0:00:39 > 0:00:43I walk out of here now, it would be the biggest mistake you ever make.
0:00:43 > 0:00:46They are going to keep one senior Cardiothoracic surgeon.
0:00:46 > 0:00:49Keep your mouth shut and it will be your name on the door.
0:00:49 > 0:00:51We will take only elective patients.
0:00:51 > 0:00:54All other patients must be referred to St James's.
0:00:54 > 0:00:56- Don't laugh at me.- I pity you.
0:00:56 > 0:00:59- Sister Williams says you were fighting.- She's mistaken.
0:00:59 > 0:01:01- What happened then?- I tripped.
0:01:01 > 0:01:03I've got to apologise to Malick.
0:01:03 > 0:01:07I think we should leave him some space. Give him time to calm down.
0:01:13 > 0:01:15PHONE RINGS
0:01:21 > 0:01:25Cardiac Trauma. ..Right.
0:01:25 > 0:01:27Let's go.
0:01:27 > 0:01:29AMBULANCE SIREN BLARES
0:01:39 > 0:01:40CLOCK TICKS
0:01:41 > 0:01:43Cardiac arrest. Three minutes.
0:01:58 > 0:02:00- Where's Ms Naylor?- Morning.
0:02:00 > 0:02:01LIFT DOOR PINGS
0:02:02 > 0:02:07Cardiac arrest. No output for two minutes. Bag and compress.
0:02:13 > 0:02:15OK. Keep bagging.
0:02:18 > 0:02:20No output, check his rhythm.
0:02:20 > 0:02:22That's a shockable rhythm.
0:02:22 > 0:02:24Charging to 150. Clear.
0:02:24 > 0:02:27- Can you hear me in the back?- Clear.
0:02:29 > 0:02:33Patient stabilised. Right. Thank you, team.
0:02:33 > 0:02:35Any feedback? Ms Naylor? Happy?
0:02:35 > 0:02:39Can't feel nether regions, lights so bright!
0:02:39 > 0:02:42- Shut up, Michael.- Don't pretend you didn't try to grab the goods.
0:02:42 > 0:02:45I caught you. Don't worry, it's our little secret.
0:02:45 > 0:02:48- Thank you for the cabaret, Mr Spence.- Pleasure.
0:02:48 > 0:02:50Indeed. Well, the system's in place.
0:02:50 > 0:02:53Let's make it work for the real patients, please.
0:02:53 > 0:02:57I declare the Holby Cardiac Trauma Facility Trial open.
0:03:00 > 0:03:02Thank you, team. That was great.
0:03:02 > 0:03:04But it was just a taster.
0:03:04 > 0:03:07Things will get a lot more hectic, so we need to focus!
0:03:07 > 0:03:11Yes, all is well. Excuse me.
0:03:12 > 0:03:14Oh, erm, Ms Naylor, do you have a sec?
0:03:14 > 0:03:16Right, the phone's been installed.
0:03:16 > 0:03:20I've checked the line and our first patient, well, real patient
0:03:20 > 0:03:22should be arriving any minute soon.
0:03:22 > 0:03:26Oh, my gosh. No, it's cool, it's cool.
0:03:26 > 0:03:28- Are you nervous? - No, no. We're on it.
0:03:28 > 0:03:31Look, it's great to have you on board.
0:03:31 > 0:03:34- If we can make this work, it would just...- Yes, well, I am on board.
0:03:34 > 0:03:38And can you ask the guys to keep this gangway clear?
0:03:38 > 0:03:41It's just there was this monster triffid I had to move and it was...
0:03:41 > 0:03:43- Right.- Thank you. Right.
0:03:50 > 0:03:51Aw, what the hell?
0:04:04 > 0:04:07Have you seen my oriental lily?
0:04:07 > 0:04:09Oh, she's outlawed it. Gangway hazard.
0:04:09 > 0:04:11Is she the sheriff of my ward now?
0:04:11 > 0:04:15Why could she not have just asked Hanssen for a pony? Erm, your ward?
0:04:15 > 0:04:18Turn of phrase. Anyway, good luck to her.
0:04:18 > 0:04:24- Maybe Sahira's vanity project will be such a success she'll end up sharing your ward?- Steady on.
0:04:24 > 0:04:28Seriously though, just make sure she doesn't humiliate herself.
0:04:28 > 0:04:32I'm the Nominal Consultant on her Cardiac Trauma Facility, not her mother.
0:04:32 > 0:04:35Mmm... Hanssen has cancelled all of your electives today
0:04:35 > 0:04:39so you can man the Bat Phone. Have fun. And find my lily!
0:04:43 > 0:04:46I hope you don't mind your list being cancelled,
0:04:46 > 0:04:49- with it being our first day at Cardiac Trauma.- It's fine.
0:04:49 > 0:04:51PHONE RINGS
0:04:54 > 0:04:57- Cardiac Trauma. - Help! My guts are on fire.
0:04:57 > 0:05:01This line is to be kept clear at all times. Do you understand?
0:05:01 > 0:05:04- BEEPING - Flash call, HDU.
0:05:06 > 0:05:09Sahira, your poster has fallen again.
0:05:11 > 0:05:13Erm, allow me.
0:05:13 > 0:05:16- Thank you.- My pleasure.
0:05:20 > 0:05:25Obviously, once we get our rhythm going, you know...
0:05:26 > 0:05:28Honestly, it's fine.
0:05:28 > 0:05:3027, 28, 29, 30, bag.
0:05:30 > 0:05:32BEEPING
0:05:32 > 0:05:34Come on. We'll get there.
0:05:34 > 0:05:37One, two, three, four, five, six...
0:05:37 > 0:05:39Did I say I wanted paddles?
0:05:39 > 0:05:4211, 12, 13, 14,15,
0:05:42 > 0:05:43- 16, 17, 18... - BEEPING
0:05:45 > 0:05:47- Paddles.- We don't need them.
0:05:47 > 0:05:5126, 27, 28, 29, 30, bag.
0:05:51 > 0:05:52- Let's do it!- Malick?
0:05:55 > 0:06:00- One, two, three, four, five, six, seven, eight... - Mr Malick, you need to shock him.
0:06:00 > 0:06:03You think sending a charge through an old man is trivial?
0:06:03 > 0:06:06- You're the doctor.- Is 200 joules an aspirin to you?!
0:06:06 > 0:06:0926, 27, 28, 29, 30. Bag!
0:06:09 > 0:06:11OK, you're going to kill him.
0:06:11 > 0:06:17One, two, three, four, five, six, seven, eight, nine, ten, eleven...
0:06:17 > 0:06:18BLIP, BLIP...
0:06:18 > 0:06:21There it is! Now that's what I'm talking about!
0:06:25 > 0:06:27All right, let's get him to ITU.
0:06:31 > 0:06:33Thank you very much.
0:06:38 > 0:06:40Great, cheers.
0:06:47 > 0:06:49Mr Levy, the new F1.
0:06:49 > 0:06:51- Shirley Hoffman...- Hauffman.
0:06:51 > 0:06:55- Shirley. Doctor Levy. Welcome. - Pleasure. I've been following
0:06:55 > 0:07:00your department's transition into a surgical emergency ward. I saw a similar unit in Warsaw.
0:07:00 > 0:07:03- Really?- I spent my summer working on my dissertation
0:07:03 > 0:07:07into comparative EU emergency medical systems. Have you read the Hansang report?
