0:00:02 > 0:00:08This programme contains some strong language and scenes which some viewers may find upsetting
0:00:08 > 0:00:10STELLA: I'm here to review the investigation of Alice's murder.
0:00:10 > 0:00:13He was in control. I don't think this was his first murder.
0:00:13 > 0:00:15Go back to your review, Stella. I don't want the two murders linked.
0:00:15 > 0:00:18This is the third murder in three months, Jim.
0:00:18 > 0:00:21If we don't stop him, he will kill again.
0:00:21 > 0:00:22There's someone to see you, ma'am.
0:00:22 > 0:00:25Rose Stagg, a friend of Professor Reid Smith.
0:00:25 > 0:00:27I spent years interviewing the victims of rape.
0:00:27 > 0:00:32I don't think anyone ever felt worse after talking to me about their experiences.
0:00:32 > 0:00:34We have an e-fit from Rose Stagg.
0:00:34 > 0:00:36Could he really look like that?
0:00:36 > 0:00:37In his own mind, he...
0:00:37 > 0:00:42believes he has the right to decide who lives and who dies.
0:00:42 > 0:00:43Peter?
0:00:43 > 0:00:45No!
0:00:45 > 0:00:48They've managed to lift a partial print from the scissors.
0:00:48 > 0:00:50We've run it through the system and found a match.
0:00:50 > 0:00:51Paul Spector.
0:00:51 > 0:00:52Paul Spector?
0:00:54 > 0:00:56Detective Sergeant Anderson.
0:00:56 > 0:00:59I'm arresting you for the unlawful imprisonment of Rose Stagg.
0:00:59 > 0:01:04Sally-Ann Spector, I'm arresting you on suspicion of perverting the course of justice.
0:01:04 > 0:01:06Open the door!
0:01:06 > 0:01:07Katie...
0:01:07 > 0:01:09- Get off! - Calm down, you are under arrest.
0:01:09 > 0:01:10I need your car.
0:01:10 > 0:01:12- What?- You heard me.
0:01:15 > 0:01:18You know Paul Spector can go to prison for the things you're saying?
0:01:18 > 0:01:19We love each other.
0:01:19 > 0:01:21You love each other?
0:01:21 > 0:01:22Completely.
0:01:22 > 0:01:24You asked if your husband was arrested
0:01:24 > 0:01:25for having sex with a minor.
0:01:25 > 0:01:27He was not.
0:01:27 > 0:01:28He was arrested initially
0:01:28 > 0:01:31for the abduction and false imprisonment of Rose Stagg.
0:01:31 > 0:01:35He was subsequently further arrested for a serious sexual assault.
0:01:35 > 0:01:37And the murder of Joseph Brawley.
0:01:37 > 0:01:39I'm bleeding.
0:01:39 > 0:01:40What?
0:01:40 > 0:01:44I'll talk to Stella. No-one else.
0:01:46 > 0:01:48When was your first attack?
0:01:48 > 0:01:51Are there other victims that we don't know about?
0:01:51 > 0:01:53Victims before Fiona Gallagher?
0:01:53 > 0:01:54No.
0:01:54 > 0:01:56Fiona Gallagher was the first.
0:01:56 > 0:01:58It's Eastwood, ma'am.
0:01:58 > 0:01:59Go ahead.
0:01:59 > 0:02:02Spector has come up with an offer.
0:02:02 > 0:02:04When are you coming home?
0:02:04 > 0:02:06Not for a while.
0:02:06 > 0:02:10- I've got work to do here. - Do you work for her?
0:02:10 > 0:02:12Sort of.
0:02:12 > 0:02:15There's nothing here... There's no sign of Rose.
0:02:16 > 0:02:17Go deeper, Stella.
0:02:17 > 0:02:20There's clearly something going on between you.
0:02:20 > 0:02:22Let me give you some advice.
0:02:22 > 0:02:25If you haven't done it yet, don't.
0:02:25 > 0:02:28I've tasted both the fantasy and the deed.
0:02:28 > 0:02:29The fantasy is way more piqued.
0:02:31 > 0:02:34STELLA: Rose's car is here. I repeat, Rose's car is here.
0:02:39 > 0:02:41Jesus Christ, she's alive.
0:02:41 > 0:02:44'There's another individual on the edge of the woods.
0:02:44 > 0:02:46'Er, someone we can't account for.'
0:02:46 > 0:02:49GUNSHOTS
0:02:52 > 0:02:54Shit.
0:02:54 > 0:02:56- OK, don't move.- Can that thing land?
0:02:56 > 0:02:59We've got three men down here. We need urgent medical backup.
0:02:59 > 0:03:02I can't land. The trees are too dense.
0:03:02 > 0:03:04Repeat, I can't land.
0:03:04 > 0:03:05Jesus Christ.
0:03:05 > 0:03:06The trees are too dense.
0:03:06 > 0:03:08We're losing him!
0:03:41 > 0:03:44# Mama
0:03:44 > 0:03:46# Bring me my walking cane
0:03:48 > 0:03:51# I said Mama
0:03:51 > 0:03:54# Bring me my walking cane
0:03:55 > 0:04:00# I'm leaving on that midnight train. #
0:04:11 > 0:04:13TYRES SCREECH
0:04:23 > 0:04:25SIRENS WAIL
0:04:27 > 0:04:3032-year-old male, gunshot wounds to abdomen.
0:04:30 > 0:04:36Breathing 35, pulse thready and 140. BP un-recordable.
0:04:36 > 0:04:40GCS nine, eyes two, speech one, motor six.
0:04:40 > 0:04:43Central and peripheral veins are collapsed,
0:04:43 > 0:04:46can't get venous cannulation. We're trying intraosseous.
0:04:46 > 0:04:47We're in.
0:04:58 > 0:05:00IO successful.
0:05:03 > 0:05:060.5 litres saline being squeezed in.
0:05:08 > 0:05:11You should know the patient is in police custody.
0:05:43 > 0:05:45- He's fitting.- How long?
0:05:45 > 0:05:47Two minutes.
0:05:52 > 0:05:54What is it?
0:05:54 > 0:05:57Man versus bullet, LUQ. Doesn't sound too good.
0:05:57 > 0:06:02BP unrecordable, palpable pulse, GCS nine and falling.
