1 00:00:02,120 --> 00:00:03,640 My name is Stevie... 2 00:00:05,160 --> 00:00:10,600 ..and I was Kim's mentor during her rotation in A&E. 3 00:00:10,600 --> 00:00:13,720 I know Kim would have made a brilliant doctor. 4 00:00:16,800 --> 00:00:19,040 The bit I didn't know... 5 00:00:20,840 --> 00:00:24,080 ..was that she wouldn't get to be around to hear me say that. 6 00:00:31,080 --> 00:00:35,000 Guys, as you well know, the last three days have been... 7 00:00:36,440 --> 00:00:37,600 ..relentless. 8 00:00:38,960 --> 00:00:42,520 The overwhelming rise in patients presenting with 9 00:00:42,520 --> 00:00:45,720 respiratory illnesses has pushed this department to near-collapse... 10 00:00:47,200 --> 00:00:49,520 ..and, as such, the Trust's request 11 00:00:49,520 --> 00:00:52,080 for military assistance has been accepted. 12 00:00:52,080 --> 00:00:55,080 An Army aid will arrive tomorrow. 13 00:01:13,640 --> 00:01:15,280 Do we know what we're dealing with yet? 14 00:01:17,240 --> 00:01:19,280 No. No. 15 00:01:19,280 --> 00:01:22,000 The virus remains unidentified. 16 00:01:22,000 --> 00:01:24,440 Two viral swabs have returned inconclusive. 17 00:01:24,440 --> 00:01:28,320 We are waiting on the results of a third. OK, well, we know 18 00:01:28,320 --> 00:01:30,840 it's not flu, and the last time we were facing something like this, 19 00:01:30,840 --> 00:01:33,560 it was Covid, so... Which is why 20 00:01:33,560 --> 00:01:35,120 I think we need to prepare for 21 00:01:35,120 --> 00:01:36,640 the strong possibility that we are 22 00:01:36,640 --> 00:01:38,400 in the early days of a new pandemic. 23 00:01:39,840 --> 00:01:42,040 Half our team's off sick, so... 24 00:01:43,000 --> 00:01:45,800 ..have we got enough PPE to protect the ones we've got here? 25 00:01:47,000 --> 00:01:49,680 Tomorrow, I'll be implementing Holby's 26 00:01:49,680 --> 00:01:52,960 Infection, Prevention and Control strategy. 27 00:01:52,960 --> 00:01:56,000 Additional PPE supplies are being delivered, 28 00:01:56,000 --> 00:01:58,480 and visitor access will be restricted. 29 00:01:59,480 --> 00:02:03,480 Guys, I want you to take care of each other, OK? 30 00:02:03,480 --> 00:02:05,520 We may be about to re-enter hell. 31 00:02:31,520 --> 00:02:33,160 You look awful. 32 00:02:33,160 --> 00:02:36,720 Thank you. So do you. Thank you. 33 00:02:36,720 --> 00:02:39,160 Erm, any word on the third swab? 34 00:02:39,160 --> 00:02:42,200 No, nothing yet. Well, that's our best chance of knowing 35 00:02:42,200 --> 00:02:45,360 what's going on. I know, and we've only got one overflow area remaining 36 00:02:45,360 --> 00:02:48,760 as well. Hey, listen, I spoke to Nicole and she said that 37 00:02:48,760 --> 00:02:51,480 you pushed back on her request for support with her OSCEs. 38 00:02:51,480 --> 00:02:53,320 Look, I haven't had time to eat today and you want me 39 00:02:53,320 --> 00:02:56,600 to diarise holding Nicole's hand? OK, OK. When this is over, 40 00:02:56,600 --> 00:02:59,800 maybe mentoring Nicole might be good for you. While I have you here, 41 00:02:59,800 --> 00:03:02,120 can you sign this for me? Yeah. 42 00:03:05,360 --> 00:03:07,120 Kim's death wasn't your fault, Stevie. 43 00:03:08,840 --> 00:03:11,680 Now, I know Wellbeing offered online counselling sessions 44 00:03:11,680 --> 00:03:14,160 and it's been nearly a week since the funeral 45 00:03:14,160 --> 00:03:15,920 and you haven't used any of them. 46 00:03:15,920 --> 00:03:19,120 The very fact you know that means I could report you to HR. 47 00:03:19,120 --> 00:03:21,480 Come on. I'm worried about you. 48 00:03:21,480 --> 00:03:22,960 Don't be. I'm fine. 49 00:03:26,680 --> 00:03:28,480 What? 50 00:03:28,480 --> 00:03:30,400 Who's GI Joe? 51 00:03:30,400 --> 00:03:32,880 That was my CO 52 00:03:32,880 --> 00:03:34,480 when I first joined the Army. 53 00:03:35,440 --> 00:03:36,760 Thank you for this. 54 00:03:43,280 --> 00:03:45,480 Major Byron. Colonel Bard. 55 00:03:46,440 --> 00:03:47,760 You look tired, Flynn. 56 00:03:49,920 --> 00:03:54,040 Well, I had to sleep on my office floor last night, so... 57 00:03:55,560 --> 00:03:58,480 Shall we? Sure. 58 00:03:58,480 --> 00:04:01,360 So Medical Engineering have raised the red flag 59 00:04:01,360 --> 00:04:04,760 over portable oxygen stocks. Yeah, I'm sourcing an alternative 60 00:04:04,760 --> 00:04:08,120 delivery via different transporters. Well, I can ask my lads to help. 61 00:04:08,120 --> 00:04:09,760 It's OK. We can manage. 