Casualty S43E02
Category
😹
FunTranscript
00:00I think it's best if you don't come to the funeral.
00:02Best for everyone.
00:03Yeah, yeah, of course.
00:05You look after yourself, yeah?
00:07And I'll see you on the other side.
00:09I'm in the wrong place.
00:11Sorry. I'm so sorry.
00:13I have to go to Nigeria and take care of Obi.
00:14Why can't Obi come back here instead of staying in Nigeria?
00:17Home's where his mum is.
00:21I've been given a second chance.
00:23My nana passed away a couple of months ago
00:26and she was the only family I had.
00:28It's skin to when a student loan comes in.
00:30I always knew that you were not good enough for my daughter.
00:33I now know what sort of man you really are.
00:36I'm the new clinical leader.
01:06Mind down, mate, please.
01:22Stevie, how many people are in the department right now?
01:26About 20 in cubicles, 50 to 60 in waiting areas.
01:29I would say about 15 in the ambulance queue.
01:31I mean, I could be more specific, but this isn't working.
01:33They told me I was getting a new smart screen for down here.
01:36All the numbers, updated waiting times.
01:38You are. This one?
01:40Yeah, problem is they say it's going to cost about six grand to mount it.
01:43Six grand? You're kidding me.
01:45No, much funnier than that.
01:46Something to do with insurance, isn't it?
01:48OK, look, let's chalk this up to IT issues,
01:51but on a normal day, what does this place look like?
01:54This is a normal day. Seriously.
02:03Look, I know you're all doing your best by your patience, but, I mean...
02:06Come on, man, this is crazy. How does anybody get anything done?
02:10There are patients who have been in ambulances since last night.
02:13Mm, yeah. He's been away from the NHS for a while.
02:16They're kidding.
02:17Well, maybe you take to an outsider to see what needs to be done.
02:19And what's that, pray?
02:21For a start, no more delays.
02:23If a patient needs admitting, they go straight up.
02:25And if there's no beds?
02:27Well, the wards can find space for them on their corridors.
02:29They can share the risk.
02:30The wards are not going to like that.
02:32Well, tough.
02:33It's about time we stopped being treated like a dumping ground.
02:35I think it's a great idea.
02:37And tell me, the trusts have signed this off, have they?
02:40Yeah, I spoke to the site team this morning,
02:42told them that this was the plan and we're going ahead with it.
02:44So, no?
02:46Sure.
02:48I need you all to be free to do what you do best.
02:51If that means making some enemies, then so be it.
02:53Send them my way.
02:54Let's get back to work, please.
02:58Well, what did I miss?
03:00Everyone's going to hate us.
03:19Oh, God.
03:38Whoa, whoa, whoa, whoa!
03:40Get up!
03:41SALLY SCREAMS
03:42KEVIN What the bloody hell are you doing?
03:43SALLY Sorry. I'm really sorry. Um... I... I had a really late night, so I thought I'd
03:48just...
03:49KEVIN So you thought you'd sleep inside an ambulance?
03:50SALLY No, well, I didn't know what I needed to be here, so I thought I'd come earlier.
03:51I just thought...
03:52KEVIN Look, I don't want to hear any more excuses. Inside, shall we change before Jan sees you?
03:53SALLY Just don't tell Jan.
03:54KEVIN I'm sorry.
03:55SALLY I'm sorry.
03:56KEVIN I'm sorry.
03:57SALLY I'm sorry.
03:58KEVIN I'm sorry.
03:59SALLY I'm sorry.
04:00KEVIN I'm sorry.
04:01SALLY I'm sorry.
04:02KEVIN I'm sorry.
04:03SALLY I'm sorry.
04:04KEVIN I'm sorry.
04:05SALLY I'm sorry.
04:06CAMERA UPSIDE DOWN
04:07KEVIN Right, right. As soon as these have gone up, we'll start clearing the other corridor.
04:19SALLY OK. I'm so sorry, our IT system seemed to be down.
04:25It's saying you've already gone upstairs, which I know, I know you haven't. Um, can
04:28I just have a look at that wristband?
04:30Okay, let's get her in for an ECG.
04:33Ah!
04:34Whoa, whoa, whoa. Take it easy.
04:36I'm sorry. He's been treating more patients, not creating more injuries.
04:39I see. I'm so sorry.
04:41Yeah, Brad.
04:42You okay, Stevie?
04:43Yeah, good, thanks.
04:44Come here, come here. Let me have a look.
04:47Ah.
04:48Okay, all right, we're going for a quick X-ray.
04:49No, no, I'm fine, I'm fine.
04:50It'll only take a minute. I don't need an X-ray.
04:52What are you doing? Stevie, what's wrong with you?
04:54What is it?
04:55I'm pregnant.
04:57Stevie, you'll need it for that query spinal, yeah?
05:00Yeah.
05:05So how far gone?
05:07Twelve weeks.
05:08Who's?
05:09Rich.
05:10Why didn't you tell me?
05:12I don't know.
05:14What are you going to do?
05:15I don't know.
05:16When's your scan?
05:17I haven't been able to scan, okay? I need to get my head around it first.
