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Heads of department meet, your first? | 0:00:02 | 0:00:03 | |
-It's that obvious, is it? -Yes. | 0:00:03 | 0:00:05 | |
My 22-year-old in the ambulance is a red-flag sepsis. | 0:00:05 | 0:00:07 | |
-Can we have a bed now? -You're going to have to start treatment outside. | 0:00:07 | 0:00:10 | |
We need to get all of this back inside his body. Are you ready? | 0:00:10 | 0:00:13 | |
-HE RETCHES -I'm so sorry. | 0:00:13 | 0:00:14 | |
-No, no, no. -What? -Rash! | 0:00:14 | 0:00:16 | |
Multi organ failure. | 0:00:16 | 0:00:17 | |
If we'd got him in here earlier sooner, | 0:00:17 | 0:00:19 | |
this would never have happened. | 0:00:19 | 0:00:20 | |
-What? -You're cancelling leave? | 0:00:20 | 0:00:22 | |
We've overspent. | 0:00:22 | 0:00:23 | |
You are going to have a riot on your hands if you do this. | 0:00:23 | 0:00:25 | |
I'm your boss, OK? | 0:00:25 | 0:00:27 | |
So, whatever happens outside, | 0:00:27 | 0:00:28 | |
in here, I tell you what to do and you do it. | 0:00:28 | 0:00:30 | |
-LIFT CHIMES -Doors opening. Lift going down... | 0:00:34 | 0:00:38 | |
Urgent medical update - the NHS has just had a stroke. | 0:00:38 | 0:00:43 | |
Seriously. | 0:00:43 | 0:00:44 | |
It could have been avoided but down in the ED, | 0:00:44 | 0:00:47 | |
the guts of the hospital, there is every chance we'll slump quietly | 0:00:47 | 0:00:50 | |
into a corner, knowing that help will not be arriving any time soon. | 0:00:50 | 0:00:54 | |
-LIFT CHIMES -Doors opening. | 0:00:54 | 0:00:56 | |
The idiots have cancelled all locums for the foreseeable future. | 0:00:56 | 0:01:00 | |
There is not a sniff of time off for a single one of us. | 0:01:00 | 0:01:03 | |
So, when you're in dire need of treatment and you look over | 0:01:03 | 0:01:06 | |
and see that your medic has fallen asleep, | 0:01:06 | 0:01:08 | |
try not to panic...too much. | 0:01:08 | 0:01:11 | |
You appear to have your hands inside a man's chest. | 0:01:11 | 0:01:15 | |
-Step aside, please. -I'm not sure he's going to make it to theatre. | 0:01:15 | 0:01:18 | |
I'll be the judge of that. | 0:01:18 | 0:01:19 | |
-MACHINE BEEPS -Right, how much blood has he had? | 0:01:19 | 0:01:22 | |
Four units of packed red cells and four units of FFP. | 0:01:22 | 0:01:26 | |
By the way, I'm loving the latest post. | 0:01:26 | 0:01:28 | |
I'm surprised it's still up and running, though. | 0:01:28 | 0:01:30 | |
I'm doing my best. | 0:01:30 | 0:01:31 | |
Your best? Only losers talk about doing their best. | 0:01:31 | 0:01:35 | |
Your time's up, Dr Hardy. | 0:01:35 | 0:01:37 | |
I'm not a computer hacker. | 0:01:37 | 0:01:39 | |
All I know is Serena wants the blog down by the end of the day. | 0:01:39 | 0:01:41 | |
If you can't manage that, then she'll come down here, | 0:01:41 | 0:01:44 | |
drag you outside and throw you into the nearest job centre. | 0:01:44 | 0:01:49 | |
She can't sack me for that. | 0:01:49 | 0:01:50 | |
You run the ED. The blogger clearly works here. | 0:01:50 | 0:01:55 | |
Someone - namely you - will be held responsible, | 0:01:55 | 0:01:58 | |
so you'd better get busy and end this, Ethan, | 0:01:58 | 0:02:02 | |
before it ends you. | 0:02:02 | 0:02:03 | |
MACHINE BEEPS | 0:02:03 | 0:02:05 | |
Come on, people, you're better than this. | 0:02:40 | 0:02:43 | |
Let's form an orderly queue... | 0:02:43 | 0:02:46 | |
I can't even read this. | 0:02:46 | 0:02:47 | |
It looks like it says "Sorry Bowel" - | 0:02:47 | 0:02:49 | |
that's not a name. | 0:02:49 | 0:02:51 | |
That definitely says "Bowel." | 0:02:51 | 0:02:53 | |
Right, OK, erm... | 0:02:53 | 0:02:55 | |
Mr Bowel? | 0:02:55 | 0:02:56 | |
Mr Bowel? Anybody? | 0:02:56 | 0:02:58 | |
See, this is the tired handwriting of somebody | 0:02:58 | 0:03:01 | |
who's been working all the hours. | 0:03:01 | 0:03:03 | |
-IN AMERICAN ACCENT: -Yeah, but we must follow our Commander-in-chief | 0:03:03 | 0:03:05 | |
and make this hospital great again! | 0:03:05 | 0:03:07 | |
You really need a holiday, David. | 0:03:07 | 0:03:09 | |
Yeah, but I was just... | 0:03:09 | 0:03:11 | |
Don't worry about it. As soon as I see Ethan, I'm going to have a word. | 0:03:11 | 0:03:13 | |
PHONE RINGS | 0:03:13 | 0:03:15 | |
All right, I don't know what to do with that. Someone sort it out. | 0:03:15 | 0:03:19 | |
They want the keys back by 11. | 0:03:20 | 0:03:23 | |
That's barely enough time for a warm-up. | 0:03:23 | 0:03:25 | |
Well, you were the one who took ages to get ready. | 0:03:25 | 0:03:27 | |
Do you have to speak with your mouth full? | 0:03:27 | 0:03:29 | |
Yes. Yes, I do. It's my new thing. | 0:03:29 | 0:03:32 | |
Grab my bags, doofus. | 0:03:32 | 0:03:33 | |
Guys, have you seen this? | 0:03:43 | 0:03:45 | |
"The ED has had a stroke." | 0:03:45 | 0:03:47 | |
Charlie, have you read it? That's sick. | 0:03:47 | 0:03:49 | |
But true. | 0:03:49 | 0:03:51 | |
Well, it's the one thing none of us can heal. | 0:03:51 | 0:03:54 | |
Oh, well, that's powerful. Did you write this? | 0:03:54 | 0:03:56 | |
Well, whoever it is, I don't know how they've got the time. | 0:03:56 | 0:03:59 | |
I think it's poetic. | 0:03:59 | 0:04:00 | |
What, it rhymes? | 0:04:00 | 0:04:02 | |
No, in that it's heartfelt. I'd be proud of writing that. | 0:04:02 | 0:04:05 | |
Something to tell us, Rash? | 0:04:05 | 0:04:07 | |
ETHAN CLEARS HIS THROAT | 0:04:07 | 0:04:09 | |
Can I get everyone's attention, please? | 0:04:09 | 0:04:12 | |
Everyone? Thanks. A few things... | 0:04:12 | 0:04:15 | |
Dr Kinsella, I'd like you on minors. | 0:04:15 | 0:04:18 | |
Dr Munroe, Dr Masum, I'd like you in Resus. | 0:04:18 | 0:04:21 | |
I don't think Rash is quite ready for Resus. | 0:04:21 | 0:04:25 | |
OK. That's my call. | 0:04:27 | 0:04:29 | |
Do you feel ready, Dr Masum? | 0:04:29 | 0:04:31 | |
Yeah, yeah, I'm ready. | 0:04:31 | 0:04:33 | |
Good. | 0:04:33 | 0:04:34 | |
Sister Duffin, could you chase Radiology for | 0:04:34 | 0:04:37 | |
the CT reports in cubicle five? | 0:04:37 | 0:04:39 | |
Jacob, could you finish your statements for | 0:04:39 | 0:04:41 | |
the outstanding complaints on your desk, please? | 0:04:41 | 0:04:43 | |
Why is everybody complaining about my desk? | 0:04:43 | 0:04:47 | |
-No... -It's a joke, Ethan. | 0:04:47 | 0:04:48 | |
Yeah, sorry, right... | 0:04:48 | 0:04:51 | |
I got it. | 0:04:51 | 0:04:52 | |
Yes, very good. | 0:04:52 | 0:04:53 | |
Now, finally, this blogger... | 0:04:53 | 0:04:55 | |
Guilty as charged. | 0:04:55 | 0:04:57 | |
It's not me, I promise. | 0:04:57 | 0:04:58 | |
Well, whoever it is, it ends now, OK? | 0:05:01 | 0:05:04 | |
