah, just pull it out, man!

-We can't just pull it out.

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

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

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

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

-What do you want me to say?

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

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

-Free drinks for us(!)

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

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

-Argh!

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

Right, thanks. All received.

You all right?

You're going to love this(!)

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

-OK.

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

-Gone? Gone where?

-I released him to his exam.

Sorry.

Thank you.

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

Paramedics are on their way in with a patient who has

an unexploded device embedded in his leg,

along with a senior fire officer,

who was caught in an explosion at a meth lab.

You OK?

Tell them we'll meet them outside.

Can you just give me a minute? Thanks.

Yeah, sure.

BELL SOUNDS

Right, thank you.

Right.

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

Have a listen.

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

-Most serious injured.

-What did the bomb squad say?

-40 minutes out.

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

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

-Er, yes, of course, Mrs Beauchamp.

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

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

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

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

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

We put a tourniquet on him on site and given him

10mg of morphine en route.

-Do you want to take a look?

-Hi, Kyle. I'm Dr Munroe.

You are safe here now, OK?

So, obs wise, GCS 16, resps 26,

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

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

and he's got no allergies.

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

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

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

-Yes.

Yes, Dr Munroe.

Trish Adams, 35, caught in an explosion

while fighting a fire at approximately 8.50.

Query pelvic fracture, binder in place.

Temporary loss of consciousness, GCS 11 on arrival,

climbing to 14 en route.

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

Previous obs.

Pulse 110. BP 90/60.

Resps 22. SATS 94.

All right. Thanks, Charlie.

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

Is Lenny OK?

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

Right, let's keep her on high flow oxygen

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

Hi. It's Charge Nurse Fairhead from ED.

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

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

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

Um, let's get a full trauma CT.

-Yes, sorted.

-SHE COUGHS

Sorry, can you get me some water, please?

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

Everything all right?

Yeah. Fine.

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

COUGHING

..venous blood gas.

COUGHING

Sorry. I've just got a tickle.

Thank you.

BELL SOUNDS Right. Hello.

Mrs Cartwright.

Her husband. Right.

Hi, I'm Dr Hardy.

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

He had a very bad headache.

Yes.

We have the results of the CT scan

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

SHE SOBS

..of the brain.

CONTINUES SOBBING

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

Sorry, you are?

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

She gets the five-star service, right?

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

-Trish...

-Hey. Hey.

-You don't touch her.

-Um, Charlie.

-Yes, I'll sort it.

Listen, I'd like to stay with her.

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

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

Actually, Mrs Beauchamp is our Clinical Lead.

Right.

Er, you know where you're going.

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

You can see her after her scan.

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

-OK?

-Yeah, yeah.

-When are you going to get this thing out?

-As soon as the bomb squad get here.

-Can we get an update on that, please?

-Bomb squad, right.

-Keep everybody well back, please.

Good luck, guys.

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

Yeah, will do.

-BELL SOUNDS

-Argh!

Dr Hardy, when you're ready.

Argh!

-Argh!

-Airway's obviously clear.

PANTING

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

Then we are looking at a possible pneumothorax,

so we need to put in a chest drain.

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

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

while we stabilise him and arrange for a CT.

-I think I've lost my mojo.

-Speak to one of the doctors.

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

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

-I think. It's been a while.

-Prescribe what? Something wrong, Max?

-No.

Fancies the new girl in the coffee shop.

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

-The game?

La Ronde. L'amour. Une liaison dangereuse.

Please, don't.

-Speak French to her. That works(!)

-So it seems.

-Just ask her out.

-It's not that simple.

-Yes, it is.

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

-OK.

-Attaboy!

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

-It's time to move on.

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

-Ruff! Ruff!

Rargh!

Hey.

Flat white?

You remembered.

-That's my job.

-Right. And you're Polly.

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

Are you commenting on my physical appearance in the workplace?

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

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

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

And you say...

You want carrot cake too?

-No. OK, yes. But...

-Ah! Max, with me.

We need some equipment for the decontamination tent.

-Where the bomb is?

-It's not a bomb.

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

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

-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.

-Charlie then?

-No.

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

It appears to be quite superficial.

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

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

Oh, whole career.

So, nearly 30 years now.

All in Holby?

Pretty much.

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

together then.

Yeah, probably. Yeah.

Do you ever think you've wasted your life?

Me? No.

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

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

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

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

Damn it!

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

Right.

Plus you probably have to deal with all the paperwork

problems that we do.

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

It's just...

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

It won't need stitches.