05:20Well, how long is that going to take?
05:21Faith, look, if I have a scan, it's really real, okay?
05:24And I just need a bit more time.
05:26It's already real, and you're going to have to deal with it.
05:29Yeah, look, this is why I didn't tell anyone, okay?
05:32We're here.
05:33SIREN BLARES
05:51There it is. There, there, there.
05:58They're coming to help now. It's OK.
06:00Hiya. I'm Teddy. This is Jan.
06:02Can you give me a bit of room so I can help him?
06:05Hiya. What's your name?
06:07What's your name, lad?
06:09Darla. Green.
06:10My husband's Ray.
06:12Yeah, and can you tell me what happened?
06:14The bull, it's aggressive.
06:16I told Ray he shouldn't try to deal with it by himself,
06:20but the lad who works for us isn't here.
06:23And this bull, where is it now?
06:27He's secure.
06:28He's secure? And what did it do?
06:30Did it charge him? Did it trample him?
06:32Yes.
06:34I don't know. I was...
06:36Oh, God!
06:37It's all right, all right, OK? Did you get hurt?
06:40No. I'm fine.
06:44Looks like a mid-shaft fever fracture.
06:47Going to need to get him a traction splint, get a line in,
06:50give him some pain relief and some TXA.
06:52Jan, do you mind giving me a hand with a scoop?
06:55Yeah, OK.
06:58Won't be long.
07:01Looks like he's been knocked over by a car, not a bull.
07:05If you look, there's tyre marks, not hoof marks.
07:08Hoof marks? All right, Scooby-Doo.
07:10Have a look. Have a look where he's lay.
07:18OK, let's get him in before he gets cold.
07:21OK, let me know if it hurts.
07:26OK, we have bony tenderness on palpation of C1 and C2.
07:30OK, good, thanks.
07:32So, did you play a lot of rugby, Alex?
07:34No, that was my first match.
07:35All right, OK, how's that working out for you?
07:37Pretty well. I think I'm going pro.
07:39Really? Pro? OK.
07:40What, do you fancy yourself the next...?
07:43I actually don't know any rugby players.
07:45No, me neither.
07:46Excuse my fingers.
07:47Owen Farrell.
07:48Isn't he in the movie with the kid stuck in the cage?
07:50No, no, that's Colin Farrell.
07:51Ah, that'll make more sense.
07:52Because why would they send a rugby player to rescue a football team?
07:55Oh, well, you try.
07:57Was that a rugby joke?
07:58Pass. That was a rugby joke.
08:00OK, look, let's keep the blocks on for now.
08:03I'll call radiology and we'll book a CT for the C-spine.
08:06Is there a problem?
08:07No, just a precaution.
08:09We have to make sure there's no damage to the bones in the neck
08:11before we take off the supports.
08:12He might have broken his neck.
08:14Oh, my God.
08:15Sorry, what's your name again?
08:16Laura.
08:17Laura. Cam.
08:18Do you want to take Laura out to the Whitney area?
08:20I can't leave him.
08:21Miss, I won't do a runner.
08:22Alex, don't joke about it.
08:25I'd better call the head.
08:27I actually can't believe this.
08:29I'll show you where you can wait.
08:30Thanks, Cam.
08:31Just going to feel your leg, OK?
08:34She's new.
08:35Yeah, no kidding.
08:39She's really worried about me, huh?
08:41Yeah, it seems that way.
08:43I think I'm getting why the sudden interest in the rugby.
08:48Control, 3-0-0-6.
08:50How far are you from Gloria Scott?
08:52Yeah, not far, we think.
08:54But she's in the middle of a blooming forest.
08:56Over.
08:57Are you sure this is the way?
08:58Yeah.
09:18How's your head?
09:19Yeah, all right.
09:21You're lucky it were me that found you.
09:23Jan had to send you home and said,
09:25you've heard of young Professor Shillow?
09:27That's not really good, Jan.
09:29I'm here all week.
09:30Hello?
09:32Wow.
09:35Hello?
09:38Hello?
09:39Hello?
09:42Hello?
09:51Hiya.
09:52Gloria Scott?
09:53You took your bloody time.
09:55Yeah, sorry, you weren't that easy to find.
09:57Are you OK?
09:58Oh, don't ask stupid questions, I'm bleeding.
10:03Hey, I don't allow men in my home.
10:06Well, you don't.
10:08I'm just a student.
10:10Ah, go on.
10:11What, by myself?
10:12Yes, by yourself.
10:14Just assess her, see if she needs any help.
10:16OK.
10:17Yep.
10:19Come on, Gloria.
10:23OK, open up for me, Gloria.
10:26OK.
10:27Do you want to tell me what happened?
10:29Have you got an NHS dentist?
10:32No.
10:33Neither have I, it's ridiculous.
10:35I've been on a waiting list
10:37since 2020
10:39and I couldn't stand it in the end.
10:42I sorted it myself.
10:47Oh.
10:49OK, er...
10:51What medication are you on?
10:53Er, morphine.
10:55Or bisoprolol.
10:56So, blood thinners and...
10:58High blood pressure, is that right?
11:00Yeah, that's not going to help.