0:06:02 > 0:06:04We've cleared a space in Resus One for him.
0:06:04 > 0:06:08Draw up 100mg of ketamine and 100 milligrams of Sux, please.
0:06:08 > 0:06:11We'll need phenylephrine, ephedrine, atropine handy
0:06:11 > 0:06:15- and ten micrograms per millilitre of epi drawn up also as rescue drugs. - OK, sure.
0:06:15 > 0:06:17Right, what's going on here?
0:06:17 > 0:06:19She's hypothermic, core temp 28.2.
0:06:19 > 0:06:23Paramedics got a line in and I got some bloods from one I put in.
0:06:23 > 0:06:25The junior doc did gas. PH is...
0:06:25 > 0:06:317.1. PaCO2 9.0 PA. Base XS minus eight.
0:06:31 > 0:06:34Lungs are good, though. What's her name?
0:06:34 > 0:06:36Rose Stagg. DC McNally.
0:06:36 > 0:06:39She's the woman we've been searching for.
0:06:39 > 0:06:41Where was she found?
0:06:41 > 0:06:42In a forest, in the boot of a car.
0:06:42 > 0:06:45We think she was there for at least four days.
0:06:46 > 0:06:50That's why her CO2's up - breathing her own recycled air.
0:06:52 > 0:06:56Rose. It's time to wake up, Rose.
0:07:02 > 0:07:03I can smell pear drops.
0:07:03 > 0:07:05What are her ketones?
0:07:05 > 0:07:062.3.
0:07:06 > 0:07:09We can't move her until an ICU bed is ready and her temp's
0:07:09 > 0:07:10going in the right direction.
0:07:10 > 0:07:13- Do you want the Bair Hugger? - Aye. Set it to 38.
0:07:13 > 0:07:16The FMO will need to see her to process for rape evidence.
0:07:16 > 0:07:19Not yet and not in here. We need to stabilise her first.
0:07:19 > 0:07:20Can I stay with her?
0:07:20 > 0:07:22Things are about to get messy.
0:07:22 > 0:07:24The gunshot wound that's coming in,
0:07:24 > 0:07:26we think he's responsible for this.
0:07:26 > 0:07:27She shouldn't catch sight of him.
0:07:27 > 0:07:30Plus we need to avoid cross-contamination of evidence.
0:07:30 > 0:07:33Fine. Just keep out of the way.
0:07:37 > 0:07:39OK, everybody, listen to me.
0:07:39 > 0:07:44I'm the Tsar. All questions to me, all angst to me, all misery to me.
0:07:44 > 0:07:47Fran is on airway, Nurse Bronagh is anaesthetic buddy.
0:07:47 > 0:07:51Daryl, you're on "C", Nurse Ursula is runner, just because she is.
0:07:51 > 0:07:53Andrew, you're scribe.
0:07:53 > 0:07:56Everyone happy? Good.
0:08:01 > 0:08:03Come on, let's go.
0:08:22 > 0:08:24OK, guys, our patient's here.
0:08:24 > 0:08:26This is Paul, he's 32 years old.
0:08:26 > 0:08:29He was in police custody when he was shot.
0:08:29 > 0:08:30Let's get him across.
0:08:33 > 0:08:36OK, on my count. Nice and easy.
0:08:36 > 0:08:38One, two, three.
0:08:38 > 0:08:41Let's break the scoop, please.
0:08:41 > 0:08:44Hit by a nine millimetre police handgun from close range.
0:08:44 > 0:08:47Two wounds to abdomen, left upper quadrant.
0:08:47 > 0:08:48Lateral wound I can feel the bullet.
0:08:48 > 0:08:50The other is hosing and deep.
0:08:50 > 0:08:52Can we get the Gendarmes out of here, please.
0:08:52 > 0:08:54We're going to need those clothes.
0:08:54 > 0:08:56It was approximately 20 minutes before we got to him,
0:08:56 > 0:08:59by which time he was unresponsive, GCS 9,
0:08:59 > 0:09:01and had lost a significant amount of blood.
0:09:01 > 0:09:04Breath sounds bilaterally, heart sounds one and two, bit muffled.
0:09:04 > 0:09:06He has an IO in the right tibia.
0:09:06 > 0:09:09We've given him a litre of warm saline in two boluses.
0:09:09 > 0:09:12BP 70, systolic, pulse 136.
0:09:12 > 0:09:14We couldn't get his sats, he is too shut down.
0:09:14 > 0:09:17Have you given him anything else? Morphine? Transexamic?
0:09:17 > 0:09:19Just the saline and a gram of transexamic.
0:09:19 > 0:09:20Excellent work, thank you.
0:09:22 > 0:09:23OK, we're good.
0:09:23 > 0:09:26OK, let's roll him in case there's a bullet they haven't told us about.
0:09:26 > 0:09:29OK, on my count. One, two, three.
0:09:29 > 0:09:30Roll.
0:09:34 > 0:09:36No exit wound, nothing here.
0:09:36 > 0:09:37OK, roll him back.
0:09:37 > 0:09:39Grab his clothes first.
0:09:39 > 0:09:41OK. One, two, three, roll.
0:09:45 > 0:09:49BP 60 systolic, pulse 128 palp, no radial.
0:09:49 > 0:09:55Use the ambu bags. Help him with his breaths. And ultrasound him, please.
0:09:55 > 0:09:56Gently, Fran.
0:10:23 > 0:10:25No pneumothorax.
0:10:25 > 0:10:27Daryl, any luck with the bloods and line?
0:10:27 > 0:10:28Here's blood.
0:10:28 > 0:10:31Ursula, two units of House Red to start.
0:10:31 > 0:10:35Cross match me six units in the lab, please. Good man, Daryl.
0:10:35 > 0:10:36Chop, chop now.
0:10:52 > 0:10:57RINGING
0:10:58 > 0:11:00Hello.
0:11:00 > 0:11:01How's he doing?
0:11:01 > 0:11:03I don't know.
0:11:04 > 0:11:05He's lost so much blood.
0:11:07 > 0:11:09It looks like he's dying.
0:11:09 > 0:11:11Tyler died at the scene.
0:11:11 > 0:11:13I know.