0:07:07 > 0:07:10The Hansang...? No.
0:07:10 > 0:07:15There's some observations the report made, and some of my own, you may find interesting.
0:07:15 > 0:07:18Doctor Levy? I'm Lulu. Your new F1.
0:07:20 > 0:07:22Hello there.
0:07:22 > 0:07:26It's wonderful to meet you. Is there somewhere I can hang my pashmina?
0:07:26 > 0:07:30I was told there was only one vacancy and I've got that job.
0:07:30 > 0:07:33- Are you sure you're meant to be on AAU?- Yes, I am.
0:07:33 > 0:07:35I was definitely told to start here today.
0:07:35 > 0:07:38Mr Levy?
0:07:40 > 0:07:43- Can you check on Mrs Talbot for me, please?- Sure.
0:07:45 > 0:07:48- What time drinks? - 8 o'clock. Albi's.- Excellent.
0:07:53 > 0:07:55Yes, Mr Malick, what can I do for you?
0:07:57 > 0:08:02Time management. I need your nurses to co-ordinate radiology lists a lot quicker.
0:08:02 > 0:08:05If I can juggle six things at once, so can they.
0:08:06 > 0:08:09Thank you. I'll pass on your comments.
0:08:16 > 0:08:19You're kidding me(!) What the...?
0:08:19 > 0:08:22Is that...? Hey, why isn't my name on any theatre list today?
0:08:27 > 0:08:30- Working OK?- Perfect.
0:08:30 > 0:08:32Oh, good. My 82-year-old aortic aneurysm didn't die.
0:08:32 > 0:08:37Oh, meant to say, love your hair. Very Marianne Faithful.
0:08:37 > 0:08:41Nice shoes. Black ones...
0:08:41 > 0:08:44Hey, shall I grab a maxi pad and join in the girly fun?
0:08:45 > 0:08:50- Guess not.- I need to check the progress of my patient. Everything is under control, right?
0:08:50 > 0:08:52Mind your backs, coming through.
0:08:52 > 0:08:56BP 90 over 50. Pulse weak and thready. Stats 95.
0:08:56 > 0:08:59Let's get her to theatre, please.
0:08:59 > 0:09:02Morag Morgan. Impaled whilst out on a shout.
0:09:03 > 0:09:04Watch the palm.
0:09:06 > 0:09:08They didn't call.
0:09:08 > 0:09:13Mr Hanssen, I've completed ward rounds. I've completed a pneumothorax audit and...
0:09:13 > 0:09:16- And what?- Why don't I have any theatre ops today?
0:09:16 > 0:09:19I imagine it's because you were not scheduled to be in theatre.
0:09:19 > 0:09:22Is this because of that thing with Mr Hamilton?
0:09:22 > 0:09:24There was no evidence of wrongdoing.
0:09:24 > 0:09:27Keeping me out of theatre's your way of punishing me.
0:09:27 > 0:09:31Are you implying that in lieu of evidence I have taken it upon myself to punish you informally?
0:09:31 > 0:09:34- Feels like it.- Feels like it?
0:09:34 > 0:09:38The purpose of punishment is to inflict a clear detriment on the wrongdoer, is it not?
0:09:38 > 0:09:43Uncertainty over whether I am punishing you is a near perfect guarantee of your non-punishment.
0:09:43 > 0:09:46- You don't have anyone like me here. - A statistic I am satisfied with.
0:09:46 > 0:09:53I'm an exceptional surgeon. This... This is my life and you know it.
0:09:55 > 0:09:58Later I will perform a laparoscopic abdominal aortic aneurysm repair
0:09:58 > 0:10:03- using the Howard technique. - Using a 6mm Dacron graft. I've been studying the technique.
0:10:03 > 0:10:08Several eminent colleagues from the Aneurysm Research Foundation will be there.
0:10:08 > 0:10:12Professor Bhattacharya and Professor Rubens and I'd give my back teeth to observe.
0:10:12 > 0:10:16In which case I shall see you in theatre, 11.30.
0:10:16 > 0:10:20Make sure you finish your ward rounds first.
0:10:20 > 0:10:21Thank you.
0:10:26 > 0:10:30No output for four minutes. Defibrillate.
0:10:30 > 0:10:32I stemmed the bleed as best I could.
0:10:32 > 0:10:35There was a gas explosion on an industrial estate.
0:10:35 > 0:10:37Her paramedic number's 1317.
0:10:37 > 0:10:39Is there anything I can do?
0:10:39 > 0:10:42Charging to 150... Clear!
0:10:42 > 0:10:44No output. Charging to 150...
0:10:44 > 0:10:46Clear!
0:10:46 > 0:10:4765 over 10.
0:10:47 > 0:10:50She's my work colleague. We were on the shout together.
0:10:50 > 0:10:54- The roof collapsed...- No output. Why didn't you call ahead?
0:10:54 > 0:10:57- Is there a plan for systemic failures?- Charging to 150.
0:10:57 > 0:11:00- We had a back-up team. They cut her out.- Intubation on stand-by. Clear!
0:11:00 > 0:11:02A second para team cut her out?
0:11:02 > 0:11:05- I froze.- Let's concentrate on the job in hand.
0:11:05 > 0:11:07No output. Charging to 150.
0:11:10 > 0:11:12Brilliant. That's just brilliant(!)
0:11:13 > 0:11:17I was led to believe the job had already been offered to Shirley Hauffman.
0:11:17 > 0:11:19It had. Circumstances have changed.
0:11:19 > 0:11:23- So, Shirley doesn't have the job? - No, but she made it to the final round of selection.
0:11:23 > 0:11:25But they had offered her the job.
0:11:25 > 0:11:27But circumstances have...?
0:11:27 > 0:11:29- Changed.- Quite.
0:11:29 > 0:11:34Now it's your responsibility to select one of the two candidates to replace Dr Valentine.
0:11:34 > 0:11:36- My responsibility?- Mm-hm.
0:11:36 > 0:11:38- What do I do?- Select one.
0:11:38 > 0:11:40- Can I pick Shirley?- You may.
0:11:41 > 0:11:45For my second wish, a bowl of chocca-wocca fudgey ice-cream...
0:11:45 > 0:11:50Between you and me, Lucinda is Sir Fraser Anderson's daughter.
0:11:51 > 0:11:53I was never a fan of the old boys' club.
0:11:53 > 0:11:58Shirley had already won that job fair and square, hadn't she?
0:11:58 > 0:12:00But connections trump talent, it seems.
0:12:00 > 0:12:06It is entirely within your power to offer the job to Ms Hauffman rather than Sir Fraser's daughter.
0:12:06 > 0:12:08Sorry, you mean Lulu?
0:12:08 > 0:12:11Yes, Lulu.
0:12:13 > 0:12:17I shall oversee a trial and my decision will be based on merit alone.
0:12:17 > 0:12:20As is your want.
0:12:28 > 0:12:30Case reports. File.
0:12:30 > 0:12:33As quick as you can please. I need to be in theatre.
0:12:34 > 0:12:37Yep, they're mine. Thank you.
0:12:37 > 0:12:40Hey, three a day at regular intervals.
0:12:40 > 0:12:42Any problems contact your GP.
0:12:42 > 0:12:44You're free to go.
0:12:47 > 0:12:50Four down. William Franks.
0:12:50 > 0:12:54Mr Malick. Laceration to the upper arm.
0:12:56 > 0:12:59Ooh, sterile procedure required.