62 00:04:09,760 --> 00:04:11,960 You know, I've only been here an hour, 63 00:04:11,960 --> 00:04:15,080 but I already know it's the nurses that run this place. 64 00:04:15,080 --> 00:04:16,560 Let me take that. 65 00:04:16,560 --> 00:04:18,680 Thank you very much. Resus, please. 66 00:04:18,680 --> 00:04:21,000 Good to see you, Byron. 67 00:04:21,000 --> 00:04:22,720 Mm. 68 00:04:22,720 --> 00:04:24,400 He's helpful. 69 00:04:35,920 --> 00:04:37,960 INDISTINCT CONVERSATION 70 00:04:40,560 --> 00:04:42,360 Hiya. 71 00:04:42,360 --> 00:04:45,560 Sorry we're late. Parking was...mad. 72 00:04:45,560 --> 00:04:46,720 Hiya, Dyl. 73 00:04:51,880 --> 00:04:53,400 I, um... 74 00:04:53,400 --> 00:04:56,160 I haven't ordered any coffee because I... 75 00:04:56,160 --> 00:04:58,120 I mean... Er... 76 00:04:59,520 --> 00:05:02,920 Don't tell me. Don't tell me. It was milk, no sugar? 77 00:05:02,920 --> 00:05:04,440 Two sugars. 78 00:05:08,000 --> 00:05:09,360 How have you been? 79 00:05:11,600 --> 00:05:13,240 Is what Matty's saying true? 80 00:05:14,360 --> 00:05:17,520 About this pandemic, if that's what this is. 81 00:05:17,520 --> 00:05:19,400 Are we all just sitting ducks, 82 00:05:19,400 --> 00:05:20,880 waiting to catch it? 83 00:05:20,880 --> 00:05:23,040 It's too early to tell. 84 00:05:24,800 --> 00:05:26,320 Well, is it safe? 85 00:05:27,920 --> 00:05:30,360 Is it safe for Matty to work? Mum, come on. 86 00:05:30,360 --> 00:05:31,880 I'm worried for you. 87 00:05:31,880 --> 00:05:34,440 Do you remember how sick your dad got in Covid? 88 00:05:34,440 --> 00:05:37,200 His dad spent a week in intensive care. 89 00:05:37,200 --> 00:05:40,200 We didn't think he was coming home. I'm sorry to hear that. Mm. 90 00:05:44,880 --> 00:05:47,160 Anyway, Mum, 91 00:05:47,160 --> 00:05:50,000 you said you wanted to ask questions if we were going to spend 92 00:05:50,000 --> 00:05:53,440 more time together, you know, so just ask. 93 00:05:53,440 --> 00:05:58,520 You know, maybe I'll get that decaf, after all. OK. 94 00:06:01,640 --> 00:06:05,480 If you go to the orange tent over there, OK? Thank you. 95 00:06:05,480 --> 00:06:07,920 Hi, sir. Will you just go and speak to this gentleman here for me? 96 00:06:07,920 --> 00:06:10,520 Thank you. OK, can you wait here as well, please? 97 00:06:10,520 --> 00:06:12,840 Anyone with a respiratory issue, just wait... I need help! 98 00:06:12,840 --> 00:06:14,400 It's my wife! Please! 99 00:06:14,400 --> 00:06:16,560 She's pregnant! 100 00:06:16,560 --> 00:06:19,720 How many weeks is she? 25? No, no, 26. 101 00:06:19,720 --> 00:06:23,000 She's 26 weeks. Is she having any contractions? No, it's too early. 102 00:06:23,000 --> 00:06:25,960 OK, Rory, on me? 103 00:06:25,960 --> 00:06:28,320 There we go. There we go. 104 00:06:28,320 --> 00:06:31,040 It's the ambulance, it never came. I drove her in myself, 105 00:06:31,040 --> 00:06:34,040 as fast as I could, but... Well, you're doing a brilliant job. 106 00:06:34,040 --> 00:06:35,720 Can I get you to stand over here? 107 00:06:35,720 --> 00:06:37,120 We're going straight in, guys. 108 00:06:37,120 --> 00:06:39,400 I don't have any consultants available. 109 00:06:39,400 --> 00:06:41,080 I've got Dylan coming in in about 20 minutes. 110 00:06:41,080 --> 00:06:43,160 OK. Call him. Call him now. 111 00:06:45,240 --> 00:06:47,000 Being a GP didn't really suit me. 112 00:06:47,000 --> 00:06:49,040 I needed something with a bit more excitement. 113 00:06:49,040 --> 00:06:50,680 When did you last have a drink? 114 00:06:52,960 --> 00:06:55,720 Er, I've been sober for six years. 115 00:06:55,720 --> 00:06:57,320 Mm-hm. 116 00:06:57,320 --> 00:07:00,600 Er, we should...we should probably go, you know. 117 00:07:00,600 --> 00:07:02,720 We're supposed to be on. You can give me ten more minutes. 118 00:07:02,720 --> 00:07:05,280 Actually, I...I have a question. 119 00:07:07,560 --> 00:07:12,000 How...how do you keep a secret like that for 25 years? 