It is clearly somebody in the ED writing it, and it is hurtful | 0:05:04 | 0:05:08 | |
and damaging to everything we're trying to achieve here, | 0:05:08 | 0:05:11 | |
so if it is you, or you know who it is, stop or get them to stop. | 0:05:11 | 0:05:17 | |
What if they don't? | 0:05:17 | 0:05:18 | |
They will. | 0:05:20 | 0:05:21 | |
I will find out who it is and it ends today. | 0:05:21 | 0:05:24 | |
-AS LIAM NEESON: -I will find you and I will kill you. | 0:05:25 | 0:05:28 | |
THEY CHUCKLE | 0:05:28 | 0:05:30 | |
I don't think you'll be laughing when you're | 0:05:30 | 0:05:31 | |
signing their leaving card, Dr Kinsella. | 0:05:31 | 0:05:33 | |
Alicia, can I have a word, please? | 0:05:42 | 0:05:44 | |
-What, now? -Yes. | 0:05:44 | 0:05:46 | |
Hang on, someone'll get the sack for writing the blog? | 0:05:48 | 0:05:51 | |
Can they do that? | 0:05:51 | 0:05:52 | |
I don't know. | 0:05:52 | 0:05:54 | |
Bye, Rash. It was lovely working with you. | 0:05:54 | 0:05:56 | |
SHE GRUNTS | 0:06:22 | 0:06:23 | |
KACEY LAUGHS | 0:06:23 | 0:06:26 | |
Again! Do it again! | 0:06:26 | 0:06:29 | |
This has got to go on the fan page. | 0:06:29 | 0:06:31 | |
AS LIAM NEESON: I will find you and I will kill you. | 0:06:33 | 0:06:36 | |
Did you ever see that film? | 0:06:39 | 0:06:41 | |
Cal used to watch it all the time. | 0:06:41 | 0:06:43 | |
Yeah, I watched it with him once. | 0:06:43 | 0:06:46 | |
"The idiots have cancelled all locums for the foreseeable future." | 0:06:46 | 0:06:51 | |
So that's me, the idiot. | 0:06:51 | 0:06:52 | |
It says plural - I think it means everyone who's in charge. | 0:06:54 | 0:06:58 | |
Is it you? | 0:06:58 | 0:07:00 | |
Excuse me? | 0:07:00 | 0:07:03 | |
Is it you? Yes or no? | 0:07:03 | 0:07:04 | |
No! | 0:07:06 | 0:07:07 | |
And that is a no with a big exclamation mark. | 0:07:08 | 0:07:10 | |
You'd really think that of me? | 0:07:10 | 0:07:12 | |
ETHAN SIGHS No. | 0:07:12 | 0:07:14 | |
I hope you're going to drag everyone else in here and accuse them. | 0:07:14 | 0:07:17 | |
I need your help. | 0:07:19 | 0:07:20 | |
OK, I'm not exactly popular right now, | 0:07:22 | 0:07:24 | |
but if you could do some friendly digging... | 0:07:24 | 0:07:27 | |
You must think a lot of me | 0:07:27 | 0:07:28 | |
if you think I'd rat out one of my colleagues. | 0:07:28 | 0:07:30 | |
I need to close this down today. | 0:07:30 | 0:07:32 | |
And I'm not going to be responsible for somebody losing their job. | 0:07:32 | 0:07:36 | |
So that's where we are, is it? | 0:07:37 | 0:07:39 | |
Same as when I walked in here. | 0:07:39 | 0:07:41 | |
Oh, go on! | 0:07:49 | 0:07:52 | |
-Oh, shut up! -Go on, you... | 0:07:52 | 0:07:54 | |
ENGINE RUMBLES | 0:08:08 | 0:08:10 | |
-SHE GIGGLES -Bea... | 0:08:14 | 0:08:16 | |
-SIREN WAILS -Were you meditating? | 0:08:16 | 0:08:18 | |
No. | 0:08:18 | 0:08:19 | |
Crying inwardly? | 0:08:19 | 0:08:21 | |
No... | 0:08:21 | 0:08:23 | |
I can swap. | 0:08:23 | 0:08:24 | |
You know, Ethan'll be so busy hunting that blogger, | 0:08:24 | 0:08:27 | |
he'll never know. | 0:08:27 | 0:08:28 | |
No, this day had to come sometime. | 0:08:28 | 0:08:31 | |
-I know what caused that. -Caused what? | 0:08:31 | 0:08:33 | |
-The blindness. -I'm not blind. | 0:08:33 | 0:08:36 | |
You've been doing things that they warn you about. | 0:08:36 | 0:08:38 | |
What? No, you're... | 0:08:38 | 0:08:40 | |
That's wrong, Bea. There's a line, OK. | 0:08:40 | 0:08:42 | |
You seriously need to break your duck, OK? | 0:08:42 | 0:08:45 | |
You're more wound up than a wound-up thing. | 0:08:45 | 0:08:47 | |
And just so you know, Resus is that way. | 0:08:49 | 0:08:52 | |
Move. Do you want me to drag it all out here? | 0:08:52 | 0:08:55 | |
The whole of Resus? I will do it. | 0:08:55 | 0:08:57 | |
It's not the actual room, OK? It's not that. | 0:08:57 | 0:09:00 | |
Good. You're talking. Keep going. | 0:09:00 | 0:09:02 | |
Resus is the place where patients go in, and sometimes don't come out. | 0:09:02 | 0:09:08 | |
That's the job, Rash. | 0:09:08 | 0:09:10 | |
Yeah, but it's mad in there. It's so intense. | 0:09:10 | 0:09:13 | |
What if I make a mistake? | 0:09:13 | 0:09:14 | |
What if there's some scared family with their faces pressed up | 0:09:14 | 0:09:17 | |
against the door looking in, | 0:09:17 | 0:09:18 | |
and I'm working on their dad, and something goes wrong? | 0:09:18 | 0:09:21 | |
Or I just can't do enough to save him... | 0:09:21 | 0:09:23 | |
Some patients aren't going to make it out. | 0:09:23 | 0:09:26 | |
That's a given. You can put your house on it. | 0:09:26 | 0:09:28 | |
Yeah, and it's terrifying. | 0:09:28 | 0:09:30 | |
But if I don't even try, then what is the point of me? | 0:09:30 | 0:09:33 | |
I should have just got an office job. | 0:09:33 | 0:09:36 | |
Well, you didn't, because inside there is a doctor, OK? | 0:09:36 | 0:09:41 | |
Not a salesman or a clerk - a doctor. | 0:09:41 | 0:09:44 | |
So you can either walk into Resus or you can sit out here | 0:09:46 | 0:09:49 | |
and fill your pants. | 0:09:49 | 0:09:51 | |
Either way is messy. | 0:09:51 | 0:09:52 | |
Steady. Don't damage the goods. | 0:10:22 | 0:10:24 | |
You're fine. | 0:10:25 | 0:10:26 | |
You're down. You're safe. | 0:10:26 | 0:10:29 | |
Still walking perfection... | 0:10:29 | 0:10:31 | |
The bars felt a bit off, like they were rattling a bit. | 0:10:31 | 0:10:33 | |
Want to go again? | 0:10:35 | 0:10:36 | |
Give me five. | 0:10:36 | 0:10:38 | |
Did Nadia Comaneci take five? | 0:10:38 | 0:10:40 | |
It's the difference between gold and silver, Kace. | 0:10:40 | 0:10:43 | |
Wow. It actually talks sense. | 0:10:43 | 0:10:46 | |
Love you too, sis. | 0:10:48 | 0:10:50 | |
One, two, three. | 0:10:50 | 0:10:52 | |
RATTLING | 0:11:00 | 0:11:02 | |
RATTLING | 0:11:04 | 0:11:06 | |
RATTLING | 0:11:10 | 0:11:12 | |
Kacey, wait! | 0:11:15 | 0:11:16 | |
DONNA GRUNTS | 0:11:16 | 0:11:17 | |
BONE SNAPS | 0:11:17 | 0:11:19 | |
KACEY SCREAMS | 0:11:19 | 0:11:21 | |
And next time, try banging the nails into the wood. | 0:11:21 | 0:11:23 | |
-Thank you, doctor. -Charlie... -Yeah? | 0:11:23 | 0:11:26 | |
Last week, do you remember there was an elderly gentleman | 0:11:26 | 0:11:30 | |
with a badly broken foot? Do you remember his name? | 0:11:30 | 0:11:33 | |
Yeah, give me a minute. | 0:11:33 | 0:11:35 | |
It was a famous name... | 0:11:35 | 0:11:37 | |
Nicholson! | 0:11:37 | 0:11:38 | |
-Jack Nicholson, that was it. -Yeah. | 0:11:38 | 0:11:40 | |
I didn't even get his autograph. | 0:11:40 | 0:11:43 | |
Why are you asking? | 0:11:43 | 0:11:45 | |
There was also a young woman with self-inflicted burns... | 0:11:45 | 0:11:49 | |