11:02OK, stick that in there
11:04and then I think it's going to be a trip to hospital.
11:06Can't we deal with it here?
11:08I'm not in the habit of going off with people I don't know
11:11and I'm not being funny, but I don't know you from Adam.
11:14Yeah.
11:15OK, well, my name's Indy.
11:17I'm a student paramedic, like I said.
11:23And I grew up with my nan.
11:26I lived with her until she died about four months ago.
11:30Erm...
11:31And now she has me.
11:33Oh, is that how she grew up then?
11:35No, she didn't own it, so just stick that in there.
11:38Yeah.
11:39Your place is cool, though.
11:41I could do with something like this.
11:43Out of all the places I'm looking at, the rent is crazy.
11:46I don't know how people afford it.
11:48Well, you've got a good job. Don't they pay you properly?
11:51No, so these shifts are part of my course, so I don't get paid.
11:55So, how are you living?
11:57Where are you living?
11:58Wherever, really.
12:00I should probably just quit uni and just work full-time,
12:04but this is literally all I want to do, so...
12:07Can you stick that in there?
12:10What do you think?
12:11Know me well enough now to get in the ambulance?
12:16I'll get me bug.
12:18Yeah?
12:19Right.
12:20Right, Ian, we're coming out.
12:22You take that.
12:27Bash, what's happened to the ambulance queue?
12:30They were queuing round the block this morning.
12:32Yeah, the new clinical lead got rid of it.
12:35Who do you think he is? Old Daniels?
12:37Right, let's start primary survey, get a second line in.
12:40Do we have any more information about what happened with this bull?
12:43No, she was a bit hazy about the details.
12:45She might be in shock, but we didn't actually see the bull,
12:48just tyre marks.
12:49You think he was hit by a car?
12:51I don't know. I might be wrong, but...
12:53Is there anybody else at the scene?
12:55Just his wife.
12:57OK, thanks.
13:03MUSIC PLAYS
13:18So, I know you know everything about me, but tell me your deal.
13:21How do you end up living so far away in the middle of nowhere?
13:24Well, you know, at my age,
13:26it doesn't take too many mistakes for things to go wrong.
13:30Life doesn't tend to give you second chances,
13:33never mind third or fourth.
13:35No, it's OK.
13:37Turns out losing everything can be quite liberating.
13:41So can being a cantankerous old bat.
13:49I think we're here.
13:54OK, I'll get your chair.
13:56Oh, still got legs.
14:00Let's get on with it.
14:03I don't need you.
14:08Nope, no men allowed.
14:14OK, some significant swelling,
14:17almost certainly a mid-shaft fracture,
14:20some lacerations and there's...
14:22Yeah, well, there's something in here.
14:24What is it? It's hard to say.
14:26I'm not too sure.
14:28Maybe a shard of plastic?
14:32Like from a car headlight?
14:34Maybe, it's hard to say.
14:36Well, it's not from a bull, is it?
14:38Take it out, let's have a look.
14:40We should do a CT scan first.
14:42We don't know how deep it goes, we don't want to slip an artery pulling out.
14:45All right, let's do a CT scan. OK.
14:54How are we looking? No idea.
14:57Right, you can update it on here, but it doesn't say if it just keeps resetting.
15:00Yeah, it's the exact same on the tablets.
15:02This is a mess. I don't know how we're supposed to know who's actually in the cuticles.
15:05OK, OK, let's do it the old-fashioned way.
15:08Start a paper list and I'll call IT again.
15:11OK, see. Do we know if Mr Prewitt's in the building?
15:17OK, bye. Thank you.
15:19You OK? There's a carbon monoxide leak in my apartment.
15:22No-one has been let inside the building until it is sorted.
15:25Mr Prewitt is in cubicle three.
15:27Yeah, no, fine. Are you sure you're OK?
15:29Yes, fine. Thank you.
15:31I'll get it sorted later.
15:39Gloria, you left these in the ambulance.
15:42Oh, for God's sake.
15:45Oh, thank you.
15:47No problem. Right, you take care of yourself, yeah?
15:49Wait.
15:52What are you doing carrying that kind of money around?
15:54You could have paid for a private dentist with that.
15:56Yeah, well, I thought I might need it for something more important,
15:59and I was right.
16:01Look, deposit on a flat.
16:03No, Gloria, no.
16:04Get yourself sorted.
16:06That's really kind of you, but I'm fine, thank you.
16:09I don't think you are.
16:11I can look after myself.
16:13Yeah, well, that's what I thought until I started pulling teeth out of my head.
16:16It doesn't mean there isn't a better way.
16:18We all need a bit of help sometimes.
16:23I've got to go.
16:31What's happening?
16:33It's all right, it's all right.
16:35We're taking him for a CT scan so we can understand the full extent of his injuries.
16:38Mrs Green, can you remember exactly what happened with this bullet?
16:42It would really help us piece some things together.
16:44What do you mean?
16:46I mean, was he crushed? Was he pinned against something?
16:48Was he knocked over? Was he trampled on?
16:50If we can understand the mechanism of injury, we are so much better placed to help him.
16:54I want to stay with him, can I?