120 00:07:12,000 --> 00:07:13,480 It wasn't like it was hard. 121 00:07:13,480 --> 00:07:15,400 Who wants an alky in their baby's life? 122 00:07:16,920 --> 00:07:20,080 Well, you didn't give me a chance. Yeah, but I did. I tried to. 123 00:07:21,360 --> 00:07:23,760 The night I found out I was pregnant, 124 00:07:23,760 --> 00:07:26,880 I went to your flat, but you weren't in, 125 00:07:26,880 --> 00:07:29,800 so I waited...and I waited... 126 00:07:31,800 --> 00:07:35,720 ..but then you came back 127 00:07:35,720 --> 00:07:37,400 blind drunk, 128 00:07:37,400 --> 00:07:39,880 with blood down your front. We didn't know if it was your own 129 00:07:39,880 --> 00:07:42,200 or someone else's. 130 00:07:45,440 --> 00:07:46,960 I remember thinking... 131 00:07:48,760 --> 00:07:50,840 ..you couldn't be a doctor, 132 00:07:50,840 --> 00:07:52,560 let alone a dad. 133 00:07:55,120 --> 00:07:58,040 I needed to protect my baby from you. 134 00:07:59,560 --> 00:08:00,720 PHONE BUZZES 135 00:08:03,440 --> 00:08:06,200 Sorry, I've got... Yeah. 136 00:08:06,200 --> 00:08:08,200 Hello. Dr Keogh. 137 00:08:12,000 --> 00:08:14,240 Erm, OK, yeah. 138 00:08:14,240 --> 00:08:16,520 Yeah. All right. OK. 139 00:08:16,520 --> 00:08:19,040 Um, I'm sorry, we have to go. 140 00:08:19,040 --> 00:08:22,280 It's an emergency. I barely know anything more than I did before. 141 00:08:22,280 --> 00:08:24,800 Do you have family? Friends? 142 00:08:24,800 --> 00:08:26,920 I mean, what do they think? 143 00:08:26,920 --> 00:08:29,320 I don't have anybody I can talk to about Matty, no. 144 00:08:29,320 --> 00:08:31,920 What does it matter, Mum? 145 00:08:31,920 --> 00:08:33,800 It matters to me. 146 00:08:33,800 --> 00:08:35,520 I won't have anyone be ashamed of you. 147 00:08:35,520 --> 00:08:37,040 No, I'm not ashamed of Matty. 148 00:08:37,040 --> 00:08:39,080 I mean, trust me, this is all about me. 149 00:08:39,080 --> 00:08:41,840 Come on, Mum. Please don't make this any harder. 150 00:08:44,080 --> 00:08:45,520 WHISPERS: Sorry. 151 00:08:50,560 --> 00:08:53,240 All hands on deck today, I'm afraid. 152 00:08:53,240 --> 00:08:54,800 Sorry it's your first shift back. 153 00:08:54,800 --> 00:08:56,840 Hey, no, look, I've had three weeks of doing nothing, 154 00:08:56,840 --> 00:08:58,320 I'm actually happy to be here. 155 00:08:58,320 --> 00:09:01,720 Honest. Right, well, brace yourself. 156 00:09:03,680 --> 00:09:06,960 I'm...very late! I'm late for my rounds! 157 00:09:06,960 --> 00:09:09,120 Sorry, Beryl, love. Are we holding you up? 158 00:09:09,120 --> 00:09:11,520 This one... Well, pop that back on for me. 159 00:09:11,520 --> 00:09:13,560 COUGHING 160 00:09:11,520 --> 00:09:13,560 Could you repeat her obs 161 00:09:13,560 --> 00:09:16,880 and chase bloods if they're not back in an hour? Yeah. 162 00:09:16,880 --> 00:09:19,960 Er, Beryl, I tell you what - 163 00:09:19,960 --> 00:09:23,160 whoever's folded this has done a shoddy job for me. 164 00:09:23,160 --> 00:09:25,280 Could you do it for me properly? 165 00:09:25,280 --> 00:09:27,320 Oh! Thank you. 166 00:09:28,600 --> 00:09:31,360 She used to work here years ago, as a nurse. 167 00:09:31,360 --> 00:09:34,040 She thinks she still does, bless her. 168 00:09:34,040 --> 00:09:35,520 It's the dementia. 169 00:09:35,520 --> 00:09:37,960 Well, why is she in the...? I know, I know. 170 00:09:37,960 --> 00:09:39,360 It's not the best place for her, 171 00:09:39,360 --> 00:09:41,640 but if you keep her busy, she'll be fine. 172 00:09:41,640 --> 00:09:45,200 Now, would you take over Bay D for me? I need to be somewhere. 173 00:09:45,200 --> 00:09:47,880 Mr Gibson, he has lung cancer. 174 00:09:47,880 --> 00:09:51,960 I think the virus is exacerbating his symptoms. 175 00:09:51,960 --> 00:09:55,120 Cam, sure you're going to be OK with all this? 176 00:09:55,120 --> 00:09:56,920 Yeah. Yeah, no, I want to be here. 177 00:09:56,920 --> 00:09:58,880 OK, good lad. 178 00:09:58,880 --> 00:10:00,400 Mask, Beryl, love. 179 00:10:07,160 --> 00:10:10,120 Hi, sir. My name's Cam. I'm going to be your nurse for the rest of today. 180 00:10:10,120 --> 00:10:12,120 How are you feeling? 181 00:10:12,120 --> 00:10:13,800 Fourth time on this corridor. 182 00:10:13,800 --> 00:10:18,040 It's safe to say that I had more fun at my last colonoscopy! 183 00:10:18,040 --> 00:10:19,600 How do you think I'm feeling? 184 00:10:19,600 --> 00:10:23,120 Fair enough. Well, listen, I need to take your bloods. Is that OK? 185 00:10:23,120 --> 00:10:25,200 Yeah, well, get on with it. All right. Yeah, I will. 186 00:10:27,000 --> 00:10:28,480 I'm just going to pop that there. 