0:11:13 > 0:11:18I had Ged Green secure the scene as per your instructions.
0:11:18 > 0:11:19The Ombudsman's SIO is on her way.
0:11:19 > 0:11:21Thank you.
0:11:21 > 0:11:24The Ombudsman's Office will want to conduct a full investigation
0:11:24 > 0:11:26of the circumstances surrounding the shooting.
0:11:26 > 0:11:29Why Spector was there, why Tyler was shot.
0:11:29 > 0:11:33Well, Ferrington had no choice. Tyler emerged from the woods firing.
0:11:35 > 0:11:39I think the one round missed and went into the police car
0:11:39 > 0:11:42and then the next three rounds hit Anderson and Spector.
0:11:42 > 0:11:48I'm not sure of the precise order of shots but I am certain that Ferrington only returned fire.
0:11:48 > 0:11:50The shooting was fully justified.
0:11:50 > 0:11:51How is Anderson?
0:11:53 > 0:11:55I don't know.
0:11:55 > 0:11:58We had to leave him at the scene.
0:11:58 > 0:12:00A second rapid response vehicle was on its way.
0:12:02 > 0:12:05Has Spector's family been informed?
0:12:05 > 0:12:06I'm not sure.
0:12:07 > 0:12:11Well, make sure that they are. What about Tom Stagg?
0:12:11 > 0:12:15I think the, er, officers are on their way to see him now.
0:12:15 > 0:12:17And Rose?
0:12:19 > 0:12:20Alive.
0:12:23 > 0:12:26Are you in the car?
0:12:26 > 0:12:30I'm on my way to HQ. The Chief wants to see me.
0:12:30 > 0:12:32Keep in touch.
0:12:53 > 0:12:56Andrew, get on to the blood bank, order four FFP, please.
0:12:56 > 0:12:58Ursula needs a gram of transexamic.
0:12:58 > 0:13:03We need anaesthesia! And fast! Bleep the surgeons again!
0:13:03 > 0:13:04None of their "we need a CT" shite.
0:13:04 > 0:13:08He needs to go straight to theatre. Have you got the O-neg up, Daryl?
0:13:08 > 0:13:11- Yeah.- He's vomiting. Suction.
0:13:15 > 0:13:18On my count, one, two, three. Roll.
0:13:21 > 0:13:24And back, one, two, three.
0:13:24 > 0:13:28He needs tubed. Let's go. Bronagh, size 8.5 tube.
0:13:28 > 0:13:30MAC four blade. You ready, Bronagh?
0:13:30 > 0:13:32- One minute.- Am I doing it?
0:13:32 > 0:13:33Unless you don't want to.
0:13:33 > 0:13:35He's hypertensive and puking.
0:13:35 > 0:13:38Them's the breaks. I'll bail you out if it goes to shite.
0:13:38 > 0:13:40Can someone get a pillow for his head
0:13:40 > 0:13:42before Fran knocks his teeth out?
0:13:42 > 0:13:43Will I do cricoid?
0:13:43 > 0:13:45Sure.
0:13:46 > 0:13:48Get that other blood up, Daryl.
0:13:48 > 0:13:50Sophie, you got squeezer drugs ready?
0:13:50 > 0:13:52I've got ten mics per millilitre of epinephrine,
0:13:52 > 0:13:54100 mics per mill of phenylephrine,
0:13:54 > 0:13:57ephedrine and glycopyrrolate. The emergency box is ready.
0:13:57 > 0:13:59Ketamine and Sux here.
0:13:59 > 0:14:00Good. Is that blood up?
0:14:00 > 0:14:03- I've got a Green in his left foot. I'll stick the other unit through here.- You happy, Daryl?
0:14:03 > 0:14:06- Flushing well.- OK, let's have quiet.
0:14:07 > 0:14:10- Ready, Fran?- Ready. He's been pre-oxygenated.
0:14:10 > 0:14:12End tidal CO2 ready.
0:14:12 > 0:14:17Suction ready and under pillow. Cuff checked, tube lubed. Boogie handy.
0:14:17 > 0:14:19Ready. BP 70, pulse 120.
0:14:19 > 0:14:21Sats now reading 93%.
0:14:21 > 0:14:2350 milligrams ketamine in.
0:14:23 > 0:14:24100 of Sux.
0:14:49 > 0:14:50He's fasciculating.
0:14:50 > 0:14:51Just wait.
0:14:51 > 0:14:53It should pass.
0:15:02 > 0:15:03Go now.
0:15:17 > 0:15:21Give him 100 micrograms of phenylephrine, Daryl.
0:15:21 > 0:15:22Can you see the cords?
0:15:24 > 0:15:25I think I can...
0:15:25 > 0:15:26Is that a yes or a no?
0:15:26 > 0:15:28It's a yes. Tube, please.
0:15:35 > 0:15:37Feels good.
0:15:37 > 0:15:38Cuff up.
0:15:41 > 0:15:45You've got end tidal, sats 90%. Check BP there.
0:15:45 > 0:15:47Sophie, squeeze that blood in.
0:15:47 > 0:15:50Daryl, listen to the lungs and stop looking pretty.
0:15:55 > 0:15:57Air entry in both axilla.
0:15:58 > 0:16:01Cricoid off, please. Bronagh, can you hold this?
0:16:03 > 0:16:07It's 22 centimetres at lips. Ursula, bag while I tie this in.
0:16:07 > 0:16:13BP 50 systolic. Give him 50 micrograms of epi please, Daryl.
0:16:17 > 0:16:20Right, let's get him on the vent.
0:16:21 > 0:16:23Andrew, log the time.
0:16:26 > 0:16:28Where's that bloody surgeon?!
0:16:37 > 0:16:39Ah, Alex, good, right...
0:16:40 > 0:16:42This one's superficial.
0:16:42 > 0:16:44Yeah, I can feel the bullet.
0:16:44 > 0:16:45- Right.- That one's gone deep.
0:16:45 > 0:16:46OK.
0:16:48 > 0:16:52They're taking her up to the ICU, ma'am.
0:16:52 > 0:16:56Rose... Rose. You're safe now.
0:16:56 > 0:17:00Everything's going to be OK. Everything's going to be OK.
0:17:02 > 0:17:05You go with her. No media, no photographs.