16:57Yeah, of course, of course.
17:00We'll speak later.
17:07Hey, there you are.
17:09Just wanted to let you know that Alice is in the hospital.
17:11Hey, there you are.
17:13Just wanted to let you know that Alex is going for a neck scan. Are you okay?
17:17Yeah, the head said his dad's on the way.
17:19But it'll be a couple of hours because Alex boards and his parents live in London.
17:23Take a seat for a minute.
17:25I feel terrible.
17:27Will he be paralysed?
17:28No.
17:29If I've actually paralysed a kid in my first month, I don't know what I'm going to do.
17:31He's moving his hands at his feet. It's a clear indicator he's not paralysed.
17:34I never realised how stressful this job was going to be.
17:37Because if it's not the ISI report, then it's the performance review.
17:41Or it's pressure.
17:43Do you want to grab a wheelchair table?
17:45Thanks.
17:46Just breathe for me.
17:47You're okay.
17:49Okay, Mrs Scott's INRS 6, which explains the bleeding,
17:52I've written up 10mg of vitamin K.
17:54Have Max Vax been down to review her yet?
17:56No, I don't think so.
17:57Right, okay, well, they've had 30 minutes,
18:00so once you've given her that, she can go straight up.
18:03There's no beds.
18:04It doesn't matter. She's their patient.
18:06Do you have to make room for her?
18:07Yeah.
18:10I'm loving this new system.
18:12It's all the good bits and none of the boring stuff.
18:14And plus, you don't have to put up with arsey patients for more than half an hour.
18:23Hello, ED cubicles.
18:26Yeah, I totally understand.
18:28No.
18:30Hang on.
18:32Firstly, you don't need to shout. That's quite rude.
18:34Yeah, well, we're just following instructions.
18:36I don't really...
18:39This is Mally.
18:40We're not sure if that's a first or a second name.
18:42Passerby saw his car in a ditch and called 999.
18:45Possible pneumothorax on his right-hand side.
18:47He's got fractured nose and lacerations to his right hand.
18:49Initial stats of 92 on air, and that's improved now with low flow.
18:53All other objects are in normal range and the C-spine was clearly seen.
18:56Mally, are you all right to move yourself across?
18:59It's okay.
19:00It's okay.
19:02Right, well done.
19:03Let's start primary survey.
19:05Rash, prep for a chest drain, please.
19:07We think he has a learning disability.
19:09He hasn't understood much of what we've been saying.
19:11Okay, thank you.
19:12No worries.
19:13Can we call the learning disabilities team?
19:17Hi, Mally. My name's Dr Masson.
19:19I know there's a lot going on, but we're going to look after you, okay?
19:22Just going to have a listen to your chest.
19:23Funny thing.
19:24We found this wallet in the car.
19:27Big, muddy, 4x4 it was.
19:29Belongs to one Ray Green.
19:33The bull guy?
19:35Bonsai.
19:40Thank you, I appreciate that.
19:46Okay, bye.
19:49Oh, it's accommodation services.
19:53They're going to try and get me something temporary while it's sorted.
19:57Well, that's good, isn't it?
19:58Yes, just might be a visa issue.
20:03It doesn't matter.
20:05Sorry.
20:06Please don't apologise.
20:07I can see it's obviously very stressful.
20:09Just, you know, as long as you...
20:11If you feel that you don't need support, I understand,
20:14because there are things we don't want to share with people,
20:16but if you were to share them with me, I would probably understand.
20:21The only thing I need right now...
20:24...is a proper roof over my head.
20:28Excuse me.
20:32Hey, so you know your PE teacher, a lot of it, eh?
20:35Yeah.
20:36Is the panic attack subsided?
20:37I don't think that's what it was.
20:40A paper ECG.
20:42Reminds me of the good old days.
20:45Okay, hey, Laura.
20:48My colleague has shown me your ECG results.
20:51How are you feeling?
20:52Yeah, better, thank you.
20:53All right.
20:54And do you suffer from any heart condition?
20:56No.
20:57Okay.
20:58Just because you're so young and there's abnormalities on your ECG,
21:01I do have to ask, are you taking any recreational drugs,
21:04any cocaine, stimulants?
21:06No.
21:07Look, there's no judgement here.
21:10We just...
21:11We need to know if you've taken anything so we can help.
21:15All right.
21:16It's not even a thing.
21:18Have you taken anything today?
21:19Yeah, just, like, a couple of Dexys.
21:21But literally everyone does it.
21:22Like, I don't think I know a single person
21:24who got through their exams without them.
21:26Okay, and are you using every day?
21:28Using?
21:29You make it sound like I'm a crack addict.
21:31No, look, that's not what we're saying, okay?
21:34This is just about being honest with yourself,
21:36not burying your head in the sand if there's a problem.
21:39I'm not.
21:40Okay.
21:41Okay.
21:42I'm going to run some more tests, okay?
21:44I'll do CK and trapezius.
21:47I'll do CK and troponin and another ECG.
21:50Okay, thank you.
21:52Um, Laura, look,
21:55what you do in your time, that's your business.
21:59Yeah, I know.