187 00:10:37,760 --> 00:10:41,600 I've got cancerous cells that move faster than you. 188 00:10:47,880 --> 00:10:50,200 Erm, this man needs a mask. 189 00:10:50,200 --> 00:10:53,440 OK, yeah. This patient is 26 weeks pregnant. 190 00:10:53,440 --> 00:10:55,720 I've had a quick look and the baby's crowning. 191 00:10:55,720 --> 00:10:58,120 Sorry, can you just put that on for me, please? 192 00:10:58,120 --> 00:11:00,160 Coughing, shortness of breath. 193 00:11:00,160 --> 00:11:02,040 Am I all right to give her Entonox? 194 00:11:03,440 --> 00:11:06,160 Dylan? Am I all right to give her Entonox? 195 00:11:06,160 --> 00:11:08,600 No. No Entonox with that cough, no. 196 00:11:08,600 --> 00:11:10,040 What's happening? 197 00:11:10,040 --> 00:11:11,920 We think your baby's coming. What, now? 198 00:11:11,920 --> 00:11:14,520 He's going to be OK, though, isn't he? No, no, no, no. 199 00:11:14,520 --> 00:11:16,320 I tell you what, somebody call Obstetrics. 200 00:11:16,320 --> 00:11:18,240 I just want to speak to Rash. 201 00:11:18,240 --> 00:11:19,680 SHE CRIES OUT 202 00:11:22,880 --> 00:11:24,560 Hi, there. We've got another preterm delivery. 203 00:11:24,560 --> 00:11:27,600 Gestation, 26 weeks. 204 00:11:27,600 --> 00:11:29,640 Yeah, we need the neo-natal resus team. 205 00:11:29,640 --> 00:11:32,480 Another one? Resus 1. 206 00:11:36,320 --> 00:11:38,800 Hey, can you arrange for the neo-natal resus team 207 00:11:38,800 --> 00:11:41,000 to be sent to the ED? I need to speak to Faith and Iain. 208 00:11:41,000 --> 00:11:43,280 Oh, do you have a minute, Doctor? 209 00:11:43,280 --> 00:11:44,840 Er... 210 00:11:44,840 --> 00:11:46,520 No rush. 211 00:11:46,520 --> 00:11:48,760 I'll be with you in a minute, Jessica. 212 00:11:50,400 --> 00:11:52,240 Hey. Hey. 213 00:11:52,240 --> 00:11:55,640 Guys, we're reviewing NICU's visitation. 214 00:11:55,640 --> 00:11:57,720 If the department decides to follow the ED's lead, 215 00:11:57,720 --> 00:12:00,560 there's a chance I may need to ask one of you to leave. 216 00:12:00,560 --> 00:12:03,120 But I'm really hoping it doesn't come to that. 217 00:12:03,120 --> 00:12:05,320 Neither of us are going anywhere. 218 00:12:05,320 --> 00:12:08,880 Iain... Erm, is there any news from the consultant? 219 00:12:10,480 --> 00:12:12,840 It's the same, I'm afraid. There's no change. 220 00:12:14,080 --> 00:12:19,200 With Pearl's prematurity, we need to take each day as it comes. OK. 221 00:12:21,600 --> 00:12:25,160 Look, I'm here on a CESR rotation for the next month, 222 00:12:25,160 --> 00:12:30,120 so if there's anything I can do - anything at all - just let me know. 223 00:12:30,120 --> 00:12:31,880 Thanks, mate. Thank you. 224 00:12:37,960 --> 00:12:39,440 SHE SIGHS 225 00:12:50,880 --> 00:12:54,560 SHE GROANS 226 00:12:54,560 --> 00:12:56,480 Baby's nearly here. 227 00:12:56,480 --> 00:12:58,040 That's it, Laura. Well done. 228 00:12:58,040 --> 00:12:59,800 Keep going. That's it. 229 00:12:59,800 --> 00:13:01,080 That's it. That's it! 230 00:13:01,080 --> 00:13:03,720 Good, good. Well done. Well done. Well done. Well done! 231 00:13:06,480 --> 00:13:07,840 He's here, Laura. 232 00:13:07,840 --> 00:13:09,720 He's beautiful. 233 00:13:09,720 --> 00:13:12,600 OK, so baby's a bit floppy. He's not breathing. 234 00:13:12,600 --> 00:13:15,800 So, let's cut this cord and, er... 235 00:13:15,800 --> 00:13:17,120 Is...is he OK? 236 00:13:17,120 --> 00:13:20,280 Uh, well, he's not breathing at the moment, but we're going to 237 00:13:20,280 --> 00:13:22,960 have him transferred to neo-natal 238 00:13:22,960 --> 00:13:24,800 and they'll try and stabilise him there. 239 00:13:24,800 --> 00:13:26,760 OK, can we deliver the placenta? 240 00:13:26,760 --> 00:13:28,440 But you did great, Laura. OK? 241 00:13:28,440 --> 00:13:30,560 And your baby is in the best hands, I promise. 242 00:13:35,720 --> 00:13:37,400 Dylan, 243 00:13:37,400 --> 00:13:39,080 what is going on with you? 244 00:13:39,080 --> 00:13:41,240 Come on. We need Dr Keogh back in this room now. 245 00:13:42,720 --> 00:13:45,120 Sorry. Sorry, sorry. Um... 246 00:13:46,320 --> 00:13:49,000 Yeah, looks as though his heart's not beating at the moment. 