What's this about? | 0:11:49 | 0:11:51 | |
It's for a report. | 0:11:51 | 0:11:53 | |
Well, have there been complaints? | 0:11:53 | 0:11:55 | |
No, no... It's nothing like that. | 0:11:55 | 0:11:57 | |
Well, I saw an awful lot of patients last week. | 0:11:57 | 0:12:01 | |
Yeah. | 0:12:01 | 0:12:02 | |
OK, well, if it comes to you, can you come and find me, please? | 0:12:02 | 0:12:05 | |
Yes, I will. | 0:12:05 | 0:12:07 | |
Ethan, what's this really about? | 0:12:07 | 0:12:11 | |
ETHAN SIGHS It's... | 0:12:13 | 0:12:16 | |
"It can only be described as a low point in my working life | 0:12:16 | 0:12:19 | |
"when I had to explain to this fragile young woman | 0:12:19 | 0:12:22 | |
"I couldn't treat her for another hour because of a staff meeting." | 0:12:22 | 0:12:26 | |
Ouch. | 0:12:26 | 0:12:27 | |
Yeah. | 0:12:27 | 0:12:29 | |
I think it might have been Nelson? | 0:12:29 | 0:12:31 | |
Or Nilsen? | 0:12:31 | 0:12:33 | |
Thank you. | 0:12:33 | 0:12:34 | |
Right, do you want to take the girl over there? | 0:12:42 | 0:12:45 | |
Kacey, I'm Sam. | 0:12:45 | 0:12:47 | |
I'm going to look at your ankle and give you something for the pain, OK? | 0:12:47 | 0:12:50 | |
We're just going to take a look at you. What happened here, then? | 0:12:50 | 0:12:52 | |
-DONNA GROANS -Oh, hold that thought. | 0:12:52 | 0:12:54 | |
We'll come back to that. | 0:12:54 | 0:12:56 | |
OK, I'm looking at a dislocated jaw. | 0:12:56 | 0:12:58 | |
Iain, have you got the oxygen? | 0:12:58 | 0:13:00 | |
Yeah, just one second. Right, I'm just going to help my colleague, | 0:13:00 | 0:13:03 | |
and then I'll be back with some pain relief. Just sit tight, OK? | 0:13:03 | 0:13:06 | |
Right, heart rate's 100 and it looks pretty nasty. | 0:13:06 | 0:13:11 | |
Are you on any medication? | 0:13:11 | 0:13:12 | |
-There we go. -How bad is this? | 0:13:14 | 0:13:16 | |
I can't really say at this time. | 0:13:16 | 0:13:17 | |
-KACEY WHIMPERS -Kacey? Kacey! Kacey, stay with me! | 0:13:17 | 0:13:21 | |
Kacey, just breathe nice and normally. That's it! | 0:13:21 | 0:13:24 | |
Check her pedal pulse. | 0:13:24 | 0:13:25 | |
Yeah, there's no pulse. | 0:13:28 | 0:13:30 | |
I think the fracture's compressing the artery. | 0:13:30 | 0:13:32 | |
It needs manipulating. | 0:13:32 | 0:13:34 | |
Well, that's your call. | 0:13:34 | 0:13:37 | |
Let's do it or she could lose her foot. | 0:13:37 | 0:13:39 | |
Roger that. I'll keep an eye on her sats. | 0:13:39 | 0:13:41 | |
I'm drawing up the morphine. Are you happy with 10mg? | 0:13:41 | 0:13:43 | |
Absolutely. She's going to need it. | 0:13:43 | 0:13:44 | |
OK. Right, morphine going in... | 0:13:44 | 0:13:47 | |
OK, Kacey, you're doing a really good job. | 0:13:47 | 0:13:49 | |
This will all be over soon. OK, are you ready? | 0:13:49 | 0:13:51 | |
Yeah, that's in. | 0:13:51 | 0:13:53 | |
Nice and steady. | 0:13:53 | 0:13:54 | |
KACEY SCREAMS | 0:13:58 | 0:14:01 | |
KACEY HOWLS IN PAIN, DONNA SOBS | 0:14:01 | 0:14:03 | |
Well done, Kacey. Really well done. | 0:14:04 | 0:14:06 | |
-Yeah, I've got a pulse. -OK, keep some pressure on it. | 0:14:08 | 0:14:10 | |
I'll grab the splint. Hold on. | 0:14:10 | 0:14:13 | |
Power corrupts, Robyn, but absolute power absolutely corrupts. | 0:14:13 | 0:14:16 | |
You want to write fridge magnets, mate. | 0:14:16 | 0:14:17 | |
I've probably missed that boat now. | 0:14:17 | 0:14:20 | |
Noel, could you find me the patient records for these names, please? | 0:14:20 | 0:14:23 | |
I'll do my best. | 0:14:23 | 0:14:24 | |
No, I need it done, OK? | 0:14:24 | 0:14:26 | |
Only losers talk about doing their best. | 0:14:26 | 0:14:29 | |
A bit harsh. | 0:14:29 | 0:14:30 | |
And it's "absolute power corrupts absolutely." | 0:14:30 | 0:14:32 | |
Wow. Like you've not got enough to do already. | 0:14:34 | 0:14:37 | |
Yeah, and these shift schedules won't colour-code themselves, | 0:14:37 | 0:14:41 | |
will they? | 0:14:41 | 0:14:42 | |
PHONE RINGS | 0:14:50 | 0:14:53 | |
Emergency services... | 0:14:53 | 0:14:55 | |
DOOR OPENS | 0:14:55 | 0:14:56 | |
-Cheers, lads. -You want this one? | 0:14:56 | 0:14:58 | |
Or the other one? | 0:15:00 | 0:15:02 | |
Deep breaths. Remember your training. | 0:15:02 | 0:15:04 | |
Don't wet yourself. | 0:15:04 | 0:15:06 | |
I'll, uh... I'll take the other one, definitely. | 0:15:06 | 0:15:08 | |
Good choice. Fractured dislocation of the ankle. | 0:15:08 | 0:15:11 | |
It's a right mess, but I'm sure you can handle it! | 0:15:11 | 0:15:13 | |
Doctor? | 0:15:22 | 0:15:23 | |
HE GULPS | 0:15:23 | 0:15:25 | |
Right, well, it's little wonder that people are writing blogs | 0:15:25 | 0:15:28 | |
if that's how the F1s are behaving. | 0:15:28 | 0:15:30 | |
He'll shape up. I'm sure he will. | 0:15:30 | 0:15:33 | |
If he can't handle it, I don't see the point of him returning as an F2. | 0:15:33 | 0:15:36 | |
Could you cover Resus? OK? | 0:15:36 | 0:15:38 | |
You might make it in time for the handover. | 0:15:38 | 0:15:41 | |
This blog's clearly getting to Ethan. | 0:15:41 | 0:15:43 | |
Must be a lot of stress. | 0:15:43 | 0:15:45 | |
Do you agree with her, then? | 0:15:45 | 0:15:46 | |
Her? | 0:15:46 | 0:15:48 | |
Or him. | 0:15:48 | 0:15:49 | |
Kacey Moffat, 19. | 0:15:49 | 0:15:51 | |
She's sustained an open fracture to her left ankle | 0:15:51 | 0:15:53 | |
at 9:40 this morning... | 0:15:53 | 0:15:54 | |
Hi, I'm Bea and I'll be your doctor for the rest of the flight. | 0:15:54 | 0:15:58 | |
Which does not mean that I will be your trolley dolly. | 0:15:58 | 0:16:01 | |
Pulse is 105, BP is 119 over 70... | 0:16:01 | 0:16:03 | |
Do you want to just lean back and make yourself comfortable, now? | 0:16:03 | 0:16:06 | |
All right, Teddy, nothing to worry about. It won't hurt. | 0:16:07 | 0:16:10 | |
Now, is there anyone you would like me to call? Hmm? | 0:16:10 | 0:16:13 | |
All right, look, why don't I have a look in your bag, | 0:16:17 | 0:16:19 | |
get your phone out, if that's all right with you, | 0:16:19 | 0:16:21 | |
and see what numbers are on it, yeah? | 0:16:21 | 0:16:23 | |
Hey, I thought you were in Resus today. | 0:16:24 | 0:16:26 | |
Er, yes, a change of plan. | 0:16:26 | 0:16:29 | |
You're Teddy, right? It's a great name, by the way. | 0:16:29 | 0:16:31 | |
I'm Dr Masum. | 0:16:31 | 0:16:33 | |
The Child Welfare Officer's outside. | 0:16:33 | 0:16:35 | |
I could ask her to come in, if you like. | 0:16:35 | 0:16:38 | |
Maybe in a minute. | 0:16:38 | 0:16:40 | |
OK, erm... | 0:16:40 | 0:16:41 | |
So, you called the police. | 0:16:41 | 0:16:43 | |
Can I ask why? | 0:16:43 | 0:16:46 | |