22:00Okay, but the bottom line is here, you work with kids.
22:03Well, they're hardly kids.
22:04Come on.
22:05That 14-year-old who came in today with an injury,
22:08he got that because he was shown off to you.
22:11He is a kid and he's impressionable.
22:14You're not going to tell anyone, are you?
22:16I could lose my job.
22:18Look, I have a duty of care,
22:19so I have to report this to our safeguarding team.
22:22What does that mean?
22:23Are they going to tell the school?
22:25I don't know.
22:26It's up to them to deal with it as they see fit, but...
22:30Look, um, let's get your blood sorted.
22:32I'm going to go and get you some leaflets to read.
22:35Just sit tight, okay?
22:43So, talking about in your head, Miss And?
22:46All right, most subtle segue.
22:48Mm.
22:49Can you go into NATO and get on the system?
22:51What? No.
22:53No, it's not that simple.
22:54I'm sure it is,
22:55well, considering their systems weren't better than ours.
22:58Come on, you know me.
22:59I have never wanted kids,
23:01and, look, even if I did want this kid,
23:03it's just not possible.
23:05Why is it not possible?
23:06I don't know why.
23:07Like, I don't know.
23:08It arrives and it's like,
23:09oh, sorry, your dad's dead.
23:10This is your auntie Siobhan.
23:11I'm your mother, I can't boil an egg.
23:13Oh, and by the way, I love my job.
23:15All right, all right, just calm down, okay?
23:19Look, if this isn't something that you're going to do,
23:22then you're still going to have to make arrangements.
23:26Okay?
23:28Please, come on, just...
23:30Just go and speak to them.
23:34I said to Laura I'd get her some stuff to read.
23:41So, what, do you think he was trying to steal the car
23:43and Mr Green tried to stop it?
23:45Maybe.
23:46But if he's being robbed,
23:47why make up a story about a boom?
23:49Mrs Green, I'm sorry,
23:50you need to wait outside for a moment, please.
23:52Mrs Green.
23:54Mally!
23:55What happened?
23:56We were worried sick about you.
23:57Are you okay?
23:58Okay, so, you two...
24:00Mally lives with us.
24:01He helps on the farm.
24:03He's practically family.
24:04Ray?
24:05He's going to be okay.
24:06The boom, you know how he gets.
24:09But you mustn't blame yourself.
24:11Ray shouldn't have tried to handle him on his own.
24:13This was found in the car with Mally.
24:16I think it belongs to your husband.
24:20Blood pressure's dropping.
24:22Ray!
24:23He's tachycardic.
24:24What's happening?
24:26Rush.
24:27Okay, yeah, yeah, that's arterial.
24:29Can we get a tourniquet, please?
24:30Yeah.
24:31Something must have shifted
24:32when we were taking him from the scanner.
24:33Okay, it's not your fault.
24:34Get some coelac scores and find a clamp.
24:36Okay, yeah,
24:37it's not going to work.
24:38It's too proximal.
24:39Okay, let's get some xylocaine around the side.
24:41Pull it out.
24:42And 50 micrograms of fentanyl, please.
24:44It needs investigation under interventional radiology.
24:47Well, it's gone through an artery.
24:48It's not going to get much worse.
24:50Okay.
24:55Oh.
25:02Oh.
25:07Okay, start the major hemorrhage protocol.
25:09Give him two grams of TXA.
25:11Set up a rapid infusion.
25:12Let's get some Oneg into him before transit to theatre.
25:15Got it. Clamp.
25:23Hey.
25:24Sorry, Alex.
25:25Computer had said you'd gone to geriatrics,
25:27which seemed, you know, unlikely.
25:28Claire, do you mind giving me a hand? Thanks.
25:30So, uh, good news is, uh,
25:33radiology's computer system
25:34seems to be doing a lot better than ours.
25:36Your CT is back.
25:37It's clear.
25:38No broken bones.
25:39Thank you so much.
25:40No, no, no.
25:41Thank you for not, uh, for not breaking your neck.
25:43Okay, um, let's get these off.
25:45Keep your head nice and still for me.
25:48Is that it?
25:49Uh, not yet.
25:51Now...
25:52Where's Laura?
25:54Oh.
25:55I mean, Miss...
25:57Turn that way for me.
25:58Um, she's with a colleague of mine at the moment.
26:01And the other way.
26:03Okay, that all looks good.
26:04Get him up, Claire. Thank you.
26:06Right, so, nothing serious.
26:08Some bruising, bit of whiplash,
26:09but I will write you up some pain meds to take home.
26:12So I can go?
26:13Yes.
26:14You can go back to your pro rugby career.
26:16Maybe I'll meet someone who likes me for me.
26:22Right, uh, let's give him a minute,
26:24then take him back to the waiting area to wait for his dad,
26:26and I will sort your prescription.
26:30Pleasure.
26:35Look, Maxfax said there's no space for us,
26:37so we've got to wait down there.
26:38Okay, and what did he say?
26:39He was a band-aid matron. What am I supposed to say?
26:41Just tell her you've got strict instructions from your clinical lead,
26:44and just to take it up with him.
26:46Okay?
26:47Okay.