0:12:59 > 0:13:0320 minutes in the treatment room with me and you'll be free to go.
0:13:03 > 0:13:07- Any questions?- May I have a leaf of nice paper, please?
0:13:09 > 0:13:12A leaf of nice paper for Mr Franks. Is the treatment room free?
0:13:12 > 0:13:16- It's occupied.- Let me know when. My laceration patient's next. - We have a rota.
0:13:16 > 0:13:20Look, I hit your boyfriend. You don't like me. I'm gutted.
0:13:20 > 0:13:23- But we've got to work together. - You hit my boyfriend.
0:13:23 > 0:13:26But apparently he was acting like an idiot and deserved it.
0:13:26 > 0:13:30I'm not happy about the situation but I can move on if you can.
0:13:32 > 0:13:35No output. Can someone chase up the patient's notes?
0:13:35 > 0:13:37Again, charging at 150. Clear.
0:13:40 > 0:13:43- Come on, come on!- No output. Again.
0:13:43 > 0:13:45They didn't call ahead. I don't have notes... Clear.
0:13:45 > 0:13:50- Emergency medicine. You can't rely on notes.- I can't work miracles if I don't have prep time.
0:13:50 > 0:13:53You asked for this facility. Deal with it.
0:13:54 > 0:13:56Have the surgical scars checked by your GP in a week
0:13:56 > 0:14:01or before if they're causing you discomfort. Nurse. Mrs Dubek for reception.
0:14:03 > 0:14:06Take care, Mrs Dubek.
0:14:11 > 0:14:13Right, let's get your arm sorted.
0:14:13 > 0:14:17- I don't like this bed.- You're going to another room for stitches anyway.
0:14:17 > 0:14:20Then I'll be sent back here. The ventilation's poor.
0:14:20 > 0:14:22It's affecting my polyposis.
0:14:24 > 0:14:27I want that bed there.
0:14:27 > 0:14:32Just there? Look, you're the last patient on my list.
0:14:32 > 0:14:35Why don't you think of it as an adventure?
0:14:35 > 0:14:37My polyposis. I can hardly breathe.
0:14:37 > 0:14:43The nurses, they keep coughing loudly into my ear.
0:14:43 > 0:14:48I'll think about getting you a new recovery bed, once you've had your laceration stitched.
0:14:48 > 0:14:51I'm not going anywhere until I can breathe properly!
0:14:51 > 0:14:54- Nurse, is the treatment room free? - Yes, it is.
0:15:00 > 0:15:02Charging to 100... Clear.
0:15:02 > 0:15:05- 150.- Sorry 150. Clear.
0:15:05 > 0:15:08No output and can you tie your hair back!
0:15:08 > 0:15:11We're in resus with a patient, not backstage with the Quo.
0:15:11 > 0:15:14OK. Again at 150. Clear.
0:15:15 > 0:15:18No output. My first patient is not going to die. No way.
0:15:18 > 0:15:20Well?
0:15:22 > 0:15:24200.
0:15:24 > 0:15:27Charging to 200 - clear.
0:15:28 > 0:15:31BEEPING
0:15:31 > 0:15:32We've got a rhythm.
0:15:32 > 0:15:35Well done. Now what are we going to do about that?
0:15:37 > 0:15:39Oh, are you OK? Are you feeling better?
0:15:39 > 0:15:42No, Sahira, not that. That.
0:15:47 > 0:15:51Dr X Factor! Think you're Louis Walsh now?
0:15:51 > 0:15:54We test them. The most deserving gets the job.
0:15:54 > 0:15:58- Coffee shop runs all day? Brilliant. - I need you to be my independent witness.
0:15:58 > 0:16:01- I may have to prove my findings. - You're taking this too seriously.
0:16:01 > 0:16:06Too many doctors get their jobs through the back door. Not today.
0:16:06 > 0:16:08Yeah, nurses too. The things I had to do to Hanssen.
0:16:10 > 0:16:14Oh, come on. What's bothered you?
0:16:14 > 0:16:18It's Lulu. She's Sir Fraser's daughter.
0:16:18 > 0:16:20And this job is Shirley's.
0:16:20 > 0:16:25Wow, what happened, Sacha? Did all the thick, posh boys copy your homework at med school?
0:16:25 > 0:16:30Why do we need a trial? I was given the post by the Dean.
0:16:30 > 0:16:32Once again, I'm sorry about the mix up.
0:16:32 > 0:16:38But look, just do your best and everything will be OK. OK?
0:16:43 > 0:16:46LAUGHTER >
0:16:51 > 0:16:52How much longer will you be?!
0:16:52 > 0:16:55I'm in the middle of a ruptured Achilles tendon.
0:16:55 > 0:16:57Sore foot? That sounds really complex(!)
0:16:57 > 0:16:59Sorry, I'm with a patient. I have to get back to him.
0:16:59 > 0:17:01I'll let you know when I'm finished.
0:17:12 > 0:17:14Is sir enjoying his new bed?
0:17:16 > 0:17:18- What is this? - We'll do the sutures here.
0:17:18 > 0:17:22If you'd like to take your arm out of your gown so I can get better access to the cut.
0:17:22 > 0:17:24What?! What a suggestion!
0:17:24 > 0:17:28- Give me a break. I can't fix your arm unless I can get access it. - Impudent.
0:17:28 > 0:17:33- I forbid. No.- OK. OK. We won't do the sutures on the ward.
0:17:35 > 0:17:39There may be damage to the aorta. We can proceed with removing the pole
0:17:39 > 0:17:43or do a portable chest X-ray to determine the exact position.
0:17:43 > 0:17:47- This is your trial. I'll support whatever decision you make.- Right.
0:17:47 > 0:17:50- She is losing a lot of blood.- Yes, I do know that. Give me a second.
0:17:50 > 0:17:55If this is a decision you feel uncomfortable making, I can always take over from here.
0:17:55 > 0:17:56It's up to you.
0:17:58 > 0:18:01BEEPING
0:18:02 > 0:18:04First thing's first, let's deal with this.
0:18:07 > 0:18:12- Right. My colleague Nurse McKee will be an impartial observer. - Is drinking allowed on the ward?
0:18:14 > 0:18:16No points for nit-picking, I'm afraid.
0:18:16 > 0:18:20Right, ward rounds. Just think of today as a practical interview.
0:18:20 > 0:18:23- The Deanery have never needed to interview students before.- How odd.
0:18:23 > 0:18:25I wonder what the mix-up was?
0:18:25 > 0:18:28- I wonder too.- Yeah, I wonder too. - You bet I wonder more.
0:18:28 > 0:18:30Can we concentrate, please?
0:18:32 > 0:18:34Right, patient number one.
0:18:39 > 0:18:42You know, princess is going to start thinking you fancy her
0:18:42 > 0:18:43if you keep being mean.
0:18:43 > 0:18:45And what will Sir Fraser say about that -
0:18:45 > 0:18:49his beloved daughter discriminated against by a sex-mad predator?
0:18:49 > 0:18:52- I just want a fair contest. - Be mean to both of them then.
0:18:52 > 0:18:56I'm not being mean. I just have a natural rapport with Shirley.
0:18:56 > 0:19:00Don't lie. Her own reflection doesn't have rapport with her.
0:19:03 > 0:19:05Hypotensive. 90/70 and falling.
0:19:05 > 0:19:07- Hypovolemia?- 90/60.
0:19:07 > 0:19:09Are there signs of internal bleeding?