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

-Yes, that was a hot fire today.

Sweat. Happens all the time.

How does your partner feel about the job?

Sorry. Do you have a partner?

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

But that went south about a year ago.

Trish, actually.

The woman in Resus.

Oh, I'm sorry.

She will get the very best care.

Ever feel like yesterday's man?

Getting old is not for wimps. I know that.

Yeah, she's with a younger man now.

Like, ten years younger than her.

-Ah.

-He knew the dealers at that scene today.

And I'm thinking, how come, eh?

Sorry, just... Excuse me a moment.

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

-That and joining the Fire Service.

-Women will do that to you.

As long as you listen to them.

-Most men don't.

-The age gap makes no difference.

I mean, these days, ten years is nothing.

I agree.

I got off lightly. Should have been me.

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

Listen, none of this is your fault.

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

Never mind the blokes trying to run a meth lab.

I knew them and all.

Grew up on the same estate.

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

Fire Service got me out.

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

KNOCK AT DOOR

Are you feeling OK?

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

Well...

30 years of nursing.

I'm fine, Charlie.

Really. Thank you.

You, um...

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

OK, yes, I will.

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

Gone for scans. Will Kyle be all right?

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

without it going boom.

But he's got no other significant injuries.

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

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

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

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

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

-See you later.

-Yeah.

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

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

-Cool.

-Thanks.

-See you later.

-See you.

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

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

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

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

It wasn't the card I got excited about.

It was the box of chocolates that came with it.

-Just this.

-A pound.

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

Clearly, Marty must be doing something right.

Oh, Marty's doing OK, thank you.

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

That's men for you, huh?

-They can be bears of very little brain sometimes.

-I don't know.

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

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

Thank you.

-Thanks, Max.

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

Still, keeps it interesting.

Bomb squad latest ETA is now 30 minutes.

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

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

Very lucky.

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

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

It was Ricky's idea.

Just trying to make ends meet.

Thank you, Dr Masum(!)

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

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

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

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

Cheers, thanks.

-You survived!

-What can I say? Just doing my job.

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

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

-Actually, better make it unleaded.

-That's Max speak for decaff, right?

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

You should come and meet everyone.

-Which pub?

-The Hope and Anchor, right across the road.

-What time?

-About five-ish?

-Who'll be there?

-Me, obviously, and various others.

Can I let you know later?

Might be a bit tired, but thanks. Enjoy.

Yes, no, um...

Yeah...

Oh!

-Are you feeling OK?

-Argh!

-That hurts!

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

-Argh! Argh!

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

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

-Where's Ricky?

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

-Make what?

Ricky's dead?!

You should have got him out of there, man!

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

-Ricky was trying to save his own skin.

-No, he wouldn't.

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

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

-Lucky?! I told him it was stupid!

You know what else was stupid? Forging my name

on the Fire Risk Assessment for the premises!

-How could you do that to me, man?

-I didn't know anything about that!

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

-What contact?

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

-Acid and metabolites have build up in the leg.

-Systolic BP's fallen.

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

We're going to have to remove this flare.

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

Oh, he went to see Kyle Robinson.

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

Er, where is Robinson?

-Argh!

-Push in the saline.

-Argh! Get it out!

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

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

-Security!

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

-Can you leave?

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

-Kyle, stay still, please.

-Argh!

Argh!

-Yeah, the flare's moved.

-Yeah, it's caught the femoral artery.

-You two, out! Out! Security!

-Argh!

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

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

-Get Mrs Beauchamp, please, now.

-Argh!

OK, I need forceps and two fire buckets,

one empty and one full of sand.

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

-Yeah.

Argh! Ha-ha-hargh!

She has an open book pelvic fracture.

-And a haematoma in her pelvis with active bleeding.

-Mrs Beauchamp.

Keep the binder on. Can we chase theatre?

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

-Mrs Beauchamp.

-What?

Just hold on, OK?

-What's going on?

-Heart rate 140. BP still falling.

-Right.

-Oh, thank you.

All right.

-Please tell me you're building sand castles.

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

-bomb squad get here.

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

-you really want to try this?

-I have no choice, Mrs Beauchamp.

-How are you going to do it?

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

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

Right, got it.

-You should leave, Mrs Beauchamp.

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

It's my patient.

My department.

-Right, well, you leave.

-You leave.

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

haemorrhage and someone to dump sand on the device

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

Six hands.

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

-Ready?

-Yeah.

Good.

Oh!

Here goes.

HE WHIMPERS

Argh!

Rash, hold him steady.