247 00:13:49,000 --> 00:13:50,640 SHE COUGHS We're going to do everything we can 248 00:13:50,640 --> 00:13:52,240 to get him breathing, all right? 249 00:14:04,400 --> 00:14:05,920 Keep taking deep breaths from that, Eileen. 250 00:14:05,920 --> 00:14:07,520 Someone will be with us in a minute. 251 00:14:07,520 --> 00:14:09,800 Hey, Indie, you OK? Hey. Yeah. 252 00:14:09,800 --> 00:14:12,520 This is Eileen, 72, exacerbation of COPD, 253 00:14:12,520 --> 00:14:14,480 with worsening cough and shortness of breath. 254 00:14:14,480 --> 00:14:17,080 Sats on arrival were 80, resps 36. 255 00:14:17,080 --> 00:14:19,440 She's had 5mg of salbutamol, 256 00:14:19,440 --> 00:14:22,040 500mcg of ipratropium 257 00:14:22,040 --> 00:14:23,920 and 100mg of hydrocortisone. 258 00:14:23,920 --> 00:14:25,320 OK, er, thank you. 259 00:14:25,320 --> 00:14:27,440 All right, let's continue with oxygen here, please, 260 00:14:27,440 --> 00:14:30,240 and titrate to saturations of 88-92%. 261 00:14:30,240 --> 00:14:33,360 All right, Eileen, I'm going to leave you with them now. OK? 262 00:14:33,360 --> 00:14:36,640 Don't fuss! I'm not fussing. 263 00:14:36,640 --> 00:14:38,640 I'm not incapable, you know! 264 00:14:38,640 --> 00:14:41,120 I'm just going to put this over you. All right? 265 00:14:43,680 --> 00:14:46,400 Nothing I haven't seen before, Alan. 266 00:14:47,920 --> 00:14:49,120 Eileen? 267 00:14:50,600 --> 00:14:53,120 As glamorous as ever in that gown. 268 00:14:53,120 --> 00:14:56,960 Surprised you can see over here, with those cataracts. 269 00:14:56,960 --> 00:14:58,400 You two know each other? 270 00:14:58,400 --> 00:15:00,360 Yeah, we were both teachers. 271 00:15:00,360 --> 00:15:02,320 Holby High English department. 272 00:15:02,320 --> 00:15:05,200 Oh, we went through the lot! 273 00:15:05,200 --> 00:15:07,960 Long, thankless hours. 274 00:15:07,960 --> 00:15:09,480 All the marking... 275 00:15:09,480 --> 00:15:13,040 Kathryn would be turning in her grave if she found out 276 00:15:13,040 --> 00:15:16,480 you'd turned into such a grumpy old man. 277 00:15:17,720 --> 00:15:19,440 It's all an act. 278 00:15:19,440 --> 00:15:21,520 He was a great teacher. 279 00:15:29,680 --> 00:15:31,880 Any news on the oxygen cylinder re-stock? 280 00:15:31,880 --> 00:15:34,240 Don't know, but they should have left distribution by now. 281 00:15:34,240 --> 00:15:35,720 Your guess is as good as mine. 282 00:15:35,720 --> 00:15:36,960 If we don't receive it soon, 283 00:15:36,960 --> 00:15:39,720 we won't have enough oxygen to treat the corridor patients. 284 00:15:39,720 --> 00:15:42,840 OK, well, how long will stocks last? Well, at the rate we're going... 285 00:15:44,120 --> 00:15:45,400 ..two, three hours. 286 00:15:47,680 --> 00:15:50,480 OK, listen, we ration the cylinders until the delivery arrives. 287 00:15:50,480 --> 00:15:52,920 Anybody wants one, they run it past a senior doctor first. 288 00:15:52,920 --> 00:15:54,760 OK? Yeah. No exceptions. 289 00:15:54,760 --> 00:15:56,320 Excuse me. After you. 290 00:15:58,240 --> 00:15:59,720 Hi, Beryl, love. 291 00:16:05,640 --> 00:16:07,120 LOCK BEEPS 292 00:16:14,960 --> 00:16:17,640 So what's the ETA? 293 00:16:17,640 --> 00:16:20,840 Look, I can arrange for a unit to pick up the delivery 294 00:16:20,840 --> 00:16:23,520 if distribution can't organise themselves. That would be amazing. 295 00:16:23,520 --> 00:16:26,560 No, no, no. It's fine. Thank you. I've got it under control. 296 00:16:30,040 --> 00:16:32,720 It's a generous offer. What's going on? 297 00:16:32,720 --> 00:16:35,320 The guy isn't who you think he is. OK? 298 00:16:40,320 --> 00:16:43,320 OK, sir, so we've got your bloods back and it looks like 299 00:16:43,320 --> 00:16:45,440 you've got quite severe anaemia, so we're going to have to do 300 00:16:45,440 --> 00:16:48,880 a transfusion here. Is that all right? That is a trip hazard. 301 00:16:48,880 --> 00:16:51,240 Leave the poor boy alone. 302 00:16:52,680 --> 00:16:55,600 Er, excuse me! Sorry, you can't put him there. 303 00:16:55,600 --> 00:16:58,040 You've got to get me out of here, mate. 304 00:16:58,040 --> 00:17:00,640 Yeah, OK, I understand. I'll be with you shortly. 305 00:17:00,640 --> 00:17:03,240 OK? The matron will be with you shortly. 