0:19:09 > 0:19:11No evidence.
0:19:11 > 0:19:1380/60. Still falling.
0:19:13 > 0:19:17Right, so the ECG rules out heart failure, atrial fibrillation.
0:19:17 > 0:19:21- She's convulsing. - Oh, come on. Think, think!
0:19:21 > 0:19:23Your call, Sahira.
0:19:25 > 0:19:30- I fainted in resus?- Sure did, and the charming Ms Naylor kicked you out of theatre.
0:19:30 > 0:19:34- I need to get back out on the shout. - No, no you're not allowed to work with an injury.
0:19:34 > 0:19:36You feeling a little dizzy?
0:19:36 > 0:19:40All right, here, why don't you have some of your packed lunch?
0:19:40 > 0:19:45How does someone who's afraid of blood become a paramedic anyway?
0:19:45 > 0:19:48You're needed. Come with me.
0:19:48 > 0:19:50What's that, a letter of complaint?
0:19:50 > 0:19:54- Don't!- All right, all right.
0:19:54 > 0:19:58I can smell oatmeal. Everywhere I turn. It's hurting the polyposis in my nose.
0:19:58 > 0:20:02- OK, calm down, yeah?- You calm down. Hopping around me.
0:20:02 > 0:20:05Right, we're on, I'm going to get you a wheelchair.
0:20:05 > 0:20:07- I'm not going.- What do you mean?!
0:20:07 > 0:20:12- I said my neck's really sore. Listen.- You listen to me. I've really got to get...
0:20:12 > 0:20:17My name's William. W-I-L-L-I-A-M. William P Franks.
0:20:17 > 0:20:21William P Franks, I've really got to get you treated quickly. OK?
0:20:24 > 0:20:29I'll go to the treatment room if you pass my letter on...
0:20:29 > 0:20:32to that lady.
0:20:32 > 0:20:36OK. May I?
0:20:40 > 0:20:44- Is it a good letter?- Yeah.
0:20:44 > 0:20:47It's brilliant.
0:20:59 > 0:21:00Amy?
0:21:03 > 0:21:10- Are you comfortable?- I'm fine. - Any problems, give me a shout, yeah?
0:21:12 > 0:21:14Cheers.
0:21:24 > 0:21:27Hey, I need psych to take a look at Mr Franks.
0:21:27 > 0:21:31No excuses and I need them here before my 11.30 theatre.
0:21:31 > 0:21:33Please, Chrissie.
0:21:33 > 0:21:38OK, as long as I can use the treatment room next.
0:21:48 > 0:21:51- What meds did you prescribe at the scene?- Adrenalin?
0:21:51 > 0:21:54The paramedics will get back about the pick-up.
0:21:54 > 0:21:55They're up to their eyes.
0:21:55 > 0:22:00How much Adrenalin? Were there other drugs? Warfarin? Morphine? Anything else?
0:22:00 > 0:22:01I don't think so?
0:22:01 > 0:22:04Well, think harder! Does she have any allergies?
0:22:04 > 0:22:06I don't know. I'm trying!
0:22:06 > 0:22:09The other team took over. I don't know their names.
0:22:09 > 0:22:11Can I sit down, please?
0:22:11 > 0:22:15Oh, here we go. Someone get her a chair. How on earth did you make it through basic training?
0:22:15 > 0:22:18Try the paras again.
0:22:20 > 0:22:23Hypoglycaemic?
0:22:23 > 0:22:25Let's do a blood sugar test.
0:22:25 > 0:22:27Best piece of advice I ever got?
0:22:27 > 0:22:30Look after the nurses and the nurses will look after you.
0:22:30 > 0:22:35- Right.- Because the thing is, if the nurses think you're not respecting them, they can make life difficult.
0:22:35 > 0:22:37Do you understand?
0:22:37 > 0:22:41- OK.- It's all about teamwork, being friendly.
0:22:46 > 0:22:50- Test confirms.- 50% glucose IV. - I'm on it.
0:23:00 > 0:23:01Patient stabilised.
0:23:03 > 0:23:07- I need to get back to the shout. - Look, you've signed off.
0:23:07 > 0:23:12Stay here. Right now, you're the only one who has a clue about the patient. You're more use here.
0:23:12 > 0:23:16There's still the matter of the pole sticking out of her chest.
0:23:16 > 0:23:18- I know.- OK, so do we wait for the chest X-ray or surgery?
0:23:18 > 0:23:22- Your team need an answer.- Why are you being like this?- Like what?
0:23:22 > 0:23:27- You're the consultant. You're meant to advise me.- I was under the impression this is your project.
0:23:28 > 0:23:36I want a chest X-ray. We need to establish any potential damage to the aorta before any surgery.
0:23:37 > 0:23:40- MAN:- Mind your backs, mind your backs.
0:23:40 > 0:23:43Priority. We need some help here!
0:23:47 > 0:23:49Any ideas?
0:23:49 > 0:23:52- Liver abnormality. Possibly a tumour. - Correct.
0:23:52 > 0:23:54Are we just shouting out then?
0:23:54 > 0:23:56Maybe they should take turns.
0:23:56 > 0:23:59Is that how real medicine works? Everyone waiting their turn.
0:23:59 > 0:24:02- Yes. I believe it is. - That's enough, thank you. - What have I said?
0:24:02 > 0:24:04Give it the big, sad eyes, Princess.
0:24:04 > 0:24:07- Let's not get personal, girls.- Girl?
0:24:07 > 0:24:13- Interview or not, I'm a doctor and you'll address me as such, thanks. - I'm trying to help you out here.
0:24:15 > 0:24:19- I didn't mean...- Excuse me.
0:24:19 > 0:24:21Lulu.
0:24:22 > 0:24:26My love, queen of all my heart...
0:24:30 > 0:24:32Come through to X-ray, please.
0:24:32 > 0:24:34Yes!
0:24:39 > 0:24:41OK, chop, chop. Deal's a deal.
0:24:41 > 0:24:46Come on, time waits for no man.
0:24:48 > 0:24:51- Ah, ah, I don't think so! - Beat them, Mr Malick.
0:24:51 > 0:24:53Swift like the wind. Beep-beep!
0:24:53 > 0:24:58Woohoo! He-hey! You loved it too.
0:24:58 > 0:25:03- Admit.- "Hair soft, unrepugnant in every way?"
0:25:03 > 0:25:04What is this?
0:25:04 > 0:25:05That's private.
0:25:08 > 0:25:09William!
0:25:09 > 0:25:12I want St James's co-ordinator on the phone.
0:25:12 > 0:25:15- We don't have the capacity. - Can I help?
0:25:15 > 0:25:18You should have been prepared for a glitch.
0:25:18 > 0:25:21Stay with the pole patient. Don't touch the pole. Don't let her bleed out.
0:25:21 > 0:25:24You're going to have to do something, Sahira.
0:25:24 > 0:25:26Do you want this trial to succeed?
0:25:26 > 0:25:29One in five nurses have been cut and Hanssen has handed you a 50 grand project
0:25:29 > 0:25:34after you insisted you could lead it. So lead it, or go!
0:25:34 > 0:25:40Right, the pole patient takes precedence. Jac, yours too.
0:25:40 > 0:25:42Porters, please, Darwin.
0:25:42 > 0:25:45- Alex.- Ms Naylor?
0:25:45 > 0:25:48- I'm on it. - Yeah, what's the problem please?