26:48I'm really sorry, Mrs Scott,
26:50but we are going to have to go back up.
26:53Goodness sake.
26:56And then...
26:57Uh, sorry to be a bore,
26:59but you do have a bed for this patient
27:01before you take her up, yes?
27:03Well, no, um...
27:05Ah, okay.
27:06Well, unfortunately, that means you'll have to stay here for the time being.
27:09You can't have any more admissions
27:11unless there's a guaranteed bed to get.
27:13I'm sure you understand.
27:17Right, you just wait here.
27:19I'm going to go and sort this out, okay?
27:23Good, that should hold him. Well done.
27:25Let's get him upstairs.
27:28Okay, Mrs Green, the theatre team will be on standby upstairs,
27:32ready to talk you through the next steps when we get up there.
27:35I'll stay here, with Mally.
27:38You don't want to be with your husband.
27:40His condition's very serious.
27:42Yes, of course.
27:44It's just Mally. He has additional needs.
27:47Oh, no, no, no, we know.
27:49We'll take good care of him, I promise.
27:51Please.
27:52Please.
28:02Hey, Mally, how you doing?
28:06Do you mind if I ask you about something?
28:11We can't just ignore our own CL
28:13because some surgeon came in and threw his weight around.
28:15Do you want me to deal with it?
28:17Yeah, yes, that'd be great, thank you.
28:19To be fair, they're more likely to listen to you than they are us anyway.
28:22Right, fine, I'll deal with it.
28:27Mrs Scott, where's your quarters?
28:30How on God's green earth should I know?
28:33OK, I'll find out. Just bear with me.
28:50Hey, young man, do me a favour.
28:53Find me an envelope and a pen, will you?
28:56Er...
28:57Do you need me to repeat myself?
28:59No, no, no, sorry.
29:08He's not going to tell me anything.
29:10Can you trace the learning disability to him?
29:12Yeah, of course. Is that working?
29:14Er, some of it.
29:16I'm starting to think it was just an accident.
29:18He's vulnerable, she doesn't want him to get into trouble.
29:21What else was she coming for?
29:23This.
29:28I'll call the police. Yeah.
29:31Ah, there you are, Dr Byron.
29:33I think you should know that I've been fielding calls
29:36from ward managers all morning,
29:38complaining that the EED are sending out patients when there are no beds.
29:41Yeah, I told the site team to send in a few more.
29:44Yeah, and they were told that the patients would have to queue
29:47in the ward corridors?
29:48I mean, if they can queue on corridors down here,
29:50I don't see why they can't... Of course you don't.
29:52You see, the thing is that the wards already have more patients
29:55than they can staff safely.
29:57What about safety down here?
29:59You should have seen the state of this place this morning.
30:02I'm sure you can solve the challenges of the EED
30:05without upsetting the rest of the hospital.
30:08Flynn, I put my reputation on the line backing you for this job.
30:12I'm sure you'll want to create the best possible impression.
30:17OK.
30:20Oh, we might see each other this weekend.
30:22It's ages since I caught up with Claire.
30:25Give her my love.
30:28Huh?
30:39Stevie, have you seen...
30:47Sweetheart.
30:48Sorry, I'm fine.
30:49Come here, come here. Come on.
30:51I know.
30:55Come on.
30:56Do you want to have your seat?
30:59SIGHS
31:05I didn't even...
31:07..want kids.
31:09I'm not parent material.
31:12I mean, can you actually imagine anyone calling me Mum?
31:19I don't want a kid. I never wanted a kid.
31:21It wasn't part of the plan.
31:24I get it.
31:26Look, it's OK if you don't want to do this.
31:30But if you do...
31:34..that's OK too.
31:35And you don't have to justify it to anybody.
31:39And whatever decision you make...
31:43Come on, you're not on your own.
31:45You've got me.
31:46You've always got me.
31:49OK?
31:51OK.
31:53Yeah, um...
31:55Sorry, who were you looking for?
31:58Uh, Laura McVey. She's not in her cubicle at...
32:01Laura McVey? Yeah, she said she was going to the...
32:04..to the toilet, so...
32:07But that was ages ago. Um...
32:10Are you OK? Yeah, yeah, I'm good.
32:15We have to stop sending patients upstairs without the beds.
32:18Stop sending the other wards.
32:20Clinical services just stepped in.
32:22So, what, we're just backing down?
32:25We'll have people queuing out the doors again by the end of the shift.
32:28What happened to not being afraid of making enemies?
32:31We'll find another way to ease pressure on the department, I promise.
32:35OK.
32:36Well, I will get ready for a drug round of regular meds.
32:40I didn't get into emergency medicine for bed sores and drug rounds.
32:44That's ward work.
32:47You know, I thought you was going to be different.
32:51Cheers.
32:56Hi. Do you guys need a hand?
32:58Yeah, please.
32:59So, a female collapsed in the toilet.
33:01Dextroamphetamine overdose, resulting in cardiac arrest.
33:04OK. Faith, you could hold the board. Yeah, sure.
33:10Hey. Hey.
33:11I thought you'd gone home.
33:13Oh, I'm just waiting for my dad.