306 00:17:03,240 --> 00:17:05,680 It's my missus' birthday. I understand. Where's your mask? 307 00:17:05,680 --> 00:17:08,200 Arse over tit, someone is going to go. 308 00:17:08,200 --> 00:17:10,880 I need to clock off soon for my Brian. 309 00:17:10,880 --> 00:17:12,600 OK, shall we get you some sheets? 310 00:17:12,600 --> 00:17:14,800 You were really good at folding the sheets earlier. 311 00:17:14,800 --> 00:17:16,200 Ow! 312 00:17:16,200 --> 00:17:18,000 Are you OK? 313 00:17:18,000 --> 00:17:20,400 I'm so, so sorry. 314 00:17:20,400 --> 00:17:22,520 Did I hurt you? No? 315 00:17:22,520 --> 00:17:25,880 I'm so sorry. What idiot has left that in the middle of a corridor? 316 00:17:25,880 --> 00:17:27,960 I'm so sorry, sir. Sorry, everyone. 317 00:17:29,000 --> 00:17:31,280 Uh, Rida, that's my fault. 318 00:17:31,280 --> 00:17:34,360 Cam? I know. Look, I was excited to be back, 319 00:17:34,360 --> 00:17:36,320 but just Bay D, I, F, they're just... 320 00:17:36,320 --> 00:17:38,120 It's doing my head in, and I don't know what I'm doing. 321 00:17:38,120 --> 00:17:40,920 Why are you calling them by their letters? Just cos they're elderly 322 00:17:40,920 --> 00:17:43,080 doesn't mean you shouldn't learn their names. 323 00:17:43,080 --> 00:17:44,680 I didn't mean it like that. I... 324 00:17:44,680 --> 00:17:47,480 Just treat them like human beings. You might remember a bit better. 325 00:17:47,480 --> 00:17:49,680 My foot is really hurting. 326 00:17:49,680 --> 00:17:51,440 Sorry. 327 00:18:26,680 --> 00:18:28,320 Thank you. 328 00:18:28,320 --> 00:18:32,240 Stevie, this is Piotr, 20s. Resus 2, guys. 329 00:18:32,240 --> 00:18:33,880 Presenting with severe respiratory distress, 330 00:18:33,880 --> 00:18:36,600 shortness of breath and angioedema to his airway. 331 00:18:36,600 --> 00:18:37,880 We've treated as anaphylaxis. 332 00:18:37,880 --> 00:18:40,760 Zadzwon do Leny. Powiedz jej... 333 00:18:40,760 --> 00:18:42,080 Any known allergies for anaphylaxis? 334 00:18:42,080 --> 00:18:43,480 And when did he last have IM adrenaline? 335 00:18:43,480 --> 00:18:46,520 No to the first question, and six minutes ago. 336 00:18:46,520 --> 00:18:48,400 Do you guys know any more about the virus, 337 00:18:48,400 --> 00:18:50,920 about how it's infecting patients? No. Only what you do. 338 00:18:50,920 --> 00:18:52,800 Zadzwon do Leny... 339 00:18:52,800 --> 00:18:55,160 On lift. Ready, steady, lift. Powiedz jej... 340 00:18:55,160 --> 00:18:58,160 Zadzwon do Leny. Powiedz jej... Say that again, mate. 341 00:18:58,160 --> 00:18:59,320 Powiedz jej... 342 00:18:59,320 --> 00:19:02,960 Matty, can you move? OK, can we do primary survey? 343 00:19:02,960 --> 00:19:05,080 I'm going to check your airway, sir, OK? 344 00:19:06,360 --> 00:19:08,760 Yeah, significant swelling of the airway. 345 00:19:08,760 --> 00:19:11,240 Let's do an adrenaline nebuliser 346 00:19:11,240 --> 00:19:13,840 and we'll do another 500mcg of adrenaline IM, please. 347 00:19:13,840 --> 00:19:17,080 He's struggling. Not pushing air properly at all. 348 00:19:17,080 --> 00:19:19,960 Yeah, OK. It's stridor. He's got cord oedema. 349 00:19:19,960 --> 00:19:21,960 Matty, when you can, can you contact the anaesthetist? 350 00:19:21,960 --> 00:19:23,920 He's going to need airway support. Yeah. 351 00:19:23,920 --> 00:19:26,360 Let's get some oxygen on, help you breathe. 352 00:19:26,360 --> 00:19:27,680 Right, OK, this isn't working. 353 00:19:27,680 --> 00:19:30,480 We might need a surgical airway. 354 00:19:30,480 --> 00:19:34,800 Can I get the RSI kit, please, and the difficult airway trolley? 355 00:19:34,800 --> 00:19:36,000 Thank you. 356 00:19:49,200 --> 00:19:52,640 Excuse me, lads. Coming through. 357 00:19:52,640 --> 00:19:56,360 Dylan, Shiv, the results of the third viral swab are back 358 00:19:56,360 --> 00:19:59,760 and they are negative. We aren't dealing with a virus. 359 00:19:59,760 --> 00:20:02,160 How can we know even less than we did this morning? 360 00:20:02,160 --> 00:20:05,120 Well, for now, it's vital that we maintain safety precautions 361 00:20:05,120 --> 00:20:06,560 until we know anything more, OK? Yeah. 362 00:20:06,560 --> 00:20:08,760 I'll give you a shout when I know. Yeah. 363 00:20:08,760 --> 00:20:11,560 Hey, stop messing about. Take that to Bay 7. 364 00:20:22,960 --> 00:20:25,320 He's still deteriorating. I'm struggling to get any air in. 365 00:20:25,320 --> 00:20:26,920 Right, let's get the i-gel out. 366 00:20:28,160 --> 00:20:30,200 What's happening with the lights? 