0:25:48 > 0:25:50BEEPING
0:25:50 > 0:25:53Tension pneumothorax. His lung's collapsed.
0:25:53 > 0:25:56- You'll have to aspirate the right. - Yes, I am aware!
0:25:56 > 0:25:59Someone get me a doctor. Any doctor. I don't care.
0:25:59 > 0:26:04- Would you like me to help?- No, stay there!- B/P is through the floor.
0:26:04 > 0:26:07- Go on then.- Shall I suture? - Keep your finger on the bleed!
0:26:07 > 0:26:11I shouldn't have left a private letter lying around.
0:26:11 > 0:26:12It's OK.
0:26:14 > 0:26:17You don't have to like me. We don't have to speak.
0:26:17 > 0:26:19But you do need your arm seen to.
0:26:19 > 0:26:20It's OK.
0:26:33 > 0:26:34Mr Hanssen...
0:26:34 > 0:26:39Mr Malick, our theatre date has been brought forward, eleven o'clock.
0:26:39 > 0:26:45- Problem?- No. I'm just about to take my final patient, Mr Franks, into suturing now.
0:26:45 > 0:26:47They had a bit of a backlog in the treatment room.
0:26:47 > 0:26:51Yes. Tell me, how do you intend suturing an imaginary patient?
0:26:59 > 0:27:04- 28fg tube...- I'll be two seconds, Jools.- OK, feeding in the tube.
0:27:04 > 0:27:06- Mine's bleeding out. I can't stop it!- Patch it. Hurry!
0:27:06 > 0:27:08No air's draining...
0:27:08 > 0:27:10Applying the TachoSil patch.
0:27:10 > 0:27:13Cardiac output is going down...
0:27:13 > 0:27:17Passing the patch over my finger and over the rupture zone...
0:27:17 > 0:27:20Gases are better. Saturation's going up, pressures going up - 80/40.
0:27:20 > 0:27:24- It won't hold! - What's the matter with you?
0:27:24 > 0:27:27- Pulse...- You're not fit to treat - just sit down.
0:27:27 > 0:27:30Nancy, I ordered those chest X-rays five minutes ago.
0:27:30 > 0:27:33Why aren't they in front of me?
0:27:33 > 0:27:35Where are we going to put them now?
0:27:44 > 0:27:46OK, thank you, Mrs Buchey. See you in a week.
0:27:46 > 0:27:48- Thanks, bye-bye.- Bye-bye.
0:27:48 > 0:27:52Blood, blood, more blood. Let's get this cleaned. It's not a good look.
0:27:52 > 0:27:54Whoa! Take your monsters back to the lab!
0:27:54 > 0:27:57They're cardiac patients. They need to go somewhere.
0:27:57 > 0:27:58- The ward is full, right?- Yeah.
0:27:58 > 0:28:03- HDU isn't.- That is not part of your trials territory. - It's not plastic's either!
0:28:03 > 0:28:08- Squeeze two patients in there? - Shall I chuck the other in a skip?! - I have plastics patients arriving.
0:28:08 > 0:28:12No-one wants a five grand boob job in the middle of a CSI scene!
0:28:12 > 0:28:16Has anyone got anything useful to say today? Anyone?
0:28:16 > 0:28:19No?! My patients are going into HDU.
0:28:22 > 0:28:24Power hasn't gone to her head at all.
0:28:26 > 0:28:30That is quite a mini me you've created, Naylor.
0:28:30 > 0:28:32Let the GP have her fun.
0:28:32 > 0:28:35I hear she just stabilised three lives - simultaneously.
0:28:52 > 0:28:53One second.
0:29:00 > 0:29:04You're...you're un-repugnant.
0:29:11 > 0:29:13Thanks, team.
0:29:13 > 0:29:15Not even lunchtime yet.
0:29:15 > 0:29:20- Still a long way to go.- Yep. As soon as we get the X-ray we'll operate.
0:29:20 > 0:29:22Nancy, where is it?
0:29:22 > 0:29:24Agh!
0:29:24 > 0:29:26Agh!
0:29:26 > 0:29:28Hold her down.
0:29:32 > 0:29:34I'm due in theatre in 30 minutes - do you know that?
0:29:34 > 0:29:38Bully for you. I declare you're not my doctor any more.
0:29:40 > 0:29:43- What, you're sacking me? - I'm discharging myself early.
0:29:43 > 0:29:45I'm sure it's not a rarity.
0:29:45 > 0:29:50It's clear from the body language of your colleagues that you're detested.
0:29:50 > 0:29:52Early discharge? Fine by me.
0:29:54 > 0:29:55HE SOBS
0:30:05 > 0:30:09- I'm sorry - what can I do? - She's losing too much blood, we need to operate.
0:30:09 > 0:30:11- Just go!- No, I'm staying with her.
0:30:13 > 0:30:16Sahira - it's grazed her aorta.
0:30:19 > 0:30:23Morag, listen to me. You have to stop moving.
0:30:23 > 0:30:26If you do not stop moving, that pole will rupture your aorta
0:30:26 > 0:30:31and you'll die within minutes. It's this close.
0:30:31 > 0:30:33- Don't move.- Oh, no. - Let's get her anaesthetized.
0:30:33 > 0:30:35Stop.
0:30:35 > 0:30:40I don't consent. I don't want you to operate.
0:30:42 > 0:30:45Your arm must be really hurting.
0:30:45 > 0:30:47Let me fix it.
0:30:50 > 0:30:52OK, how about I get another doctor to treat you?
0:30:52 > 0:30:54- I'll page a colleague?- No!
0:30:57 > 0:31:00What's your problem? Move.
0:31:02 > 0:31:04What is it, mate?
0:31:04 > 0:31:07I won't tell anyone, I promise.
0:31:07 > 0:31:09You mustn't tell the lady.
0:31:11 > 0:31:15- I...I don't enjoy heights. - OK, lift...- No, no!
0:31:15 > 0:31:17No! I despise lifts, despise lifts!
0:31:17 > 0:31:19What a suggestion, doctor!
0:31:19 > 0:31:25- What an impudent suggestion!- All right, no lifts, it's cool, pal... I'm sorry, William.
0:31:25 > 0:31:28William P Franks?
0:31:28 > 0:31:30It's cool.
0:31:31 > 0:31:35I don't mind if you call me pal. I may well die up here.
0:31:35 > 0:31:39I wouldn't mind a facade in these
0:31:39 > 0:31:41deathly circumstances.
0:31:41 > 0:31:43No facade.
0:31:43 > 0:31:44I'm your pal, OK?
0:31:44 > 0:31:48And I'm going to get you down these stairs.
0:31:50 > 0:31:52Come on.
0:31:58 > 0:32:00Doctor - the juices in my ears will spin.
0:32:00 > 0:32:04Cover your ears - and close your eyes. You can trust me.
0:32:04 > 0:32:08It's all right. Just a few steps.
0:32:08 > 0:32:12A vertigo sufferer who doesn't like lifts?
0:32:12 > 0:32:13What are you like?
0:32:19 > 0:32:21Well done, that was... that was great.
0:32:24 > 0:32:26Look, I know what that must have sounded like.
0:32:26 > 0:32:30Sounded like you admitting you were trying to help my competitor get the job.
0:32:30 > 0:32:34Yes, I can see how that could be the interpretation.
0:32:34 > 0:32:37I take it you know who my father is?
0:32:37 > 0:32:42I have three young children. Please don't end my career.