33:15Have you seen Miss McVey anywhere? I can't find her anywhere.
33:18Yeah, look, Alex... What's happened?
33:20Is she OK? No, no, no, you can't go in there, OK?
33:23And I can't give confidential information.
33:26Alex Newton? Yeah?
33:28Hey, I've got your painkillers.
33:31Are you on any medication at the moment?
33:33Yeah, just my ADHD pills and dextroamphetamine.
33:36No, that's absolutely fine. So instructions are inside.
33:39It's two every four hours and no more than eight in a 24-hour period, yeah?
33:43OK, cool. Thank you. No worries.
33:45You're on dextroamphetamine? Yeah, why?
33:48Yeah, Alex, you know it's illegal to sell your prescribed medication.
33:52I don't know what you're talking about. I'm talking about that.
33:57Wait.
34:00That's because of this.
34:04I mean, I take them, I'm fine. I only sell half.
34:07Yeah, but you have a medical condition,
34:09so your body reacts to it differently and you're not abusing.
34:12I didn't think this could happen. Is she going to be OK?
34:15Well, hopefully, but she was lucky she was here.
34:18Am I going to get in trouble?
34:20Look, please don't tell anyone.
34:22You need to go back to the waiting room.
34:24And you also need to talk to your parents.
34:26No, they'll kill me.
34:28Look, I'm so sorry.
34:30Yeah, I know.
34:43These photos show old injuries.
34:46Places bones have been broken before.
34:48Here, and here, and here, and here.
34:57Do you remember other times you've been hurt?
35:02It's all right. We're all here to help.
35:08I was sleeping in the barn.
35:12They gave me a sandwich.
35:15Said I could stay if I helped on the farm.
35:19So you worked for food and a place to stay.
35:24If I didn't go quick enough,
35:27Ray has a chain.
35:29He hits me with it.
35:33Did you ever tell them that you wanted to leave?
35:36They said I owed them for the food.
35:39Okay, let me get the picture.
35:41I didn't mean to.
35:45The key was in the car.
35:47I thought,
35:50if I was quick,
35:53but he saw me,
35:55he got in front of me and...
35:59I don't know how to drive.
36:05I just came to say hi.
36:08I just came to tell you Ray's been taken into theatre.
36:12Please, he didn't mean to hurt him.
36:14It was an accident.
36:16They honour you for Mallie.
36:18Mrs Green?
36:20You stupid boy, what have you said?
36:22Take her outside.
36:23We took you in.
36:25Took care of you.
36:26That's enough.
36:29It's all right.
36:31You're safe now, okay?
36:38Maybe I've just been selfish,
36:41bringing you over here.
36:44Maybe he's better off where he is.
36:46He misses you.
36:48He wants to be with you.
36:50I can't put a roof over his head.
36:54Anyway, it doesn't matter.
36:56If I can't find a suitable place,
36:58the Home Office will revoke his reserves.
37:01What about my place?
37:03We stayed there before.
37:05We stayed there before.
37:07They approved that.
37:09Just call them.
37:11It may not even be delayed.
37:13You know, it means
37:15we will be living together.
37:17Yes.
37:18If you live in my house where I live,
37:20then we will be living together.
37:22Do you know what I mean?
37:26Look,
37:28I don't want to rush you.
37:30And I don't want to put you under any pressure.
37:32But if you wanted to, yeah,
37:34I'd love it.
37:38I don't know what to say.
37:40You could say yes.
37:45Yes.
37:46Okay.
37:49Yay!
37:51I've got to get back up to surgery,
37:53but
37:54we'll get your hormone cut for now.
37:56See you later.
37:58See you later.
38:08I spoke to social services.
38:10They're going to send someone over.
38:12Good. Well done.
38:14It's good to have you here.
38:16Thanks.
38:27Yes.
38:29Can you hear me? Can you hear me?
38:31Crash call!
38:33I need some help, please.
38:41Okay, that's two minutes.
38:43Karen, can you take over?
38:51Lovely.
38:55Can we do an echo, please?
38:57Confirm cardiac tractility.
39:25It's okay.
39:2820 minutes for resuscitation with no output.
39:30All reversible causes addressed
39:32if we're all in agreement.
39:38Time of death, 16 to 44.
39:44I'd like everybody involved in our woman's care
39:46in the staff room at the end of the shift.
39:49So, Laura McVeigh is on her way to ITU now.
39:52Did you manage to reach her next of kin?
39:54Uh, yeah.
39:55Yeah, her mum and dad are on their way.
39:57Awesome.
39:59What's this?
40:00An intervention.
40:02No, Faith, I've got, like, a thousand and one things to do today.
40:05Yes, so have I.
40:06So, come on, let's hurry up.
40:08It's like you said yourself this morning.
40:10It's like you said yourself this morning.
40:12It's like you said yourself this morning.
40:14It's like you said yourself this morning.
40:16It's like you said yourself this morning.
40:18Once you see it, it'll feel more real.
40:20You'll be able to work out what you want to do
40:22and make decisions.
40:24Come on.
40:30Right, okay.
40:53What's she doing?
40:55Mounting this screen.