0:17:05 > 0:17:06Yes, ma'am.
0:17:21 > 0:17:25Gail, could you go to my hotel room and pick me up some clean clothes?
0:17:27 > 0:17:30I need something comfortable and something to talk to the press in.
0:17:30 > 0:17:32Yes, ma'am.
0:17:32 > 0:17:34I think I left some papers out this morning in the rush...
0:17:34 > 0:17:35if you'd put them away?
0:17:35 > 0:17:38- Yes, ma'am.- Thank you.
0:17:38 > 0:17:39OK, let's move him, let's go!
0:17:43 > 0:17:45Is your boss on his way?!
0:17:45 > 0:17:47He's been fast-bleeped by theatre.
0:17:47 > 0:17:48Sophie, can you squeeze that blood in?
0:17:48 > 0:17:50It's hard to look at a systolic of 60.
0:17:50 > 0:17:53- Thanks, Joe.- All right.
0:17:53 > 0:17:54How is he?
0:17:54 > 0:17:57Dr O'Donnell, we have another gunshot wound here for you.
0:17:57 > 0:18:00What is this? The '70s? Who are you exactly?
0:18:00 > 0:18:03Detective Superintendent Gibson.
0:18:03 > 0:18:07Er, massive internal bleeding, he's lost half his blood volume at least.
0:18:07 > 0:18:08Given where he was shot,
0:18:08 > 0:18:11I'm guessing he needs his spleen in a bucket.
0:18:11 > 0:18:12Will he live?
0:18:12 > 0:18:17Maybe. So he's the Belfast Strangler?
0:18:17 > 0:18:18Wow.
0:18:18 > 0:18:21We need to keep him under guard at all times.
0:18:21 > 0:18:25Well, he's been given muscle relaxants and he's on a ventilator. He's going nowhere.
0:18:25 > 0:18:28It's not the risk of escape, really. It's for his own protection.
0:18:28 > 0:18:31There are people that would harm him if they could,
0:18:31 > 0:18:34and my aim is to get him to court in one piece.
0:18:35 > 0:18:39Right now, the aim is to get him to survive theatre.
0:18:39 > 0:18:44Right. Your other gunshot wound I think is a colleague.
0:18:44 > 0:18:47- Look after him, please.- Aye.
0:19:11 > 0:19:14And you're backing Gibson to stay in charge?
0:19:14 > 0:19:18On balance? Yes, sir.
0:19:18 > 0:19:20No-one knows the case like her.
0:19:20 > 0:19:22She's got her man, Rose is alive...
0:19:22 > 0:19:25There's going to be a media feeding frenzy.
0:19:25 > 0:19:26Get an MLO on board as soon as you can
0:19:26 > 0:19:28and keep Gibson away from the cameras.
0:19:28 > 0:19:31I don't want her making any direct statements,
0:19:31 > 0:19:32conducting any interviews
0:19:32 > 0:19:35while inquiries into her handling of the case are ongoing.
0:19:35 > 0:19:37Understood.
0:19:37 > 0:19:39Spector's first appearance was moved to tomorrow.
0:19:39 > 0:19:42I'll contact the courts and let them know he won't be appearing.
0:19:42 > 0:19:44Keep the PPS up to speed too.
0:19:44 > 0:19:46Yes, sir.
0:19:50 > 0:19:53I can manage her, sir. I promise that.
0:19:55 > 0:19:59Detective Sergeant Anderson has a gunshot wound to the lateral aspect
0:19:59 > 0:20:02of the distal end of his humerus with what looks like
0:20:02 > 0:20:04an exit wound just distal to the antecubital fossa
0:20:04 > 0:20:07on the ulnar flexor aspect of his forearm.
0:20:07 > 0:20:09He has some minor ooze around the entry and exit sites
0:20:09 > 0:20:11when taking the dressing down.
0:20:11 > 0:20:13There's a lot of swelling around the entrance wound,
0:20:13 > 0:20:15probably a large haematoma.
0:20:15 > 0:20:16Do you have Mr Anderson's X-rays?
0:20:16 > 0:20:18Yeah.
0:20:21 > 0:20:26No bony injury, no retained metal by the looks of it. He can get an MRI.
0:20:26 > 0:20:30The earliest is tomorrow, and that's with me pleading for it.
0:20:32 > 0:20:34So far so good, Mr Anderson.
0:20:34 > 0:20:38The X-ray reveals no fractures and your pulses are intact.
0:20:38 > 0:20:40Now let's see you bend this wrist back.
0:20:44 > 0:20:47There but not great.
0:20:47 > 0:20:53Make a fist and open up your hand spreading your fingers. Good.
0:20:53 > 0:20:55Can you feel me touch you there?
0:20:56 > 0:20:58It feels odd.
0:20:58 > 0:21:00Your function in your hand is good.
0:21:00 > 0:21:03However, I am a little worried about the radial nerve.
0:21:03 > 0:21:06Where the bullet entered is not exactly where the radial nerve lies,
0:21:06 > 0:21:08but swelling can compress it and clearly there
0:21:08 > 0:21:11is a lot of swelling above the elbow.
0:21:11 > 0:21:14Reassuringly, with encouragement you can extend the wrist,
0:21:14 > 0:21:16which is what the radial nerve should do,
0:21:16 > 0:21:18but the altered sensation is a cause of concern.
0:21:18 > 0:21:22So the plan is we'll clean the wound out and scan it tomorrow.
0:21:22 > 0:21:24How long will I be out of action for?
0:21:24 > 0:21:25I really don't know.
0:21:25 > 0:21:28We'll be in a better position to judge tomorrow, post MRI.
0:21:28 > 0:21:31Well, weeks, months? For ever? What?
0:21:31 > 0:21:33I'm sorry. I really don't know.
0:23:11 > 0:23:14All I can tell you is that he was shot in police custody.
0:23:14 > 0:23:17There's severe abdominal trauma.
0:23:17 > 0:23:20He's in a critical condition and undergoing emergency surgery.
0:23:20 > 0:23:23There is a possibility that he won't survive that surgery.
0:23:23 > 0:23:25Shot by a police officer?
0:23:25 > 0:23:28No, not a police officer.
0:23:28 > 0:23:31I'm sorry, I can't say any more than that.