They said you were shivering when they found you. | 0:16:46 | 0:16:48 | |
Have you been out all night? | 0:16:48 | 0:16:49 | |
Partying? | 0:16:50 | 0:16:52 | |
Your parents will be very worried, won't they? | 0:16:55 | 0:16:57 | |
I know my mum would be. She still thinks I'm only six years old. | 0:16:57 | 0:17:00 | |
OK, well, that's enough chat for now. | 0:17:06 | 0:17:08 | |
I'm going to have a listen to your chest, | 0:17:08 | 0:17:10 | |
while David here puts some stickers on your tummy. | 0:17:10 | 0:17:13 | |
-Is that OK? -Yeah? All right. | 0:17:13 | 0:17:15 | |
Great. Deep breath... | 0:17:15 | 0:17:17 | |
Good man. And one more. | 0:17:19 | 0:17:21 | |
OK, great. | 0:17:23 | 0:17:25 | |
Now, we'll definitely get you warmed up in a minute | 0:17:25 | 0:17:28 | |
but, first of all, is it OK if I have a quick feel of your belly? | 0:17:28 | 0:17:31 | |
Great. Now, I know you can talk because you called the police, | 0:17:32 | 0:17:36 | |
which was very good thinking, by the way, | 0:17:36 | 0:17:38 | |
but, equally, if you don't fancy talking, that's fine. | 0:17:38 | 0:17:42 | |
Maybe you could just point to where it hurts. | 0:17:42 | 0:17:44 | |
Your heart hurts? | 0:17:50 | 0:17:51 | |
David, how are his obs? | 0:17:54 | 0:17:56 | |
Erm... Yeah, no... They're... | 0:17:56 | 0:17:59 | |
They're spot on. | 0:17:59 | 0:18:00 | |
OK, got your X-rays back, | 0:18:05 | 0:18:07 | |
and there's no sign of fracture to the jaw, | 0:18:07 | 0:18:10 | |
but you have dislocated it and I'll need to realign it. | 0:18:10 | 0:18:14 | |
Get the fentanyl, Charlie. | 0:18:14 | 0:18:15 | |
Yes. Now, I'm just going to pop this into your hand. | 0:18:15 | 0:18:18 | |
It might make you feel drowsy but it'll help with the pain. | 0:18:18 | 0:18:22 | |
Now, this is going to be a bit weird, | 0:18:22 | 0:18:23 | |
but I'm going to put my thumbs in your mouth. | 0:18:23 | 0:18:26 | |
Not every day you hear that. | 0:18:26 | 0:18:28 | |
I'm going to have to pull your jaw back into place | 0:18:28 | 0:18:30 | |
and your first reaction will be to bite me. | 0:18:30 | 0:18:32 | |
And as we all know, doctors do need their thumbs. | 0:18:32 | 0:18:35 | |
But if you could be brave for me... | 0:18:35 | 0:18:37 | |
OK, look at me. | 0:18:37 | 0:18:38 | |
Now, just try and think happy thoughts... | 0:18:40 | 0:18:42 | |
-Impossible, I know... -DONNA GROANS | 0:18:44 | 0:18:46 | |
BEA GROANS | 0:18:46 | 0:18:48 | |
OK. Can you get on to Maxfax? | 0:18:48 | 0:18:50 | |
And, Donna, just try not to move your jaw. | 0:18:50 | 0:18:53 | |
We'll monitor you for a few hours. | 0:18:53 | 0:18:55 | |
Don't open your mouth widely, and if you need to cough | 0:18:55 | 0:18:57 | |
or feel yourself about to sneeze, just grip your jaw when you do, | 0:18:57 | 0:19:01 | |
but, all told, not too bad. | 0:19:01 | 0:19:03 | |
Give yourself about six weeks and you'll be back to your chatty self. | 0:19:03 | 0:19:06 | |
Ow... | 0:19:07 | 0:19:09 | |
We're going to get you in to X-ray as soon as there's a slot. | 0:19:13 | 0:19:16 | |
I've been training since I could walk, | 0:19:18 | 0:19:21 | |
and that stupid great lump... | 0:19:21 | 0:19:22 | |
I'll never forgive her. | 0:19:25 | 0:19:28 | |
Never. | 0:19:28 | 0:19:29 | |
LIFT CHIMES | 0:19:30 | 0:19:32 | |
Heads up, here comes Dr Von Doom. | 0:19:32 | 0:19:34 | |
Yeah? Watch this. | 0:19:34 | 0:19:36 | |
Noel, any progress on the notes I asked for? | 0:19:36 | 0:19:39 | |
Sorry. Computer's had a stroke. | 0:19:39 | 0:19:40 | |
-Is that a joke? -She laughed. | 0:19:42 | 0:19:45 | |
Just get it done, OK? You've got 15 minutes. | 0:19:46 | 0:19:49 | |
Do you understand? | 0:19:49 | 0:19:50 | |
-NOEL SIGHS -Where do people go, eh, Robyn? | 0:19:52 | 0:19:54 | |
He used to be such a decent bloke. | 0:19:54 | 0:19:56 | |
I know. And to think I used to fancy him. | 0:19:56 | 0:19:58 | |
I mean, not a lot, but he had potential. | 0:19:58 | 0:20:00 | |
Oh. Computer says yes. | 0:20:02 | 0:20:05 | |
Ta-dah! | 0:20:05 | 0:20:06 | |
Warmer? | 0:20:09 | 0:20:11 | |
Teddy! | 0:20:11 | 0:20:12 | |
Cheese sandwich. The finest money can buy. | 0:20:13 | 0:20:16 | |
When was the last time you ate? | 0:20:22 | 0:20:23 | |
DAVID CLEARS HIS THROAT | 0:20:25 | 0:20:27 | |
Social services found a number for his mum on his mobile | 0:20:30 | 0:20:33 | |
but it went straight to voicemail. | 0:20:33 | 0:20:35 | |
They try his dad. | 0:20:35 | 0:20:36 | |
No mention of his dad. He's only got six numbers on it. | 0:20:36 | 0:20:40 | |
-RASH SIGHS -OK, erm... | 0:20:40 | 0:20:43 | |
Teddy, you called the police, but when they found you, | 0:20:43 | 0:20:46 | |
you didn't say why you had called. | 0:20:46 | 0:20:48 | |
You just said that you were frightened and lost. | 0:20:48 | 0:20:52 | |
OK, Teddy, here's the deal - | 0:20:52 | 0:20:55 | |
I'll swap you this muffin for you telling us | 0:20:55 | 0:20:59 | |
everything we need to know. | 0:20:59 | 0:21:01 | |
David, what are you doing? | 0:21:01 | 0:21:02 | |
Trust me, trust me... Kids will do anything for food. | 0:21:02 | 0:21:05 | |
Erm... Teddy, we've put a call in to your mum. | 0:21:11 | 0:21:15 | |
You know where she is? | 0:21:17 | 0:21:19 | |
Ah, you see? The old muffin technique works every time. | 0:21:21 | 0:21:26 | |
Just cubicle one, please, guys. Thank you. | 0:21:28 | 0:21:32 | |
OK, I have looked at your results, | 0:21:32 | 0:21:34 | |
and I'm afraid you are going to need surgery. | 0:21:34 | 0:21:37 | |
-Kace... -Nice one. | 0:21:37 | 0:21:39 | |
All those years down the drain cos of your big, lardy chin. | 0:21:39 | 0:21:42 | |
We still need to wait for the orthopaedic consultant | 0:21:42 | 0:21:44 | |
to come down and have a word. | 0:21:44 | 0:21:46 | |
I should have kicked you harder. | 0:21:46 | 0:21:48 | |
She will get better, won't she? | 0:21:48 | 0:21:50 | |
Erm... | 0:21:50 | 0:21:51 | |
Yeah, it's quite an unusual fracture so it will take time to heal. | 0:21:51 | 0:21:54 | |
I can't really promise anything at this stage. | 0:21:54 | 0:21:57 | |
Come on, Teddy, mate, talk to us. | 0:22:01 | 0:22:03 | |
Was your mum not around last night? | 0:22:03 | 0:22:05 | |
Please, Teddy, when was the last time you saw her? | 0:22:05 | 0:22:07 | |
OK, you started calling her at 4pm - | 0:22:07 | 0:22:09 | |
was that when you came home from school? | 0:22:09 | 0:22:11 | |
And you've been phoning her ever since, up until 11 last night. | 0:22:11 | 0:22:13 | |
-Did you go out looking for her? -And you got lost? Is that it? | 0:22:13 | 0:22:16 | |
And that's why it hurts here? | 0:22:16 | 0:22:17 | |
Because you're frightened something might have happened to her? | 0:22:17 | 0:22:20 | |