0:32:42 > 0:32:45You're not the first person to think I need a handicap.
0:32:45 > 0:32:51I've survived six years at medical school. No-one sat idly by as I killed patients or anything.
0:32:51 > 0:32:59- And, er, just to quote back to you - we are being graded purely on the results of practical tests...- Yes.
0:32:59 > 0:33:03And on the results alone - HR have been made aware?
0:33:03 > 0:33:06- Yes.- I'll need a copy of all test results, thank you.
0:33:06 > 0:33:08OK.
0:33:09 > 0:33:14Right, OK, test study.
0:33:14 > 0:33:17Buzz in when you know the answer.
0:33:17 > 0:33:2040-year-old woman, waves of excruciating pain beginning in
0:33:20 > 0:33:23the flank and radiating inferiorly and anteriorly. Nausea...
0:33:23 > 0:33:24BOTH: Renal colic!
0:33:24 > 0:33:26Any differentials?
0:33:26 > 0:33:30BOTH: UTI, pelvic inflammatory disease, appendicitis.
0:33:32 > 0:33:36You still have a chance if we operate now. Surgery is your only hope!
0:33:36 > 0:33:41I'll bleed out the second you touch it.
0:33:41 > 0:33:44I just want to see my kids one last time.
0:33:44 > 0:33:49For what it's worth, I would have operated immediately.
0:33:49 > 0:33:52You can't wait. She can't, can she?
0:33:52 > 0:33:55It's arguable the patient's not fit to consent.
0:33:55 > 0:33:58Well, she's not. Look at her.
0:33:58 > 0:34:01Just 20 minutes to see my girls.
0:34:08 > 0:34:12I need you to concentrate on maintaining her blood pressure, not questioning my judgment.
0:34:15 > 0:34:16We'll wait.
0:34:24 > 0:34:27The notoriously overworked NHS nurse?
0:34:27 > 0:34:28I'm standing guard, don't ask.
0:34:32 > 0:34:36Are you sure she can be trusted not to peek?
0:34:36 > 0:34:39- You've my word. She's a lady. - I don't wish the list of ladies
0:34:39 > 0:34:42who have seen my hidden flesh to rival Byron.
0:34:42 > 0:34:47I promise you I won't let any ladies here catch a glimpse.
0:34:47 > 0:34:53William, I can announce that you are in a state of absolute discharge.
0:34:53 > 0:34:55They're so neat. Thank you.
0:34:55 > 0:34:58It's my pleasure.
0:34:58 > 0:35:00Can I tell you a secret?
0:35:02 > 0:35:06- I haven't had lots of girlfriends. - Neither have I.- A despicable lie!
0:35:06 > 0:35:08It's the truth. Take it or leave it.
0:35:08 > 0:35:10I wouldn't lie to you.
0:35:14 > 0:35:16My polyposis - it kills!
0:35:16 > 0:35:20William - have you tried just talking to women?
0:35:20 > 0:35:23You don't need to write letters.
0:35:26 > 0:35:32Look, I'm sorry to have to ask, but how did you injure yourself, William?
0:35:32 > 0:35:34- I fell.- Fell?
0:35:34 > 0:35:36You sure?
0:35:43 > 0:35:46- Hey, where's psyche?- They're busy.
0:35:48 > 0:35:49Hanssen's assembling theatre.
0:35:53 > 0:35:54Right.
0:35:54 > 0:35:57Is there somewhere I can get spruced up?
0:35:57 > 0:36:01OK. Can you discharge Mr Franks for me, please?
0:36:07 > 0:36:09- Where are my girls?- Nearly here.
0:36:09 > 0:36:12I don't know how much longer we can delay the operation.
0:36:12 > 0:36:16- We're going to have to proceed very soon or not at all. - We need to proceed now.
0:36:16 > 0:36:17Five minutes.
0:36:19 > 0:36:21Right, team, five minutes.
0:36:21 > 0:36:24No, no, no.
0:36:24 > 0:36:28B/P's dropping. 75/38. More units, please, Sahira, we need to move.
0:36:28 > 0:36:31- She is losing blood faster than we can get it in.- Five minutes.
0:36:31 > 0:36:35- Don't just stand there, do your job and operate!- Do my job?
0:36:35 > 0:36:40If you had done your job at the scene, she wouldn't be in this state.
0:36:40 > 0:36:41Get out of my theatre. Go!
0:36:50 > 0:36:53- Right, I'm overruling the patient. Intubate her.- It's too late.
0:36:53 > 0:36:57We are doing this operation now! Let's get her flat.
0:36:57 > 0:36:58It's too late, Sahira!
0:36:58 > 0:37:02You waited and now the patient's cardiac function has failed.
0:37:02 > 0:37:06She's got virtually no output and without the B/P under anaesthetic,
0:37:06 > 0:37:07she's not getting it back.
0:37:07 > 0:37:11You should have operated when you had the chance.
0:37:44 > 0:37:47I said keep still. Nurse, nurse!
0:37:47 > 0:37:48Stay there...
0:37:50 > 0:37:55Right, that's one crying nurse and Mr Lawson has demanded that that bulldog doesn't speak to him again.
0:37:55 > 0:38:00- Right.- It's a shame that Doctor X-Factor doesn't take into account horrendous personalities.
0:38:00 > 0:38:04I've complied a full case history on Mrs Wallace.
0:38:04 > 0:38:06What, the silent lady?
0:38:06 > 0:38:09- We got chatting. - How did you manage that?
0:38:09 > 0:38:11My USP. Daddy paid her. (LAUGHS)
0:38:13 > 0:38:16That was HR. There's been a complaint made
0:38:16 > 0:38:19against your lack of impartiality in the selection process.
0:38:34 > 0:38:35How long?
0:38:35 > 0:38:38Maybe half an hour.
0:38:38 > 0:38:41Do we just wait?
0:38:43 > 0:38:47- What shall we tell her daughters? - I don't know.
0:38:47 > 0:38:50You don't have to tell them anything, I'll do it.
0:38:52 > 0:38:54She was under this metal thing.
0:38:56 > 0:38:59Morag's like effing and blinding and...
0:38:59 > 0:39:02I just stood there.
0:39:02 > 0:39:04I'm sure you did your best.
0:39:04 > 0:39:06She picked the short straw having me as her protege.
0:39:06 > 0:39:09Useless.
0:39:09 > 0:39:10Not great, as first days go.
0:39:12 > 0:39:14This is your first day?
0:39:14 > 0:39:18If you don't mind, I'd like to break the news to the family.
0:39:18 > 0:39:20It's not a nice job.
0:39:20 > 0:39:23I'd like to take responsibility for something today.
0:39:23 > 0:39:27What was I thinking waiting for an X-ray?
0:39:29 > 0:39:31Some people just freeze.
0:39:40 > 0:39:42Are you enjoying day one?
0:39:42 > 0:39:45One in five nurses made redundant, Henrik?
0:39:45 > 0:39:48None of whom was indispensable.
0:39:48 > 0:39:49£50,000.
0:39:49 > 0:39:52It's a worthy project.
0:39:52 > 0:39:58I think Ms Naylor should take over the Cardiac Trauma Unit -
0:39:58 > 0:40:02if you should you wish to continue with it. It's understaffed.
0:40:02 > 0:40:04She's more experienced.
0:40:04 > 0:40:06Very well.
0:40:06 > 0:40:10I see you've worked to the best of your medical ability.