0:23:34 > 0:23:36Is that blood here yet?
0:23:36 > 0:23:38Two units, O negative, just ready through the rapid transfuser.
0:23:38 > 0:23:40We're waiting on MTP.
0:23:40 > 0:23:42Christ, 60 systolic before we start?
0:23:45 > 0:23:46Drapes.
0:24:00 > 0:24:02Give me a minute, before you open. His BP is in the toilet.
0:24:02 > 0:24:04More like 30 seconds, please.
0:24:04 > 0:24:05Make me a syringe of adrenaline.
0:24:05 > 0:24:08His pressure will bottom when they open and decompress him.
0:24:08 > 0:24:10Sister, would you ring the blood bank and remind them
0:24:10 > 0:24:12that Massive Transfusion Protocol means now?
0:24:12 > 0:24:15And would you call Mr King and tell him I'd appreciate his help?
0:24:15 > 0:24:17What's his pressure now? Can I start?
0:24:17 > 0:24:1980 systolic. Only going to get worse.
0:24:19 > 0:24:20Yes, you can start.
0:24:20 > 0:24:21Scalpel.
0:24:21 > 0:24:23Two swabs.
0:24:35 > 0:24:36Suction, please.
0:24:42 > 0:24:43Protractor.
0:24:46 > 0:24:48It's a real, real mess here.
0:24:50 > 0:24:53He's slowing, systolic dropping. Where's that adrenaline?
0:25:00 > 0:25:02He's cold. Let's push the fluids.
0:25:02 > 0:25:04Turn up the heat in theatre, please.
0:25:04 > 0:25:08There's another unit ready for transfusion. The six FFP are here.
0:25:08 > 0:25:11Give him the unit and horse in the FFP through that peripheral.
0:25:11 > 0:25:14- Sister, would you squeeze that in? - Packs.
0:25:14 > 0:25:17We're losing here. BP and pulse are the same. 40.
0:25:17 > 0:25:19Where are we at, Miss Morton? We need to get control here.
0:25:19 > 0:25:21I can't see shit.
0:25:21 > 0:25:25Pulse rate is dropping. We're really struggling here.
0:25:25 > 0:25:27Stop, stop, stop. There's no pulse.
0:25:27 > 0:25:28Adrenaline, please.
0:25:34 > 0:25:36Start CPR.
0:26:03 > 0:26:04Peter?
0:26:07 > 0:26:08Mother?
0:26:14 > 0:26:17Daddy, look what I've found!
0:26:25 > 0:26:26Peter!
0:26:30 > 0:26:32Peter, come to me.
0:26:37 > 0:26:39CHILD SINGING
0:26:43 > 0:26:44Peter.
0:26:50 > 0:26:52BEEPING
0:26:52 > 0:26:54Adrenaline is hitting.
0:26:54 > 0:26:55So, he's back?
0:26:55 > 0:26:57He's back. Carry on, Dr Morton.
0:27:04 > 0:27:06His spleen is shattered.
0:27:06 > 0:27:08I'm going to need a second pair of hands here.
0:27:08 > 0:27:10Any sign of Mr King?
0:27:10 > 0:27:11He is scrubbing.
0:27:11 > 0:27:13BP now 60 and pulse 56.
0:27:13 > 0:27:15Time to act, we've got a window here.
0:27:15 > 0:27:17- Spleen?- Yeah, I think so.
0:27:17 > 0:27:19Let's get it out and see what else is going on.
0:27:19 > 0:27:22Mobilise the spleen, please.
0:27:22 > 0:27:23Scissors.
0:27:28 > 0:27:30- That's just coming now.- Good.
0:27:33 > 0:27:34Clamp.
0:27:38 > 0:27:41Watch the tail of the pancreas.
0:27:43 > 0:27:44Got it.
0:27:44 > 0:27:46Good.
0:27:46 > 0:27:48Scissors.
0:27:53 > 0:27:56Pressure rising 80 systolic, pulse rising up at 72.
0:27:56 > 0:27:58Tie.
0:28:02 > 0:28:04Scissors.
0:28:06 > 0:28:08Diathermy.
0:28:09 > 0:28:11How are we getting on there, Adrian?
0:28:11 > 0:28:14Systolic stable at 90, pulse stable at 102.
0:28:14 > 0:28:16He's on a trickle of norepinephrine.
0:28:16 > 0:28:19He's still behind but pH 7.2,
0:28:19 > 0:28:21lactate 4.5, though - that's improved.
0:28:21 > 0:28:23He's still quite labile.
0:28:23 > 0:28:25Temp is 34.8 degrees Celsius.
0:28:25 > 0:28:28But he's making urine - 40 mills in the last 15 minutes.
0:28:28 > 0:28:29He's very oozy.
0:28:29 > 0:28:31I think it's best to pack him, warm him up.
0:28:31 > 0:28:35We need to fix that acidosis and get his co-ag sorted out.
0:28:35 > 0:28:37I suggest putting him in ICU overnight
0:28:37 > 0:28:40- and having a re-look laparotomy tomorrow?- Agreed.
0:28:40 > 0:28:43The hole's superficial.
0:28:43 > 0:28:46I can actually feel the bullet.
0:28:51 > 0:28:54Another trophy for the forensic lab. Packs, please.
0:28:54 > 0:28:57There's an ICU bed ready whenever you're ready.
0:28:57 > 0:29:01Medium soft. Do not unfold them. Do not unfold them.
0:29:01 > 0:29:03Big soft in my hand, please. Big soft.
0:29:03 > 0:29:05Thank you.
0:29:14 > 0:29:16Take the bad look off him up in recovery. Yeah?
0:29:16 > 0:29:18- Thank you.- You're welcome.
0:29:27 > 0:29:29Daddy's been in an accident.
0:29:29 > 0:29:31What kind of accident?
0:29:31 > 0:29:33A car accident.
0:29:33 > 0:29:35- What car?- I don't know. I think, um...
0:29:37 > 0:29:39I don't know what car.
0:29:40 > 0:29:41Where is he?
0:29:43 > 0:29:45He's in hospital.
0:29:46 > 0:29:48Can we go and see him?
0:29:48 > 0:29:53The doctors are looking after him now and he needs his sleep.