Teddy, the police are here, | 0:22:20 | 0:22:22 | |
-so we can find out if your mum's missing... -Teddy? | 0:22:22 | 0:22:25 | |
-Mum? -What are you doing here? | 0:22:27 | 0:22:28 | |
-He was down by the underpass. He'd got lost. -What? | 0:22:30 | 0:22:33 | |
All right, come on, you. Let's get you home. | 0:22:33 | 0:22:35 | |
I'm sorry, excuse me, you can't just... | 0:22:35 | 0:22:37 | |
-We're still warming him up. -Exactly. -Oh. | 0:22:37 | 0:22:39 | |
Is that what this thing is? | 0:22:39 | 0:22:41 | |
Yeah, it is. He spent all night looking for you. | 0:22:41 | 0:22:44 | |
You didn't you notice he'd gone? No. Too busy shopping, were you? | 0:22:44 | 0:22:47 | |
-David... -He's got a mouth on him. -I'm just saying. | 0:22:47 | 0:22:49 | |
Teddy was very cold when we found him, | 0:22:49 | 0:22:51 | |
but we've managed to get him stable. | 0:22:51 | 0:22:52 | |
I'd still like to keep him in a bit longer, though. | 0:22:52 | 0:22:55 | |
Oh, all right. If we have to hang around... | 0:22:55 | 0:22:58 | |
Can I ask you a question, please? | 0:22:58 | 0:23:00 | |
Yes, of course, that's what we're here for. | 0:23:00 | 0:23:02 | |
Do you have a phone charger? | 0:23:02 | 0:23:04 | |
Erm... We can see if there's one in the staffroom. | 0:23:04 | 0:23:08 | |
-David, do you mind...? -What? No, please... Look, I... | 0:23:08 | 0:23:10 | |
What? Should I get you a free upgrade while I'm at it? | 0:23:10 | 0:23:13 | |
SIM-only, if you can. Yeah. | 0:23:13 | 0:23:15 | |
Butterfingers. | 0:23:18 | 0:23:19 | |
See that, Teddy? Got me all flustered. | 0:23:19 | 0:23:21 | |
Are you all right? | 0:23:23 | 0:23:24 | |
Yeah, I am now. | 0:23:26 | 0:23:28 | |
Hi. The consultant's on his way down. | 0:23:33 | 0:23:35 | |
I'm so sorry about your wait. | 0:23:35 | 0:23:36 | |
Hear that, Donna? A consultant. | 0:23:36 | 0:23:38 | |
You should be in theatre within the hour. | 0:23:39 | 0:23:41 | |
You will be under general anaesthetic, so it's important | 0:23:41 | 0:23:44 | |
that I run through some questions with you. | 0:23:44 | 0:23:45 | |
You're not on any regular medication, are you? | 0:23:45 | 0:23:48 | |
Sorry to interrupt. Can I borrow you, please? | 0:23:50 | 0:23:53 | |
Sorry, I won't be a sec. | 0:23:53 | 0:23:54 | |
What was it, Donna? | 0:23:56 | 0:23:58 | |
Me taking that photo? | 0:23:58 | 0:24:00 | |
I wasn't really going to put it online. | 0:24:00 | 0:24:03 | |
Do you think I'd do that to you? | 0:24:03 | 0:24:05 | |
I... I don't understand. | 0:24:05 | 0:24:08 | |
Come on, you know the golden rule - | 0:24:08 | 0:24:12 | |
you never step in that close when I'm going through a routine. | 0:24:12 | 0:24:16 | |
You've never done it once, but today...? | 0:24:16 | 0:24:19 | |
Why today, Donna? | 0:24:19 | 0:24:20 | |
I thought the frame was coming loose. | 0:24:21 | 0:24:24 | |
You said to go again. | 0:24:24 | 0:24:25 | |
It's not my fault I've got all the gifts. | 0:24:28 | 0:24:30 | |
I didn't do anything... | 0:24:30 | 0:24:32 | |
Well, I don't have them any more. | 0:24:32 | 0:24:34 | |
You've got to be happy about that. | 0:24:34 | 0:24:37 | |
We can be the same now, you and me - | 0:24:37 | 0:24:39 | |
nobodies. | 0:24:39 | 0:24:40 | |
You're not my sister, | 0:24:42 | 0:24:44 | |
not any... | 0:24:44 | 0:24:45 | |
KACEY GULPS Kacey? | 0:24:47 | 0:24:50 | |
Kacey! Somebody, please! | 0:24:50 | 0:24:51 | |
Ah! Oh, no! | 0:24:51 | 0:24:54 | |
OK, can we get her on her side, | 0:24:57 | 0:24:59 | |
and can we get suction, please? | 0:24:59 | 0:25:01 | |
Are you OK? Let me have a look. | 0:25:01 | 0:25:03 | |
SUCTION HISSES | 0:25:03 | 0:25:05 | |
Donna, has your sister had a seizure before? | 0:25:05 | 0:25:08 | |
DONNA WHIMPERS | 0:25:08 | 0:25:09 | |
OK, it's very important that we know that. | 0:25:09 | 0:25:13 | |
All right. No, she hasn't. | 0:25:13 | 0:25:15 | |
OK, let's get her to Resus, please, as quick as we can. | 0:25:15 | 0:25:18 | |
That was very helpful, OK? | 0:25:21 | 0:25:23 | |
Your sister's lucky to have you. | 0:25:23 | 0:25:25 | |
DONNA WHIMPERS It's all right. It's OK. | 0:25:25 | 0:25:28 | |
One charger. | 0:25:28 | 0:25:30 | |
Why were you out there, sweetheart? | 0:25:30 | 0:25:33 | |
I was coming home. I was... | 0:25:33 | 0:25:35 | |
You've got to stay put for Mummy. | 0:25:35 | 0:25:36 | |
I went to your shop, where you work. | 0:25:36 | 0:25:38 | |
I don't work there now. I told you that. | 0:25:38 | 0:25:41 | |
I'm working in another shop. | 0:25:41 | 0:25:43 | |
I phoned you. | 0:25:43 | 0:25:44 | |
It was off. Shop rules. | 0:25:46 | 0:25:48 | |
Long shift, was it? | 0:25:48 | 0:25:49 | |
It was still off at 11 last night. | 0:25:49 | 0:25:52 | |
When can we get going? | 0:25:52 | 0:25:54 | |
I'm still a little worried about Teddy. | 0:25:54 | 0:25:56 | |
It was cold last night and all he had on was a thin jacket. | 0:25:56 | 0:25:59 | |
Have you got any more of these going free? | 0:25:59 | 0:26:02 | |
Erm... David, do you mind? | 0:26:02 | 0:26:05 | |
Are you serious? | 0:26:05 | 0:26:06 | |
Yeah. | 0:26:06 | 0:26:07 | |
Do you know what? I might go and grab one myself, actually. | 0:26:12 | 0:26:16 | |
I won't be a minute, love. | 0:26:16 | 0:26:17 | |
Two seconds, please. I promise you. | 0:26:17 | 0:26:20 | |
Teddy, I'll be right back, mate. | 0:26:24 | 0:26:26 | |
Dr Hardy! | 0:26:31 | 0:26:32 | |
Those notes - it was Miss Neeson, not Nelson. | 0:26:32 | 0:26:37 | |
That's why it took so long. | 0:26:37 | 0:26:39 | |
There you go. | 0:26:39 | 0:26:40 | |
Thank you. | 0:26:40 | 0:26:41 | |
Mrs Badir! | 0:26:41 | 0:26:43 | |
Dr Masum, you're meant to be in Resus. | 0:26:43 | 0:26:46 | |
Yeah, but this case came in. | 0:26:46 | 0:26:48 | |
You said you were ready? OK? | 0:26:48 | 0:26:51 | |
What am I meant to tell HR, hmm? | 0:26:52 | 0:26:54 | |
I'm sorry. Excuse me, Dr Hardy. | 0:26:54 | 0:26:56 | |
Unbelievable. | 0:26:57 | 0:26:58 | |
ETHAN SIGHS | 0:27:04 | 0:27:05 | |
Of course. | 0:27:08 | 0:27:10 | |
What is it? | 0:27:10 | 0:27:11 | |
No. That can't be right... | 0:27:13 | 0:27:15 | |
It's basic psychology, isn't it? | 0:27:15 | 0:27:17 | |
Can't do their own job properly, | 0:27:17 | 0:27:18 | |
so complain about everybody else doing theirs. | 0:27:18 | 0:27:21 | |
That doesn't necessarily mean... | 0:27:21 | 0:27:22 | |
That's exactly what it means. | 0:27:22 | 0:27:24 | |
Right... | 0:27:24 | 0:27:26 | |
Mrs Badir? | 0:27:29 | 0:27:30 | |
Nadia? | 0:27:32 | 0:27:33 | |
-Nadia, can you hear me? -Mum? | 0:27:33 | 0:27:35 | |
-Nadia... -Mum! Wake up! | 0:27:39 | 0:27:42 | |