0:40:10 > 0:40:13It's too late to save her.
0:40:15 > 0:40:17According to whom?
0:40:17 > 0:40:19You or Ms Naylor?
0:40:23 > 0:40:26A half report, no good to me at all.
0:40:26 > 0:40:29Quick as you can.
0:40:29 > 0:40:31- Is there anything else I can do for you?- No, thank you.
0:40:31 > 0:40:33OK, I'll see you later then.
0:40:37 > 0:40:41- Do you know what? I want Lulu to win. There. I've said it. - Well, give Lulu the job then.
0:40:41 > 0:40:44- On what merit? - For not doing everyone's head in?
0:40:44 > 0:40:46This isn't a popularity contest.
0:40:46 > 0:40:49It should be. We spend most of our lives in this confined space.
0:40:49 > 0:40:53There is nothing wrong with hiring somebody just because they're tolerable, trust me.
0:40:53 > 0:40:55I know. I know,
0:40:55 > 0:40:57but... look, I promised HR a test.
0:40:57 > 0:40:59I can't suddenly move the goal posts now.
0:40:59 > 0:41:03If only there was some test that Lulu would win for sure?
0:41:03 > 0:41:06Polo or something?
0:41:29 > 0:41:31I'm operating.
0:41:31 > 0:41:34- I'm the nominal consultant here. - Bit late for your input now.
0:41:34 > 0:41:37- She's a lost cause. - She's still alive, isn't she?
0:41:37 > 0:41:40She's as good as dead. You can't stick knifes in a corpse just for the sake of it.
0:41:40 > 0:41:43You think this is a vanity project to me, don't you?
0:41:45 > 0:41:49- I can save her. - Her B/P is untenable, she won't survive the anaesthetic.
0:41:49 > 0:41:53Let her die in peace, not cut to ribbons in a freak show.
0:41:53 > 0:41:55Just give me some support!
0:41:55 > 0:41:57Give your patient some dignity.
0:41:59 > 0:42:01Intubation complete, preparing to open.
0:42:01 > 0:42:06- I was prepared to give this facility my full backing. - No, you weren't! My trial, my call.
0:42:06 > 0:42:09Unless of course you want to tell Hanssen that you've reneged on your duty?
0:42:13 > 0:42:17This is Mr Malick, one of our young surgeons.
0:42:17 > 0:42:19He'll be joining us in theatre.
0:42:22 > 0:42:26Er, excuse me, Mr Hanssen, a patient...
0:42:26 > 0:42:28- One second.- Certainly.
0:42:30 > 0:42:33Follow me, please.
0:42:35 > 0:42:40- What are you doing here? - I'm taking your advice. Where is she?
0:42:44 > 0:42:46Amy...was discharged.
0:42:46 > 0:42:48She's...she's gone?
0:42:48 > 0:42:52A few minutes ago. I'm really sorry, mate.
0:42:55 > 0:42:59Perhaps you'd like to share these amongst the nurses.
0:42:59 > 0:43:02- There's only two - but they're quite big.- They'll...
0:43:02 > 0:43:05They'll love them.
0:43:05 > 0:43:09Thanks for trying.
0:43:12 > 0:43:13William...
0:43:15 > 0:43:18Before she left, she said,
0:43:18 > 0:43:20er, you had a nice smile.
0:43:20 > 0:43:23And nice eyes.
0:43:42 > 0:43:43So, four incisions will be made,
0:43:43 > 0:43:47necessary to allow for the introduction of one trocar in the umbilicus.
0:43:47 > 0:43:50Mr Malick, do you feel equipped to proceed with the first stage?
0:43:50 > 0:43:54- Absolutely!- Good. Proceed ladies and gentlemen, please.
0:43:57 > 0:43:59Ah, thank you.
0:43:59 > 0:44:02Mr Malick, a patient in your care has caused some difficulty on the ward.
0:44:02 > 0:44:04The ward sister has requested your intervention.
0:44:04 > 0:44:06Inform the ward sister I'm about to enter theatre.
0:44:06 > 0:44:08OK.
0:44:08 > 0:44:12Let us hope that the patient in question is not experiencing any
0:44:12 > 0:44:17difficulties which the doctor entrusted with his care would be best place to deal with.
0:44:24 > 0:44:28Get that little freak away from me! Who does he think he is? Get out!
0:44:28 > 0:44:33- Get out!- Amy, calm down, please! - But you said you liked my smile?
0:44:33 > 0:44:35Someone escort this gentleman out.
0:44:35 > 0:44:38Just leave me alone! Get the freak out.
0:44:38 > 0:44:40- Hey, that's enough! - You said she'd gone?
0:44:40 > 0:44:44He only wanted to say hello, there's no need for hysterics.
0:44:44 > 0:44:47- Listen, William, just...- Liar.
0:44:48 > 0:44:51- We should have waited for psyche. - Look, can you ask Hanssen to wait?
0:44:51 > 0:44:54I'll be a couple of minutes - please, Chris.
0:45:01 > 0:45:05- You mustn't take what that woman said personally.- Mustn't I?
0:45:05 > 0:45:08Mustn't I?! You lied to me.
0:45:08 > 0:45:09You said she'd gone.
0:45:09 > 0:45:11You said she liked my smile.
0:45:11 > 0:45:14You bully! You big liar!
0:45:14 > 0:45:15I'm sorry.
0:45:15 > 0:45:18You're not a health care professional.
0:45:18 > 0:45:22Regard your lack of care at once. Regard your lies.
0:45:22 > 0:45:25- Fine, I've failed.- You pretended to be my friend.
0:45:25 > 0:45:27You're a bully!
0:45:27 > 0:45:31Look, I've missed enough theatre time as it is, all right?
0:45:31 > 0:45:35- Mr Malick, see?!- No!
0:45:35 > 0:45:37Ugh!
0:45:40 > 0:45:43Don't leave me, my friend.
0:45:45 > 0:45:48Please sit down, make yourself comfortable.
0:45:48 > 0:45:51Now, I'm aware that someone here - I'm not naming names -
0:45:51 > 0:45:55is concerned that impartial process is not being observed.
0:45:55 > 0:45:57I have to assure you, this is not the case.
0:45:57 > 0:46:01My notes on today's practical interview will be made available to HR for scrutiny.
0:46:01 > 0:46:04Right, the final tie-breaker...
0:46:06 > 0:46:1130 minutes, a test on the trust's equality policy.
0:46:16 > 0:46:19OK, ready? Question one...
0:46:19 > 0:46:21Is theatre prepped?
0:46:21 > 0:46:23On-call surgeon's been paged.
0:46:23 > 0:46:26Don't. You're embarrassing him. He doesn't like being exposed.
0:46:26 > 0:46:31You'd better get to theatre, Hanssen's waiting for you.
0:46:31 > 0:46:33Tell Hanssen I'm busy.
0:46:35 > 0:46:38Wow, that's very close to the aorta.
0:46:38 > 0:46:42Too close. The valve will rupture when you remove the pole.
0:46:44 > 0:46:47OK, get ready, everyone.
0:46:47 > 0:46:49Swab...
0:47:34 > 0:47:37- The aorta's holding.- It's holding.
0:47:40 > 0:47:42- Swabs.- Swabs.
0:48:01 > 0:48:05She's bleeding out. Her B/P's through the floor. Swabs.
0:48:05 > 0:48:08We'll suture as best we can. We must clamp the aorta.