0:29:53 > 0:29:56Maybe tomorrow, if he's feeling better.
0:29:56 > 0:29:58Where is he hurt?
0:29:59 > 0:30:02I don't know. I think it's his tummy.
0:30:04 > 0:30:07- I really want to see him. - Well, you can't. Not tonight.
0:30:08 > 0:30:10Olivia.
0:30:10 > 0:30:11Olivia...
0:30:16 > 0:30:18INDISTINCT CONVERSATION
0:30:32 > 0:30:33Hey.
0:30:33 > 0:30:35Hi.
0:30:41 > 0:30:43What have the doctors said about your arm?
0:30:45 > 0:30:47There could be some nerve damage.
0:30:49 > 0:30:51May be the end of my career.
0:30:53 > 0:30:54Really?
0:30:56 > 0:30:58I'm sure it's not.
0:31:12 > 0:31:14Why did you run to him?
0:31:18 > 0:31:19What?
0:31:23 > 0:31:26The both of us were shot, but you ran to him, not me.
0:31:26 > 0:31:27All your concern was for him.
0:31:29 > 0:31:31I could see that his injuries were worse.
0:31:34 > 0:31:35And?
0:31:37 > 0:31:39You were crying out, "We're losing him."
0:31:40 > 0:31:42You sounded...
0:31:44 > 0:31:45..anguished.
0:31:48 > 0:31:50I didn't want it to end there.
0:31:51 > 0:31:53Not like that.
0:31:53 > 0:31:57No court case, no sentence, no punishment.
0:31:57 > 0:32:00No closure for the families.
0:32:00 > 0:32:04I want him to live so that he can be tried and sentenced
0:32:04 > 0:32:06and spend the rest of his life in prison.
0:32:12 > 0:32:14If I sounded anguished...
0:32:17 > 0:32:18..that's why.
0:32:25 > 0:32:27HE EXHALES
0:32:34 > 0:32:35I have your things, ma'am.
0:32:35 > 0:32:36Thank you.
0:32:39 > 0:32:43If you need somewhere to park yourself, I have a room for you.
0:32:43 > 0:32:45Thanks.
0:32:52 > 0:32:55- You all right?- Yeah, you?
0:32:55 > 0:32:57Not brilliant.
0:33:02 > 0:33:05MONITORS BEEP
0:33:31 > 0:33:34He's had his spleen out and his abdomen packed.
0:33:34 > 0:33:35Didn't look as if anything else was perf'ed,
0:33:35 > 0:33:38but the surgeons want him on co-amoxiclav and Flagyl.
0:33:38 > 0:33:40They're having a relook tomorrow.
0:33:40 > 0:33:42He's had a shed-load of blood and products, though.
0:33:42 > 0:33:44Four units of O-neg and ten units cross match.
0:33:44 > 0:33:46That's including the two units hanging there.
0:33:46 > 0:33:49He's had eight FFP and a bag of platelets.
0:33:49 > 0:33:51So, only twice his blood volume, then?
0:33:51 > 0:33:52No expense spared.
0:34:27 > 0:34:28Hey.
0:34:30 > 0:34:31How's the Strangler doing?
0:34:33 > 0:34:35I'm going up to see him in a minute.
0:34:36 > 0:34:38I've been aware of what's going on
0:34:38 > 0:34:40but I haven't really been following it closely.
0:34:42 > 0:34:45Some of my friends have been really caught up in it all,
0:34:45 > 0:34:49having alarms fitted and asking random boyfriends to move in.
0:34:50 > 0:34:53Well, luckily, you're a doctor and therefore never at home.
0:34:53 > 0:34:55True.
0:34:56 > 0:34:59I hadn't really thought of myself as being at risk in that way.
0:35:01 > 0:35:04Then you look at the photographs and you think, "They're just young women
0:35:04 > 0:35:06"living their lives like I live mine.
0:35:07 > 0:35:08"That could have been me."
0:35:11 > 0:35:14One of my best buddies is a doctor in the military.
0:35:14 > 0:35:16Did several tours in Afghanistan.
0:35:17 > 0:35:21In the field hospitals, casualties are treated solely
0:35:21 > 0:35:23on the basis of their clinical need.
0:35:23 > 0:35:26Badly injured Taliban treated ahead of British casualties
0:35:26 > 0:35:28if their condition was more urgent.
0:35:28 > 0:35:30Same here in the old days.
0:35:30 > 0:35:32That didn't always make him very popular.
0:35:33 > 0:35:36In truth, it rather fucked him up.
0:35:36 > 0:35:38But he'd still argue medical care
0:35:38 > 0:35:40has to be delivered according to clinical need
0:35:40 > 0:35:41without discrimination.
0:35:43 > 0:35:47If he was here, he'd tell us it's our duty to treat your man humanely
0:35:47 > 0:35:48and protect them.
0:35:48 > 0:35:52Even if he is a murdering bastard...
0:35:52 > 0:35:53allegedly.
0:35:57 > 0:35:58The press are gathering.
0:35:58 > 0:36:01TV crews, all the main channels, plus local TV,
0:36:01 > 0:36:03print and radio journalists.
0:36:03 > 0:36:05Quite a few web news sites too.
0:36:05 > 0:36:08I think we have to go with a live interview.
0:36:08 > 0:36:12Have the victims' families been informed? Gallaghers, Kays, Monroes?
0:36:13 > 0:36:16The announcement can't come as a shock to them.
0:36:16 > 0:36:18They have, ma'am, yes.
0:36:18 > 0:36:20And Spector's family?
0:36:20 > 0:36:21Yes, ma'am, they've been notified.
0:36:31 > 0:36:32Right...
0:36:34 > 0:36:36..three key points.
0:36:37 > 0:36:42One, a man has been arrested and has been charged.
0:36:42 > 0:36:44- Two... - KNOCK ON THE DOOR
0:36:44 > 0:36:47- Stella.- Sorry, sir, just one second.
0:36:47 > 0:36:50Rose Stagg has been found and is alive.
0:36:50 > 0:36:51Three, that the prisoner
0:36:51 > 0:36:54was injured in police custody
0:36:54 > 0:36:56and then something about his condition.
0:36:56 > 0:36:59But beyond that, investigations are ongoing.
0:36:59 > 0:37:00I need to stop you there.