367 00:20:36,040 --> 00:20:38,240 Yeah, OK, he's got severe glottic oedema. 368 00:20:38,240 --> 00:20:41,040 Right, we're not going to be able to intubate. Let's... 369 00:20:41,040 --> 00:20:42,800 Yeah, let's do a cricothyroidotomy. 370 00:20:45,400 --> 00:20:46,840 Scalpel. 371 00:20:59,000 --> 00:21:00,400 Right, bougie. 372 00:21:04,160 --> 00:21:05,720 Agh! Watch out of the way. 373 00:21:05,720 --> 00:21:06,800 Is anybody hurt? 374 00:21:06,800 --> 00:21:08,360 Is anybody hurt? Is everyone OK? 375 00:21:08,360 --> 00:21:09,760 ELECTRICAL CRACKLING 376 00:21:09,760 --> 00:21:11,600 ALARM BLARES 377 00:21:18,680 --> 00:21:21,440 Oh, great. Now the lights decide to go. That's just... 378 00:21:21,440 --> 00:21:24,600 That's perfect. That's... That's really, really helpful. 379 00:21:43,200 --> 00:21:45,120 No. No. More light. More light, Matty. OK? 380 00:21:45,120 --> 00:21:46,560 More light, as in, "I can't see," 381 00:21:46,560 --> 00:21:48,320 not, "Let's prep for a reflexology session." 382 00:21:48,320 --> 00:21:49,920 Yes? Closer, please. 383 00:21:49,920 --> 00:21:52,000 OK. 384 00:21:52,000 --> 00:21:53,960 OK, let's attach the BVM, please. 385 00:22:00,400 --> 00:22:03,240 There's still some resistance here, like... 386 00:22:03,240 --> 00:22:04,400 Yeah, we've got end-tidal, 387 00:22:04,400 --> 00:22:06,280 but the tube must have gone down the right main bronchus. 388 00:22:06,280 --> 00:22:08,880 So let's move the right-hand side that's moving... 389 00:22:10,240 --> 00:22:12,240 Sats, 85%. 390 00:22:12,240 --> 00:22:14,120 End-tidal is still a bit low. 391 00:22:18,040 --> 00:22:21,760 The wiring must have short-circuited when the cylinder hit it. Yeah. 392 00:22:21,760 --> 00:22:23,640 Well, at least it's just the lights. 393 00:22:25,240 --> 00:22:27,040 Pumps and monitors seem to be working. 394 00:22:27,040 --> 00:22:29,280 Help me test this board. 395 00:22:29,280 --> 00:22:30,880 Move this out of the way. 396 00:22:34,400 --> 00:22:37,000 Her sats are still hovering at 90%. 397 00:22:38,240 --> 00:22:40,960 When can we see him? Please. 398 00:22:40,960 --> 00:22:43,160 But he's OK? He's safe? 399 00:22:43,160 --> 00:22:46,560 Well, as you know, he's with NICU at the moment 400 00:22:46,560 --> 00:22:49,040 and they've managed to get his heart started, which is great, 401 00:22:49,040 --> 00:22:51,800 but I'm afraid the two of you are just too ill 402 00:22:51,800 --> 00:22:54,400 to go up there at the moment. You can't stop us from being with him. 403 00:22:54,400 --> 00:22:58,040 No-one can even tell us what this thing we all have is... OK, no. 404 00:22:58,040 --> 00:23:01,120 But whatever it is, we need to protect him from it, don't we? 405 00:23:01,120 --> 00:23:05,040 Do you have any history of heart problems? Er, no. 406 00:23:05,040 --> 00:23:07,600 OK, I want to repeat the bloods, please. 407 00:23:07,600 --> 00:23:10,760 Can we get a chest X-ray and an ECG as well? 408 00:23:10,760 --> 00:23:13,200 Please, just let me see him. 409 00:23:13,200 --> 00:23:14,440 Please! 410 00:23:14,440 --> 00:23:16,480 And let's cut back on her fluids. 411 00:23:16,480 --> 00:23:19,600 As soon as that X-ray comes, I want to see it, please. 412 00:23:19,600 --> 00:23:21,920 You've got an idea what it is, don't you? 413 00:23:21,920 --> 00:23:25,240 Let me talk to Radiology, OK? I want her top of the list. 414 00:23:45,440 --> 00:23:46,960 JACK: These are the live wires... 415 00:23:46,960 --> 00:23:48,520 GASPING 416 00:23:49,800 --> 00:23:53,120 Are you OK? Yeah. Never better, Byron. 417 00:23:53,120 --> 00:23:55,760 Shall we give it another go? Yeah, let's do it. 418 00:24:01,840 --> 00:24:03,520 ELECTRICAL HUM 419 00:24:03,520 --> 00:24:05,400 CHEERING AND APPLAUSE 420 00:24:14,000 --> 00:24:15,600 Sats are still at 85. 421 00:24:15,600 --> 00:24:18,080 Yeah, I know. OK, give me a bit more light, please. 422 00:24:18,080 --> 00:24:19,360 A bit more than that. 423 00:24:20,920 --> 00:24:22,720 Are you OK? 424 00:24:22,720 --> 00:24:24,200 Yeah, fine. 425 00:24:25,440 --> 00:24:27,560 Come on, come on. 426 00:24:27,560 --> 00:24:28,720 Hey! 427 00:24:30,040 --> 00:24:31,360 OK. 428 00:24:37,720 --> 00:24:40,240 Good. OK. Yeah, numbers are normalising and, uh, 429 00:24:40,240 --> 00:24:43,800 we're adequately oxygenating, so that's good. 430 00:24:43,800 --> 00:24:46,800 Let's complete the RSI checklist, please. 