-Nadia, can you hear me? -Mum, wake up! | 0:27:42 | 0:27:45 | |
Erm... | 0:27:46 | 0:27:49 | |
Can you do something for me? | 0:27:49 | 0:27:50 | |
Just...I haven't got my phone and one of us has got to go for help. | 0:27:50 | 0:27:53 | |
You just have to run in, | 0:27:53 | 0:27:55 | |
and grab someone that looks like they work here, OK? | 0:27:55 | 0:27:57 | |
I don't want to leave your mum. | 0:27:57 | 0:27:58 | |
Me neither. | 0:27:58 | 0:27:59 | |
Teddy, you see these? | 0:28:03 | 0:28:04 | |
Now, they're plastic or glass or something. | 0:28:04 | 0:28:07 | |
Now, I wear them because they make me feel | 0:28:07 | 0:28:09 | |
I could be something I'm not or at least try to be anyway. | 0:28:09 | 0:28:13 | |
I don't know if they're working, at least not for me, | 0:28:13 | 0:28:15 | |
but maybe if you wear them... | 0:28:15 | 0:28:16 | |
Yeah? Maybe if you wear them, they'll make you feel brave. | 0:28:16 | 0:28:20 | |
Look at that. | 0:28:20 | 0:28:22 | |
They're working already. Yeah? | 0:28:22 | 0:28:25 | |
Good. Go. Just go! | 0:28:25 | 0:28:26 | |
MACHINE CHIMES | 0:28:30 | 0:28:32 | |
How's that OP coming, Duffy? | 0:28:32 | 0:28:33 | |
Not an option, I'm afraid. Her jaw's locked. | 0:28:33 | 0:28:35 | |
OK, let's try her with an NP instead, then, please, | 0:28:35 | 0:28:37 | |
and can we have 4mg of lorazepam ready, just in case? | 0:28:37 | 0:28:40 | |
-It's not advancing. -Yeah, OK, just keep trying. -Yeah. | 0:28:43 | 0:28:46 | |
This is looking like status epilepticus. | 0:28:46 | 0:28:48 | |
Can we prepare a phenytoin infusion and get a filter ready? | 0:28:48 | 0:28:52 | |
Oh. | 0:28:52 | 0:28:53 | |
OK, forget that, let's get this bleeding under control, | 0:28:53 | 0:28:56 | |
and try the other nostril, please. | 0:28:56 | 0:28:58 | |
MACHINE HISSES | 0:28:58 | 0:29:00 | |
There we go. | 0:29:03 | 0:29:06 | |
Just keep that on for me, OK? | 0:29:06 | 0:29:08 | |
Has your sister ever had seizures before? | 0:29:10 | 0:29:13 | |
It's a bit odd just happening out of the blue. | 0:29:15 | 0:29:19 | |
-Well, I'll get you some painkillers sorted out now, OK? -Yeah. | 0:29:19 | 0:29:22 | |
Right, let's get that lorazepam in, | 0:29:26 | 0:29:27 | |
and can I have the phenytoin infusion | 0:29:27 | 0:29:29 | |
at 20mg per kilo, just in case? | 0:29:29 | 0:29:30 | |
Should we maybe think about getting a consultant in? | 0:29:30 | 0:29:33 | |
No, there's no time. | 0:29:33 | 0:29:34 | |
-Where's Kacey's bag? -Not now, please. | 0:29:34 | 0:29:36 | |
I think she might be taking something. | 0:29:36 | 0:29:38 | |
Donna... | 0:29:39 | 0:29:40 | |
MACHINE CHIMES | 0:29:40 | 0:29:42 | |
Could it be these? | 0:29:43 | 0:29:45 | |
KACEY SPLUTTERS | 0:29:45 | 0:29:47 | |
I don't know what they are. | 0:29:47 | 0:29:48 | |
They're steroids! | 0:29:48 | 0:29:49 | |
She's got extensive hyperpigmentation | 0:29:52 | 0:29:54 | |
in her flexor creases and she's severely tachycardic. | 0:29:54 | 0:29:57 | |
Can we start her on 150ml of 3% saline | 0:29:57 | 0:29:59 | |
and keep her airway clear, please, Duffy? | 0:29:59 | 0:30:01 | |
I'll order an endocrinology review, | 0:30:01 | 0:30:03 | |
and can we send off a random cortisol, please? | 0:30:03 | 0:30:05 | |
Will she be all right? | 0:30:05 | 0:30:06 | |
She will get there, but if we hadn't brought her in today... | 0:30:06 | 0:30:09 | |
What do you mean? | 0:30:09 | 0:30:11 | |
She could've had this fit somewhere else. | 0:30:11 | 0:30:13 | |
We might not have got to her in time. | 0:30:13 | 0:30:15 | |
There, she's stabilising. | 0:30:15 | 0:30:17 | |
ALICIA SIGHS | 0:30:17 | 0:30:20 | |
It's over, then. The dream of gold. | 0:30:21 | 0:30:24 | |
To be honest, the reaction to the steroids aside, | 0:30:24 | 0:30:26 | |
there's a good chance that by taking them she'd already | 0:30:26 | 0:30:29 | |
caused her bones to weaken. | 0:30:29 | 0:30:30 | |
She thinks it was my fault. | 0:30:30 | 0:30:32 | |
I mean, it's a bad fracture, | 0:30:33 | 0:30:35 | |
but unlikely that the landing alone would cause such a severe one. | 0:30:35 | 0:30:38 | |
She won't believe that. I'll still get it in the neck. | 0:30:38 | 0:30:42 | |
Do you want to come and sit with her? | 0:30:42 | 0:30:43 | |
What, the girl with all the gifts? No, thanks. | 0:30:43 | 0:30:47 | |
DOOR BANGS | 0:30:47 | 0:30:49 | |
Her radial pulse is extremely weak and her heart rate is over 200. | 0:30:49 | 0:30:51 | |
OK, let's get her into Resus and onto a cardiac monitor pronto. | 0:30:51 | 0:30:54 | |
-OK. -Come on, Rash. | 0:30:54 | 0:30:56 | |
Rash? | 0:31:00 | 0:31:01 | |
She's in safe hands, mate. The doctors will look after her. | 0:31:02 | 0:31:05 | |
But you're a doctor. | 0:31:07 | 0:31:08 | |
-I can take it from here. -Are you sure about that? | 0:31:24 | 0:31:27 | |
-I can do it, Jacob. -OK. | 0:31:27 | 0:31:29 | |
Can we draw up 2mg of midazolam and watch her airway? | 0:31:29 | 0:31:32 | |
OK, she's got a broad complex tachycardia | 0:31:32 | 0:31:34 | |
and is haemodynamically compromised. | 0:31:34 | 0:31:36 | |
That looks like polymorphic VT on the monitor, | 0:31:36 | 0:31:39 | |
and she was displaying signs of paraesthesia earlier, | 0:31:39 | 0:31:41 | |
so I'm confident this is hypokalaemia secondary to | 0:31:41 | 0:31:44 | |
an electrolyte deficiency resulting from malnutrition. | 0:31:44 | 0:31:46 | |
She needs cardioversion. | 0:31:46 | 0:31:47 | |
-I'm going to sync the defib and charge to 125. -All right. | 0:31:47 | 0:31:51 | |
OK. | 0:31:51 | 0:31:52 | |
-DEFIBRILLATOR HUMS -Oxygen away. Stand clear. | 0:31:52 | 0:31:56 | |
-Clear. -And shocking... | 0:31:56 | 0:31:58 | |
DEFIBRILLATOR THUMPS | 0:31:58 | 0:32:00 | |
-Try again? -Yeah. | 0:32:02 | 0:32:03 | |
I'm going to go to 150. | 0:32:03 | 0:32:05 | |
-Oxygen away. Stand clear. -DEFIBRILLATOR HUMS | 0:32:07 | 0:32:09 | |
Clear. | 0:32:09 | 0:32:10 | |
Shocking again... | 0:32:10 | 0:32:12 | |
DEFIBRILLATOR THUMPS | 0:32:12 | 0:32:14 | |
MACHINE CHIMES | 0:32:14 | 0:32:16 | |
Jacob, talk to me, please. | 0:32:17 | 0:32:19 | |
She's back in sinus rhythm. | 0:32:21 | 0:32:22 | |
OK, erm, good. | 0:32:26 | 0:32:28 | |
Can we get a 12-lead ECG, a U and E, an urgent magnesium | 0:32:28 | 0:32:32 | |
and a thyroid function, as quick as we can? | 0:32:32 | 0:32:34 | |
Let's give her a stat dose of IV magnesium, 2g. | 0:32:34 | 0:32:37 | |
She may need potassium but we'll see what her bloods look like. | 0:32:37 | 0:32:40 | |
On it. Nice work. | 0:32:40 | 0:32:42 | |
OK, her heart rate's normal, sats are steady, | 0:32:43 | 0:32:47 | |
and her corrected QT has normalised. | 0:32:47 | 0:32:49 | |