0:37:02 > 0:37:03You won't be making the statement.
0:37:05 > 0:37:07- What?- The Chief Constable wants me to do it.
0:37:11 > 0:37:12Am I still SIO?
0:37:16 > 0:37:18Can you give us a second, please?
0:37:20 > 0:37:23Martina, it is really important
0:37:23 > 0:37:27that you monitor all press coverage for accuracy and interpretation.
0:37:27 > 0:37:28Defence teams love to make allegations
0:37:28 > 0:37:30about what's been said in the media,
0:37:30 > 0:37:34particularly when misquoting facts provided by the police.
0:37:34 > 0:37:36Yes, ma'am.
0:37:42 > 0:37:44Well?
0:37:44 > 0:37:47Yes, you are. For now.
0:37:49 > 0:37:51I stood up for you, Stella.
0:37:52 > 0:37:54So I should think.
0:37:55 > 0:37:57I also told the Chief that I could manage you.
0:37:59 > 0:38:00I see.
0:38:03 > 0:38:04Don't make this difficult for me.
0:38:07 > 0:38:09Well, you might want to straighten your tie before you go on camera.
0:38:26 > 0:38:28Tom Stagg is in the ICU waiting room, ma'am.
0:38:28 > 0:38:30Oh, thank you.
0:38:30 > 0:38:32Would you ask DC McNally to bring me my bags
0:38:32 > 0:38:34- from the room I just changed in? - Yes, ma'am.
0:38:44 > 0:38:46- REPORTER:- Has the Belfast Strangler been caught?
0:38:46 > 0:38:47That's the question tonight.
0:38:47 > 0:38:50FOOTSTEPS
0:39:00 > 0:39:02How is she? Have you seen her?
0:39:02 > 0:39:05I've seen her briefly.
0:39:05 > 0:39:06I'm told she's stable, Tom.
0:39:08 > 0:39:09HE EXHALES
0:39:10 > 0:39:13Thank you. Thank you.
0:39:15 > 0:39:17Shall we go in and see her?
0:39:17 > 0:39:19What's going on outside? Is that all for Rose?
0:39:21 > 0:39:24Don't worry about that now. Come on, I'll take you in.
0:40:06 > 0:40:08You're Rose's husband?
0:40:08 > 0:40:09- Yes.- Come this way.
0:40:25 > 0:40:26Oh, my love.
0:40:52 > 0:40:57- Here he comes! - REPORTERS FIRE QUESTIONS
0:40:57 > 0:41:00I am Assistant Chief Constable Jim Burns and I have information
0:41:00 > 0:41:03relating to the Operation Music Man Task Force
0:41:03 > 0:41:05and the serial murder investigations.
0:41:05 > 0:41:08I wish to confirm that a 32-year-old Belfast male
0:41:08 > 0:41:11has been arrested in connection with the murders of Sarah Kay,
0:41:11 > 0:41:15Fiona Gallagher, Alice Parker Monroe and Joseph Brawley.
0:41:15 > 0:41:18And also for the unlawful imprisonment
0:41:18 > 0:41:20of Belfast radiologist Rose Stagg.
0:41:20 > 0:41:23He was due to appear in court in Belfast tomorrow morning
0:41:23 > 0:41:25to face these and other charges,
0:41:25 > 0:41:29but that is no longer the case as he has suffered serious injury
0:41:29 > 0:41:31whilst in police custody.
0:41:31 > 0:41:33- 'How did he come by those injuries?' - 'Why was he injured?'
0:41:33 > 0:41:35'The victim of a gun attack.
0:41:35 > 0:41:38'His medical condition is described as critical,
0:41:38 > 0:41:40'his injuries life-threatening.'
0:41:40 > 0:41:42'Assistant Chief Constable, how does a man get shot...?'
0:41:42 > 0:41:44Who's he talking about?
0:41:44 > 0:41:46- Don't do that!- Katie.
0:41:48 > 0:41:50'His assailant was shot dead by police in the incident...'
0:41:50 > 0:41:53It is Paul. Oh, my God! I have to go to him!
0:41:53 > 0:41:55- Katie, you can't!- I have to see him.
0:41:55 > 0:41:57You're not allowed out!
0:41:57 > 0:41:58I don't care!
0:41:58 > 0:42:01Katie, you're on bail, you're not allowed out at night.
0:42:01 > 0:42:04- Get out of my way! - You're not allowed to see him!
0:42:04 > 0:42:06- Get out of my way!- Katie!
0:42:09 > 0:42:10- Where are the keys?- Katie!
0:42:10 > 0:42:12You locked me in!
0:42:12 > 0:42:14You're not allowed out of this house, I said!
0:42:14 > 0:42:18- Fuck off!- You're not allowed to see him!- Get the fuck off me!
0:42:18 > 0:42:20I'm calling the police!
0:42:20 > 0:42:23If you leave this house, I'm calling the police.
0:42:24 > 0:42:26I don't know what's happened to you.
0:42:26 > 0:42:29Your father would be appalled at what you've become.
0:42:29 > 0:42:31DOOR SLAMS SHUT
0:42:31 > 0:42:33SHE WEEPS
0:42:33 > 0:42:35I am pleased to say that Rose Stagg has been found,
0:42:35 > 0:42:38that she's alive and she's in a stable condition.
0:42:38 > 0:42:40I'd like to take this opportunity to thank
0:42:40 > 0:42:42Detective Superintendent Stella Gibson,
0:42:42 > 0:42:45her team, and the public for all their efforts in finding her.
0:42:45 > 0:42:47Where is Detective Superintendant Gibson?
0:42:47 > 0:42:49- Why isn't she here?- Won't she be making any statements?
0:42:49 > 0:42:53Detective Superintendant Gibson is doing what she does best - policing.
0:43:17 > 0:43:19'I'm certain it's Paul.'
0:43:19 > 0:43:20He's been hurt.
0:43:22 > 0:43:24'How's he been shot? Who shot him?'
0:43:24 > 0:43:28I don't know. The police, I suppose, I don't know.
0:43:28 > 0:43:30He's in hospital.
0:43:30 > 0:43:32'He's where?'
0:43:33 > 0:43:35In the General Hospital, I think.
0:43:35 > 0:43:38I really need you to go there, find out how he is.