-Ah, something's come loose.

-What?

Something's come loose?!

Argh!

I'm just going to use my hands.

-Yeah.

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

to make some room for it.

Mrs Beauchamp, scalpel, please.

You OK?

Just get it out!

Make a lateral incision.

Get it out!

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

This is going to sting a bit.

Right, hold still.

Argh!

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

Argh!

It's clear.

Argh!

Argh!

You all right, Mrs Beauchamp?

Yeah, I'm fine.

Well done.

-BEEPING

-Oh.

Is the pelvic binding still stable?

Yes.

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

No, 80 systolic.

Right, let's activate the major haemorrhage protocol.

-Er, where's Mrs Beauchamp?

-Exactly what I was wondering.

We could use a hand here.

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

-BP is 80 systolic and her SATS are dropping.

-Yep.

-Scans.

-Yup.

SATS are still dropping.

She's cyanosed.

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

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

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

-You're looking at criminal charges!

-You have no proof!

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

-On a computer. Anyone can forge that!

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

So, I'll take your resignation now,

unless you want me to fire you first!

-MACHINES BEEP

-What happened?

-There's no way...

-Gentlemen, gentlemen.

Not the time or the place, yeah?

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

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

It's OK, Connie. Ethan called it.

-It's not OK.

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

-They covered yours.

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

-What's happened?

Um, there has been further respiratory developments

and she will need an operation to fix her pelvis.

-You did this!

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

Too busy worrying about your drug dealer mates

-instead of your colleagues!

-No!

-OK, OK.

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

-How could I?

Only a registered safety officer has access to those.

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

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

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

-Hey!

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

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

-Said you heard it on the radio.

-You...

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

You've never had to carry another human

being down 20 flights of stairs. On your back.

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

-Dispatch gave the wrong address at first.

How did you get there before us,

unless you knew where the fire was already?

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

because insurance won't cover long-term treatment.

-And disability allowance is a joke!

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

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

-You supplied them with the chemicals they needed.

-Jog on.

I know what Ricky Carlson was like.

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

-Shut up!

-Maybe he was starting to blackmail you.

-I said shut up! Shut up!

-Calm down.

-I'll get security.

Just calm down.

-Let me help you.

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

-Her career's over!

-Do you think she wants this? Does she?

Look, I feel for you. I really do.

I can understand why you did what you did.

Because you're hurting.

Well, we can help.

Look, that rash on your neck.

I think you're self-medicating.

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

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

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

Have a look around.

You think this is what she wants?

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

You want someone else telling her what happened,

or do you think that should be you?

I...

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

Meth lab goes boom, who cares?

What have I done?

Will Trish really be OK?

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

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

-Good luck.

-Thanks.

Sorry, could I have a word?

You all right?

Yeah, I think so.

A few things to sort out.

Mate, I'm so sorry.

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

-Yeah, I do know.

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

Thanks, guys.

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

-what with defusing a bomb today and all.

-Ooh!

-Max, did you ask her out?

-I did.

And she said she'd probably be too tired,

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

-Come on, Max.

You know the girl likes you.

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

Do you want me to go over and say,

"Hey, my brother really fancies you?"

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

-I'll go.

-No, no, no, no.

LAUGHTER

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

Um...

Er, yeah. All right, then.

Thanks.

-Mrs Beauchamp.

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

Er, I could have been more confident.

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

I was just doing my job.

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

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

I shouldn't have had to intervene with.

But I do care about you getting better.

-I'm fine.

-No.

You're not. We were lucky today.

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

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

That's how it's perceived.

-I now know that.

-I will take the blame for everything that happened.

If you don't look after yourself,

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

The ED only really exists with one purpose,

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

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

OK?

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

You need to look after yourself better, Mrs Beauchamp.

I will.

Thank you.

It's OK.

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

-Why wouldn't she?

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

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

-Scruffy...

-OK, we've finished the list.

-The list goes on.

-Shush!

Marty, yeah?

-Yeah.

-Look at you. Pancake all loved up!

I'm happy for you.

-Really?

-Yeah, of course.

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

Marty wants to take me away this weekend.

Would you mind keeping an eye on the boys?

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

Yeah, sure.

-No problem.

-Thank you, thank you. I owe you.

-There you go.

-Cheers.

All right.

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

Triple vodka, all in one drink.

-Cheers.

-Cheers, guys!

-Cheers.

-Cheers.

-Iechyd da!

-Iechyd da!

-I got the job!

CHEERING

Say hello to your new Specialist Registrar!