You animal, you've smashed it. | 0:32:49 | 0:32:52 | |
Hey, kid, listen, your mum's going to be OK, all right? | 0:32:52 | 0:32:55 | |
MACHINE BEEPS STEADILY | 0:32:55 | 0:32:57 | |
So this is what Resus feels like. | 0:32:58 | 0:33:01 | |
Is he wearing your glasses? | 0:33:01 | 0:33:02 | |
They're not mine. | 0:33:05 | 0:33:06 | |
You are a monster, Rash Masum! | 0:33:07 | 0:33:10 | |
HE CHUCKLES | 0:33:10 | 0:33:12 | |
All right... | 0:33:17 | 0:33:18 | |
Alicia, she's coming round. | 0:33:22 | 0:33:24 | |
Hi, Kacey. How are you feeling? | 0:33:30 | 0:33:32 | |
What happened? | 0:33:34 | 0:33:36 | |
I was talking to Donna and then... | 0:33:36 | 0:33:39 | |
You had a seizure, thanks to these. | 0:33:39 | 0:33:43 | |
Donna found them. | 0:33:43 | 0:33:45 | |
And just in the nick of time, as well. | 0:33:45 | 0:33:47 | |
It was that close? | 0:33:48 | 0:33:50 | |
I didn't have all the information. I was running out of ideas. | 0:33:50 | 0:33:53 | |
Where is the doofus, then? | 0:33:54 | 0:33:56 | |
What? Skulked off, has she? | 0:34:00 | 0:34:01 | |
She has, actually, yeah. | 0:34:01 | 0:34:03 | |
Not for real, though. | 0:34:05 | 0:34:07 | |
Well, we asked if she wanted to be here with you and... | 0:34:07 | 0:34:10 | |
She's teasing. | 0:34:12 | 0:34:13 | |
I was four when she first lifted me up onto the bars. | 0:34:15 | 0:34:19 | |
Been there for every training session, every competition... | 0:34:19 | 0:34:23 | |
She's not leaving me now. | 0:34:25 | 0:34:27 | |
Sounds like she's the best of all your gifts. | 0:34:27 | 0:34:30 | |
KNOCK AT DOOR | 0:34:36 | 0:34:38 | |
There you go. | 0:34:38 | 0:34:40 | |
Thank you. | 0:34:40 | 0:34:41 | |
Noel, could you get Dr Masum for me, please? | 0:34:41 | 0:34:45 | |
Yeah, sure, no problem. | 0:34:45 | 0:34:47 | |
And can you put a call in to Jac Naylor, ask her to come down here? | 0:34:47 | 0:34:51 | |
Erm... I'm actually not a secretary. | 0:34:51 | 0:34:53 | |
Two things - both take less than a minute each. | 0:34:54 | 0:34:57 | |
You do them, then. | 0:34:57 | 0:34:59 | |
This is very important, OK? | 0:34:59 | 0:35:01 | |
I know who the blogger is. | 0:35:02 | 0:35:03 | |
Oh... | 0:35:03 | 0:35:05 | |
You're the boss. | 0:35:06 | 0:35:08 | |
Thank you. | 0:35:08 | 0:35:09 | |
So, erm... Who is it, then? | 0:35:10 | 0:35:14 | |
Now, please. | 0:35:14 | 0:35:15 | |
Are you sure you don't want to go and see Kacey? | 0:35:31 | 0:35:33 | |
She knows what you did for her. | 0:35:33 | 0:35:35 | |
I saved her life with my chin, if you think about it. | 0:35:37 | 0:35:41 | |
Yeah, and how many people can say that? | 0:35:41 | 0:35:43 | |
The thing is, if it is over for her... | 0:35:43 | 0:35:47 | |
..it's over for me too. | 0:35:49 | 0:35:52 | |
And I need to maybe... | 0:35:52 | 0:35:53 | |
Start thinking about yourself? | 0:35:53 | 0:35:55 | |
It wouldn't do any harm to tell her that. | 0:35:57 | 0:36:00 | |
True, but then I can't really talk for six weeks, can I? | 0:36:00 | 0:36:06 | |
-No. -THEY LAUGH | 0:36:06 | 0:36:08 | |
Look after yourself. | 0:36:11 | 0:36:12 | |
Miss Naylor, please. | 0:36:17 | 0:36:18 | |
Yeah, well, when Miss Naylor has a moment, | 0:36:20 | 0:36:22 | |
Dr Hardy would like to see her. Thank you. | 0:36:22 | 0:36:25 | |
Twice in one shift - has he got the hots for her or something? | 0:36:25 | 0:36:29 | |
He knows who the blogger is. | 0:36:29 | 0:36:30 | |
And? | 0:36:32 | 0:36:33 | |
He also wants to see Dr Masum too. | 0:36:35 | 0:36:37 | |
Where are my bags? | 0:36:50 | 0:36:52 | |
Is this what you're looking for? | 0:36:56 | 0:36:59 | |
What I don't understand is why someone who goes on shopping sprees | 0:36:59 | 0:37:03 | |
would need to use a foodbank. | 0:37:03 | 0:37:04 | |
Pass my bag. | 0:37:06 | 0:37:07 | |
I carry this bag with me | 0:37:15 | 0:37:17 | |
because it makes me feel like I'm worth something. | 0:37:17 | 0:37:20 | |
NADIA SOBS | 0:37:30 | 0:37:31 | |
I got another job, minimum wage. | 0:37:31 | 0:37:35 | |
I'm working days as well as nights now, | 0:37:35 | 0:37:38 | |
but I still have to take hand-outs. | 0:37:38 | 0:37:41 | |
I take enough to feed Teddy and no more. | 0:37:41 | 0:37:44 | |
If he's all right, I'm all right. | 0:37:46 | 0:37:50 | |
But you're not all right, Nadia. | 0:37:50 | 0:37:53 | |
And if you're never at home, then how can you be there for Teddy? | 0:37:53 | 0:37:57 | |
And if I am, how do we survive? | 0:37:57 | 0:38:01 | |
How do we do that? | 0:38:01 | 0:38:03 | |
Because, you know, if you've got a better answer, then I'm all ears. | 0:38:03 | 0:38:07 | |
Sorry, Dr Masum. | 0:38:08 | 0:38:11 | |
Dr Hardy wants to see you. | 0:38:11 | 0:38:12 | |
Yeah, when I get a moment. | 0:38:12 | 0:38:14 | |
That moment's now. | 0:38:14 | 0:38:15 | |
You're not just going to stand there, are you? | 0:38:25 | 0:38:27 | |
Uh... Rash? Ethan doesn't need to see you now. | 0:38:29 | 0:38:32 | |
OK, thanks. | 0:38:34 | 0:38:36 | |
SHE KNOCKS ON DOOR | 0:38:48 | 0:38:50 | |
Hi. Have you got a minute? | 0:38:50 | 0:38:52 | |
I'm about to have a meeting, actually. | 0:38:52 | 0:38:54 | |
Yes, I am the meeting. | 0:38:54 | 0:38:57 | |
How do you mean? | 0:38:59 | 0:39:02 | |
You can't go after Rash. | 0:39:02 | 0:39:03 | |
How did you know it was him? | 0:39:06 | 0:39:08 | |
Noel's been playing detective. | 0:39:08 | 0:39:11 | |
HE CHUCKLES | 0:39:11 | 0:39:12 | |
Yeah, of course. | 0:39:12 | 0:39:14 | |
I finally worked it out from the cases he was writing about. | 0:39:14 | 0:39:18 | |
Clever. Wrong person, though. | 0:39:18 | 0:39:20 | |
Sorry? | 0:39:22 | 0:39:23 | |
You asked me to do some digging. | 0:39:25 | 0:39:27 | |
Which you refused, yeah. | 0:39:27 | 0:39:29 | |
Because I didn't need to. | 0:39:29 | 0:39:31 | |
I know who the blogger is, Ethan, | 0:39:34 | 0:39:38 | |
so, before you hang the wrong person, you need to know that | 0:39:38 | 0:39:43 | |
I was mentoring him on the cases that were blogged about. | 0:39:43 | 0:39:45 | |
DOOR OPENS | 0:39:48 | 0:39:50 | |
I usually spend my lunch break avoiding all human contact, | 0:39:51 | 0:39:54 | |
so this had better be good. | 0:39:54 | 0:39:55 | |
It's not good, if I'm honest. | 0:39:59 | 0:40:01 | |
But I've found the blogger. | 0:40:04 | 0:40:05 | |
Well, you hide that bruising bitterness well. | 0:40:09 | 0:40:12 | |
It's always the quiet ones who shout the loudest. | 0:40:12 | 0:40:14 | |
Wait, it's... | 0:40:14 | 0:40:16 | |
Dr Munroe, she... | 0:40:16 | 0:40:18 | |
She helped me work it out. | 0:40:19 | 0:40:22 | |
Well, give me the name, then. I left a cappuccino for this. | 0:40:22 | 0:40:26 | |