0:43:38 > 0:43:40'Me? Why? Why can't you?'
0:43:40 > 0:43:43You know why. The fucking bail conditions!
0:43:43 > 0:43:45- 'Why would they let me in?' - 'They wouldn't.'
0:43:45 > 0:43:46'They wouldn't let me in.'
0:43:46 > 0:43:48You don't understand.
0:43:48 > 0:43:50I think he might be dying.
0:43:50 > 0:43:52'What? It's really difficult to hear.'
0:43:54 > 0:43:56I think he might be dying.
0:43:56 > 0:43:59'What do I...? I don't know what I'm supposed to do.'
0:43:59 > 0:44:00- MAN:- 'Daisy, are yous coming?'
0:44:00 > 0:44:03- Why are you being a bitch? - 'What?'
0:44:03 > 0:44:06Why are you being a fucking bitch?
0:44:06 > 0:44:08SNIGGERING
0:44:08 > 0:44:11'I'm not, I'm just saying. I don't know what I'm supposed to...'
0:44:11 > 0:44:12KATIE HANGS UP
0:44:12 > 0:44:14PHONE CLATTERS
0:44:14 > 0:44:15SHE SOBS
0:44:47 > 0:44:49HE UNLOCKS DOOR
0:44:55 > 0:44:56DOOR OPENS
0:44:59 > 0:45:01HE TOSSES KEYS ON TABLE
0:45:10 > 0:45:12CITY'S NOISES PERMEATE APARTMENT
0:46:51 > 0:46:52Mummy.
0:46:52 > 0:46:55- Yes?- I can't sleep.
0:46:55 > 0:46:56Have you tried?
0:46:56 > 0:46:58Really, really hard.
0:46:58 > 0:47:01It's because you've got your light on.
0:47:01 > 0:47:02Can I get in with you?
0:47:18 > 0:47:20I'm thirsty.
0:47:20 > 0:47:24- You've cleaned your teeth so you can only have water.- OK.
0:47:43 > 0:47:45GLASS CLINKS
0:47:58 > 0:48:00DOOR CLOSES
0:48:03 > 0:48:07SALLY-ANN WALKS UPSTAIRS
0:48:40 > 0:48:43MONITORS BEEP QUIETLY
0:48:50 > 0:48:53FOOTSTEPS APPROACH
0:48:53 > 0:48:55She needs her rest now.
0:49:00 > 0:49:02I've got something for you.
0:49:04 > 0:49:08Nancy was desperate to come. She sent you this.
0:49:22 > 0:49:24I'll see you tomorrow.
0:49:41 > 0:49:44Now, would you like me to hang that up for you?
0:50:10 > 0:50:14Has she spoken to you? Has she told you anything?
0:50:14 > 0:50:15Did he...?
0:50:15 > 0:50:17She's hardly said a word yet.
0:50:17 > 0:50:19It's too soon.
0:50:19 > 0:50:21She'll see the police doctor in the morning
0:50:21 > 0:50:24and we'll know more after that.
0:50:24 > 0:50:25But she'll talk in her own time.
0:50:27 > 0:50:30I can't bear to think of her alone with him for all that time.
0:50:30 > 0:50:33I can't bear to think of him...
0:50:33 > 0:50:35laying his hands on her.
0:50:35 > 0:50:40Tom, try not to imagine things that very probably didn't even occur.
0:50:40 > 0:50:44I'm furious with myself for not being there to protect her.
0:50:45 > 0:50:48Lying on the sofa, headphones on, for Christ's sake.
0:50:48 > 0:50:50If I was in bed with her, it would never have happened.
0:50:50 > 0:50:52Tom, you don't know that.
0:50:52 > 0:50:54It could have been far worse.
0:50:54 > 0:50:57Look at what happened with Joe Brawley.
0:50:58 > 0:50:59Why didn't she cry out?
0:50:59 > 0:51:01Or scream?
0:51:01 > 0:51:03Why didn't she fight him?
0:51:03 > 0:51:05Why did she go with him?
0:51:05 > 0:51:08- Tom...- Do you know that Nancy saw them crossing the street together,
0:51:08 > 0:51:11- arm in arm?- Tom, I need you to listen to me right now.
0:51:13 > 0:51:16Men always think in terms of fight or flight.
0:51:18 > 0:51:20In fact, the most common instinct
0:51:20 > 0:51:24in the face of this kind of threat is to freeze.
0:51:24 > 0:51:26If she didn't fight, if she didn't scream,
0:51:26 > 0:51:29if she was silent and numb,
0:51:29 > 0:51:31it's because she was petrified.
0:51:33 > 0:51:36If she went with him quietly,
0:51:36 > 0:51:39it's because she was afraid for her life
0:51:39 > 0:51:44and not just her life - yours, and Nancy's, and the baby's.
0:51:47 > 0:51:52In that state of fear, she might well have been compliant...
0:51:53 > 0:51:55..she might well have submitted...
0:51:57 > 0:51:59..but that does not mean she consented.
0:52:10 > 0:52:12Tom, the way you behave...
0:52:14 > 0:52:19..the way you approach your role as Rose's helper...
0:52:21 > 0:52:24..will either make her experience better or worse.
0:52:26 > 0:52:31If you react badly, you will devastate her.
0:52:33 > 0:52:36Or you can be...
0:52:36 > 0:52:39a big part of her healing and her recovery.
0:52:44 > 0:52:48What she needs from you right now is to know that she is safe,
0:52:48 > 0:52:50to know that she's loved.
0:52:54 > 0:52:56Be patient...
0:52:58 > 0:53:00..be tender.
0:53:02 > 0:53:04Tomorrow's another day.
0:55:01 > 0:55:03NURSE: You shouldn't be in here.
0:55:08 > 0:55:09Please leave.
0:55:19 > 0:55:20NURSE CLOSES DOOR
0:55:28 > 0:55:30WOMAN GROANS
0:55:47 > 0:55:50Is that you?
0:55:53 > 0:55:55Thank God you're here.
0:55:56 > 0:55:58I've been so worried.
0:56:08 > 0:56:10Thank God you're safe.
0:56:15 > 0:56:17Sweetheart...
0:56:17 > 0:56:19I'm glad you've come.