0:48:08 > 0:48:12It'll compromise cerebral profusion. She'll be brain dead.
0:48:12 > 0:48:15Look, Sahira, you tried.
0:48:15 > 0:48:17Just give it up.
0:48:20 > 0:48:22Let's close her up.
0:48:25 > 0:48:28Prepare to clamp the aorta. We'll clamp either side of the aortic tear.
0:48:28 > 0:48:30Keep her pressure up to mean 60.
0:48:38 > 0:48:40Jools, is it?
0:48:41 > 0:48:44Morag's daughters, obviously very upset.
0:48:44 > 0:48:46- I hear you want to speak with them? - Right.
0:48:46 > 0:48:50You were on the shout with their mum, right?
0:48:50 > 0:48:52I know, I know.
0:48:52 > 0:48:55I froze.
0:48:56 > 0:48:59It's OK. They train us to speak to the relatives. I'm on it.
0:48:59 > 0:49:01No-one's going to force you.
0:49:05 > 0:49:07Could you just tell them,
0:49:07 > 0:49:10I did try my best.
0:49:10 > 0:49:12Yeah.
0:49:16 > 0:49:21Your independent adjudicator says - Lulu, 19, Bulldog, 20.
0:49:23 > 0:49:26Nice one, Sacha.
0:49:39 > 0:49:44What was he thinking? Perhaps we should have waited for the psyche referral.
0:49:44 > 0:49:47Suction... Come on, William.
0:49:47 > 0:49:50The patient's close to bleeding out.
0:49:50 > 0:49:52He's 80 over 55.
0:49:52 > 0:49:54I can barely see a thing.
0:49:56 > 0:49:58No, a consultant should take over.
0:49:58 > 0:50:03- He trusted you.- I know he did - and I just palmed him off and lied to his face.- So fix it then.
0:50:09 > 0:50:11OK.
0:50:13 > 0:50:17Clamps both holding. Increase the flow.
0:50:17 > 0:50:22Scissors. Moving quickly. Suction.
0:50:22 > 0:50:24Graft, please, 3.0 prolene.
0:50:34 > 0:50:36I can fix the aorta from here.
0:50:39 > 0:50:41We've reached a decision.
0:50:41 > 0:50:43I'm a fast learner. And I'm hungry.
0:50:43 > 0:50:47I will be here every day.
0:50:47 > 0:50:54I know how to run a tight ship, I can make improvements here - you need someone like me here.
0:50:54 > 0:50:57Oh, just give me the job! I'm better than her.
0:50:57 > 0:51:01I'm afraid we've decided to offer the job to the other candidate.
0:51:01 > 0:51:04- I see.- Please, don't be upset.
0:51:04 > 0:51:06It was so, so tight.
0:51:06 > 0:51:09Yeah, I know how things work.
0:51:09 > 0:51:12There were just unforeseen circumstances.
0:51:12 > 0:51:15Ah-ha, yeah! One of her connections put her in the running?
0:51:15 > 0:51:18- No.- I know her type. The right public schools, uncles on the board.
0:51:18 > 0:51:22I spent six years at med school surrounded by them.
0:51:22 > 0:51:27- That's why I insisted on a transparent trial.- It was my job!
0:51:29 > 0:51:32I work so hard.
0:51:38 > 0:51:40You failed to arrive for my theatre.
0:51:40 > 0:51:44- A patient's less exciting operation had to take precedence. - Are you a martyr?
0:51:44 > 0:51:46No, I just...
0:51:47 > 0:51:51- The injury was self-inflicted?- Yeah.
0:51:51 > 0:51:55So, the injury might have been avoided, had a psychiatric referral been sought?
0:51:55 > 0:51:59Do you know how long it takes for a psyche nurse to show up these days?
0:51:59 > 0:52:01Listen,
0:52:01 > 0:52:03I do realise how serious this is.
0:52:03 > 0:52:07And yeah, I could have handled the case a lot better.
0:52:07 > 0:52:11Learn to make humility a habit, will you?
0:52:11 > 0:52:14Consultants don't exist to undertake exciting cases.
0:52:14 > 0:52:19Their primary function is to take responsibility for the dull ones.
0:52:19 > 0:52:24I do have my reasons for wanting to get in your surgery.
0:52:24 > 0:52:27Thinking of my patients in those terms...
0:52:27 > 0:52:28isn't one of them.
0:52:50 > 0:52:51You did well today.
0:52:53 > 0:52:54It was a team effort.
0:52:58 > 0:53:00You pick your moments to shine.
0:53:00 > 0:53:02Hey, erm, I'm sorry about snapping earlier.
0:53:02 > 0:53:05I must have sounded like a total monster.
0:53:05 > 0:53:09You better watch out, Naylor, you'll be the only senior staff member without a niche soon.
0:53:09 > 0:53:13- It was a team effort. - Glad it's not gone to your head.
0:53:13 > 0:53:17There's already rumours going around about you making a paramedic resign.
0:53:26 > 0:53:28Jools!
0:53:28 > 0:53:30What are you resigning for?
0:53:30 > 0:53:33- I'm just thinking about it. - Oh, forget it.
0:53:33 > 0:53:35Look, I panicked, I was stressed.
0:53:35 > 0:53:37I had no right.
0:53:37 > 0:53:41Come on, don't do this, I'll not be able to sleep at night.
0:53:41 > 0:53:46- Morag survived. It's over.- Really? - Yeah.
0:53:48 > 0:53:50We saved her.
0:53:50 > 0:53:53I watched you in surgery.
0:53:53 > 0:53:55You love it, don't you?
0:53:55 > 0:53:57I don't have that in me.
0:53:57 > 0:53:59Come on, with a bit of practice, you'll be fab.
0:53:59 > 0:54:02Would you want me treating your kids?
0:54:05 > 0:54:09Be happy for me. I'll find something I'm good at.
0:54:19 > 0:54:24- You OK?- I've just had an operation.
0:54:24 > 0:54:26You tell me, doctor.
0:54:26 > 0:54:31I know a good pub. We could go tomorrow and other days.
0:54:31 > 0:54:33Sure we can.
0:54:33 > 0:54:35Just so you know,
0:54:35 > 0:54:38a guy from the psyche team will be paying you a visit.
0:54:38 > 0:54:40No! I hate them.
0:54:40 > 0:54:42You can't go around here stabbing yourself.
0:54:42 > 0:54:45I won't speak to them.
0:54:45 > 0:54:47Fair enough.
0:54:50 > 0:54:52I'll wait here till you're ready then.
0:55:20 > 0:55:27A bulldog makes a lovely pet - in your face, yapping, every day.
0:55:27 > 0:55:28Come on.
0:55:34 > 0:55:38Your performance went some way to remind me of the skill I once perceived.
0:55:38 > 0:55:41Do not let the smog descend again.
0:55:41 > 0:55:45Ms Naylor was central to today's success. I have to make that clear.
0:55:45 > 0:55:47So can we continue with the trial?
0:55:47 > 0:55:51Unless Ms Naylor has any concerns?
0:55:52 > 0:55:56- Not as yet.- Good, continue.
0:55:59 > 0:56:01Thank you.
0:56:02 > 0:56:06Don't try and join in. No-one likes the boss.
0:56:06 > 0:56:08Mind your backs, coming through!
0:56:11 > 0:56:14B/P 80/40, pulse 125...
0:56:32 > 0:56:37Subtitles by Red Bee Media