All I can say is the blog won't be back. | 0:40:26 | 0:40:29 | |
And you know this because...? | 0:40:29 | 0:40:30 | |
Because I gave them an ultimatum. | 0:40:30 | 0:40:32 | |
Either a meeting with Serena or the site comes down forever. | 0:40:33 | 0:40:39 | |
The name, Ethan. | 0:40:42 | 0:40:45 | |
Anonymity was part of the deal, I'm afraid, | 0:40:45 | 0:40:48 | |
and I don't think it looks good to hang one of our own. | 0:40:48 | 0:40:51 | |
Depends who it is. There are quite a few people I wouldn't mind... | 0:40:51 | 0:40:54 | |
Well, I'm sure, but it's done. | 0:40:54 | 0:40:57 | |
It's over. | 0:40:57 | 0:40:58 | |
How did you work it out? | 0:40:58 | 0:41:00 | |
Well, if I told you, you'd just work it out for yourself, so... | 0:41:01 | 0:41:04 | |
Hmm... I like your thinking. I'm almost impressed. | 0:41:06 | 0:41:10 | |
So I can tell Serena and the board that it's all gone away. | 0:41:10 | 0:41:13 | |
It definitely has. | 0:41:13 | 0:41:15 | |
I don't know what to say. | 0:41:26 | 0:41:28 | |
Why would you do that? | 0:41:30 | 0:41:31 | |
Get out! | 0:41:31 | 0:41:33 | |
SIREN WAILS | 0:41:43 | 0:41:45 | |
Here he is, the hero of the hour. | 0:41:48 | 0:41:51 | |
Got you a coffee. | 0:41:51 | 0:41:52 | |
Thank you. I've just got to get you a woman now and... | 0:41:52 | 0:41:56 | |
I don't need your help. | 0:41:56 | 0:41:57 | |
I've conquered Resus - I can conquer that. | 0:41:57 | 0:41:59 | |
Big talk, I like it. | 0:41:59 | 0:42:02 | |
Going on a picnic? | 0:42:02 | 0:42:03 | |
They're for Teddy and his mum. | 0:42:03 | 0:42:06 | |
That's not what we do, Rash. | 0:42:06 | 0:42:07 | |
-Yeah, well, it'll help. -Yeah, you did help. | 0:42:07 | 0:42:10 | |
Yeah, more needs to be done. | 0:42:10 | 0:42:12 | |
Well, that's the flipside, man. | 0:42:12 | 0:42:14 | |
OK, we make people better, but better for what? | 0:42:14 | 0:42:18 | |
Who knows? | 0:42:18 | 0:42:19 | |
Outside the ED is not our jurisdiction. | 0:42:19 | 0:42:22 | |
I don't know - I feel attached. | 0:42:22 | 0:42:24 | |
That was really intense and I finally did good. | 0:42:24 | 0:42:27 | |
Did you see the look on Teddy's face? | 0:42:27 | 0:42:28 | |
Well, all of that will make you a good doctor, but a screwed-up one. | 0:42:28 | 0:42:32 | |
Come on, there's only so much you can do, | 0:42:32 | 0:42:34 | |
because those Resus doors will open again and they'll keep on opening. | 0:42:34 | 0:42:39 | |
So what do I do with this lot? | 0:42:39 | 0:42:41 | |
That's up to you, Rash. | 0:42:41 | 0:42:43 | |
They'll be happy, but you'll be onto your next patient | 0:42:43 | 0:42:46 | |
before they've taken their first bite. | 0:42:46 | 0:42:49 | |
Can I get everyone's attention, please? | 0:43:08 | 0:43:11 | |
Thank you. | 0:43:14 | 0:43:15 | |
I would like all hands on deck just to try | 0:43:17 | 0:43:19 | |
and clear these corridors in the next hour or so, | 0:43:19 | 0:43:22 | |
but, as a way of thanking you, I'm looking at resuming | 0:43:22 | 0:43:25 | |
the standard locum policy, and hopefully all leave should be | 0:43:25 | 0:43:31 | |
approved as per the previous rota, starting next week. | 0:43:31 | 0:43:34 | |
What's brought all this on? | 0:43:35 | 0:43:37 | |
I am on your side, Robyn. | 0:43:38 | 0:43:40 | |
Always have been. | 0:43:43 | 0:43:44 | |
OK, thanks. | 0:43:48 | 0:43:49 | |
Heads up, readers. | 0:43:55 | 0:43:57 | |
This is the last you'll hear from me. | 0:43:57 | 0:44:00 | |
Don't all cry at once, | 0:44:00 | 0:44:03 | |
but I want to apologise for some of the stuff I've written. | 0:44:03 | 0:44:06 | |
It's not that I was wrong in trying to shed some light - | 0:44:06 | 0:44:09 | |
it's more that I hurt some of the people I was trying to help. | 0:44:09 | 0:44:12 | |
The ED is doing its best | 0:44:14 | 0:44:17 | |
and I mean its very best. | 0:44:17 | 0:44:20 | |
The struggle continues. | 0:44:20 | 0:44:21 | |
Over and out. | 0:44:23 | 0:44:25 | |
Ethan, thank you for not dobbing me in. | 0:44:28 | 0:44:32 | |
We need the staff. | 0:44:33 | 0:44:35 | |
What, and that's all? | 0:44:37 | 0:44:39 | |
That's what you were writing about, wasn't it? | 0:44:41 | 0:44:44 | |
Shortages and cutbacks. | 0:44:44 | 0:44:46 | |
I was listening. | 0:44:46 | 0:44:48 | |
I was doing it for all of us. | 0:44:48 | 0:44:50 | |
Somebody had to speak out. | 0:44:50 | 0:44:52 | |
You have no idea what a headache you've caused. | 0:44:52 | 0:44:56 | |
We are dying on our feet. They're crushing us, Ethan. | 0:44:56 | 0:44:59 | |
At least people know what we're going through now. | 0:44:59 | 0:45:01 | |
Do they? No, I... | 0:45:01 | 0:45:05 | |
I think tomorrow they'll just be reading about some pop star | 0:45:05 | 0:45:08 | |
or the best way to comb your eyelashes. | 0:45:08 | 0:45:10 | |
It wasn't meant to hurt you. | 0:45:12 | 0:45:13 | |
I looked you dead in the eye and I asked if it was you, | 0:45:13 | 0:45:16 | |
and I believed you. | 0:45:16 | 0:45:17 | |
I even asked for your help. | 0:45:17 | 0:45:19 | |
I know, and I'm sorry. | 0:45:19 | 0:45:20 | |
But you've done your little investigation, | 0:45:21 | 0:45:23 | |
-and it's over now, so... -That is not that point. | 0:45:23 | 0:45:26 | |
I... | 0:45:26 | 0:45:28 | |
It's like I didn't matter to you. | 0:45:34 | 0:45:35 | |
I was clearly struggling. | 0:45:40 | 0:45:41 | |
I was losing friends. | 0:45:43 | 0:45:44 | |
And you didn't care. | 0:45:46 | 0:45:48 | |
We weren't exactly bosom buddies when it started. | 0:45:49 | 0:45:53 | |
You even tried to make me feel bad for daring to think it was you. | 0:45:53 | 0:45:57 | |
That's cold, Alicia. | 0:45:59 | 0:46:00 | |
-It's mean. -Look, it wasn't easy to lie, but I had to. | 0:46:02 | 0:46:07 | |
We are having a nightmare in this ED, | 0:46:07 | 0:46:08 | |
and that is where my head was at...and my heart. | 0:46:08 | 0:46:15 | |
I've got to ask... | 0:46:19 | 0:46:20 | |
Was it because you still...like me? | 0:46:22 | 0:46:25 | |
Like you? | 0:46:27 | 0:46:28 | |
Yeah, you didn't dob me in - is that the reason? | 0:46:30 | 0:46:34 | |
Only I would like to talk about that. | 0:46:34 | 0:46:36 | |
Are you joking? | 0:46:44 | 0:46:45 | |
I couldn't like you less. | 0:46:48 | 0:46:50 | |
The only reason I didn't tell Jac Naylor it was you | 0:46:53 | 0:46:55 | |
is because I'm a decent person. But you're not. | 0:46:55 | 0:46:59 | |
You're not, Alicia. | 0:46:59 | 0:47:00 | |
You played Cal, you played me... | 0:47:01 | 0:47:04 | |
You're not good to be around. | 0:47:07 | 0:47:09 | |
-Ethan... -It's Dr Hardy and that is all I'll ever be to you. | 0:47:09 | 0:47:13 |