40:57Isn't that Gareth's job?
40:59Well, he's not insured.
41:01You're not insured.
41:05Oh, Indy. Hey.
41:07There's something here for you. Ooh.
41:09A patient you brought in, Gloria Scott,
41:11she asked me to give this to you.
41:13Oh, okay. Where is she?
41:15She's been admitted.
41:18What?
41:20How?
41:22She came in with bleeding gums.
41:24They're not sure. It might have been a PE
41:26after the wolfing was reversed, but, um,
41:28yeah, they found her in the corridor.
41:30Cam?
41:32I'm sorry to be the messenger.
41:34Yeah.
41:45Okay.
42:01Okay. Are we ready?
42:03No.
42:05I'm going in.
42:12So what's Natalia like as a babysitter?
42:14Are you kidding? She'll be all over this.
42:16Aren't you, Nat?
42:18All the kids will be dead excited.
42:20Okay. Now you've gone too far in figuring me out.
42:22Sorry.
42:26I'm a bit rusty at this.
42:31The cat again. There's no heartbeat.
42:38Um...
42:40You know what? I haven't done this for ages.
42:42I'm going to go find someone who knows what they're doing.
42:44Yeah?
42:48So I brought her back down,
42:50and then Dr Hussain said that he would speak to the ward manager
42:52and deal with it.
42:54Yeah, and then you said we were to stop all admissions,
42:56so I didn't.
42:58I assumed the nursing staff would have continued monitoring her.
43:00Whoa. Did you actually speak to any of the nursing staff
43:03to make sure they knew they had to monitor her?
43:05You were told the same time I was.
43:07I was not across that specific patient.
43:09Yeah, but... Enough.
43:11You're not going to blame this on the nursing staff, Dr Hussain.
43:14You were the senior doctor in cubicles.
43:16The patient was your responsibility.
43:18Okay, just... Just hold on.
43:20Look, technically, she wasn't even in cubicles.
43:22Okay, she was in a reception corridor
43:24at a time we didn't have a team assigned to corridor patients.
43:28Come on, this isn't on me.
43:30A woman died.
43:32Alone. In a corridor.
43:34And you're going to give me technically.
43:36Look, I'm just saying...
43:38This is the second time I've seen you buck responsibility.
43:40Second time? What are you talking about?
43:42I've been on your side... For all the wrong reasons.
43:46I'm not doing this to make your life easier
43:48or so you can practise more exciting medicine.
43:50I'm trying to help more people.
43:52Flynn, can I borrow you for a... Not now.
43:57The team is only as strong as its weakest member.
43:59Weak? Yeah.
44:01I don't have any room for dead wood on my team,
44:03so if you cannot rise to the occasion, you can go.
44:05Okay, everyone needs to just take a...
44:07Who do you think you are? Sorry.
44:09No, don't tarik me!
44:11You can't come in here and talk to me like this. I don't give a...
44:13I don't care who you are.
44:15This was your plan.
44:17What happened is on you. You're the one bucking responsibility.
44:20Right, you're fired. Get out.
44:22Oh, my God.
44:24You see, he doesn't even have a clue how things work here.
44:26You can't fire me. Get out.
44:28Flynn, actually, you're way out of line.
44:31And tarik is right. You can't just fire him like that.
44:37Fine.
44:39You're on administrative duties
44:41until the SAE root cause analysis.
44:43Let's see how you get on with that.
44:45You know what? Have your witch hunt without me.
44:47I quit.
44:57Yeah, sorry.
45:07Tarik. Tarik, wait.
45:09Tarik, wait. Wait.
45:11Look, he didn't mean that, OK?
45:13No investigation is going to put this on you.
45:15You're going to have to leave. Whatever, man.
45:17Look, I don't care. I'm sick of this place anyway. It's a mess.
45:19So what are you going to do? Are you just going to leave again?
45:21Go where? Do what?
45:23I don't know. A mate of mine's got a job in Dubai. That sounds pretty cool.
45:25Tarik, wait. Dubai. Rush, move.
45:27Tarik, what about your dad?
45:29He's in remission now. He's fine.
45:31Tarik, you can't just disappear again.
45:33Why not?
45:35Are you seriously going to spend the rest of your life at Holby ED?
45:37I mean, come on.
45:39Look, there's a whole world out there, Cos.
45:43Look, why don't you join me?
45:45Just do something unexpected for once.
45:47Have an adventure.
45:49Rush, can you give us a hand, please?
45:55I'll send you a postcard then.
46:17So you had a positive pregnancy test?
46:19Yeah, of course.
46:21Do you repeat it?
46:23Yes, Flynn. I weed on several sticks.
46:35Sorry, Stevie, but there's no baby.
46:41All right.
46:45OK, um...
46:47So what are we looking at?
46:49Are we looking at a vacuum aspiration to get rid of the miscarriage, or...?
46:51Um, no.
46:53What I mean is
46:55I don't think there ever was a baby.
46:59There's a mass on your ovary.
47:01And it's quite significant.
47:05Um...
47:13OK.
47:19Fine. It's OK. Um...
47:23Show me.
47:35OK.
48:05OK.