431 00:24:52,880 --> 00:24:54,840 You know, there's always a place for you 432 00:24:54,840 --> 00:24:57,880 at Royal Wyvern's Engineering Corps, if you ever get bored. 433 00:24:59,440 --> 00:25:00,920 Thank you for this. 434 00:25:00,920 --> 00:25:03,240 Seriously, I appreciate it. No worries. 435 00:25:05,040 --> 00:25:06,240 Jack. 436 00:25:08,360 --> 00:25:10,320 Can you still arrange transportation? 437 00:25:11,280 --> 00:25:13,160 Yeah, of course. Leave it with me. 438 00:25:20,880 --> 00:25:22,960 What am I doing here? 439 00:25:22,960 --> 00:25:24,600 You're in hospital. 440 00:25:24,600 --> 00:25:27,560 OK? I'm your nurse. I'm Cam. 441 00:25:27,560 --> 00:25:29,440 Cam. Yeah. 442 00:25:29,440 --> 00:25:30,960 Beryl. 443 00:25:30,960 --> 00:25:32,120 I'm Beryl. 444 00:25:32,120 --> 00:25:33,640 I'm a nurse too. 445 00:25:33,640 --> 00:25:35,160 I know you are, Beryl. I know. 446 00:25:35,160 --> 00:25:37,680 Listen, you were really helping me earlier with the sheets. 447 00:25:37,680 --> 00:25:40,520 Do you remember the bedsheets? You were folding them for me. 448 00:25:40,520 --> 00:25:42,640 Look, they're on the floor now. 449 00:25:42,640 --> 00:25:46,480 If you can help me fold those, that'd be great, Beryl. Yeah? 450 00:25:46,480 --> 00:25:48,720 Thank you so much. I'll be with you soon. 451 00:25:48,720 --> 00:25:51,520 OK? Sorry. Sorry. 452 00:25:53,440 --> 00:25:55,080 OK. 453 00:25:55,080 --> 00:25:57,440 That should be it now with the lights, Mr Gibson. 454 00:25:57,440 --> 00:26:00,240 Ha! Reminds me of the power outages... 455 00:26:01,280 --> 00:26:02,680 ..back in the day, when, uh, 456 00:26:02,680 --> 00:26:04,720 when thingy was Prime Minister. 457 00:26:04,720 --> 00:26:06,800 Was that Churchill? The Blitz? 458 00:26:06,800 --> 00:26:08,680 HE LAUGHS, COUGHS 459 00:26:08,680 --> 00:26:11,000 Heath. The '70s. 460 00:26:11,000 --> 00:26:13,960 How old do you think I am? Sorry. 461 00:26:15,000 --> 00:26:18,000 I ran marathons... 462 00:26:19,280 --> 00:26:20,680 ..not so long ago. 463 00:26:20,680 --> 00:26:24,280 You're worse than my grandson, Henry. 464 00:26:24,280 --> 00:26:28,280 Not as bad as my grandson, Isaac. 465 00:26:28,280 --> 00:26:30,600 He would rather I was dead. 466 00:26:30,600 --> 00:26:34,240 He does not know I've blown his inheritance 467 00:26:34,240 --> 00:26:36,440 on cigarettes and Pinot. 468 00:26:36,440 --> 00:26:39,040 LAUGHTER, COUGHING 469 00:26:41,040 --> 00:26:42,840 Is she going to be OK? 470 00:26:42,840 --> 00:26:45,600 We're doing everything we can, Mr Gibson. All right? Mate... 471 00:26:48,600 --> 00:26:50,040 What's the doctor playing at? 472 00:26:50,040 --> 00:26:51,840 The doctor's going to be here very soon. OK? 473 00:26:51,840 --> 00:26:53,480 I'll chase him, but until that point, Mr Acker, 474 00:26:53,480 --> 00:26:54,880 I'm going to need you to sit down for us. 475 00:26:54,880 --> 00:26:56,320 OK? It's a busy hospital. 476 00:27:08,600 --> 00:27:10,040 Dylan? Yeah? 477 00:27:10,040 --> 00:27:11,280 Laura Beech's X-ray. 478 00:27:11,280 --> 00:27:12,960 Is that fluid on her lungs? 479 00:27:12,960 --> 00:27:15,640 Er, that's pulmonary oedema. 480 00:27:15,640 --> 00:27:18,880 Let's take her off her fluids and I'll give her some furosemide. 481 00:27:18,880 --> 00:27:24,640 See, it basically means that her heart isn't pumping efficiently. 482 00:27:24,640 --> 00:27:27,320 So that could be due to heart failure, 483 00:27:27,320 --> 00:27:29,760 although that's quite rare in somebody of her age. 484 00:27:29,760 --> 00:27:32,560 Sometimes, it's an abnormal response to treatment. 485 00:27:32,560 --> 00:27:34,400 Exposure to chemicals. 486 00:27:34,400 --> 00:27:37,880 They respond like this, and the rash round her mouth backs that up. 487 00:27:37,880 --> 00:27:41,160 Chemical exposure would explain why the third viral swab was negative. 488 00:27:41,160 --> 00:27:43,440 Yeah, potentially exposed, though. 489 00:27:43,440 --> 00:27:45,760 I mean, there are no other patients presenting this way. Yeah, 490 00:27:45,760 --> 00:27:47,760 but, Dylan, this could be huge. 491 00:27:47,760 --> 00:27:49,160 We've got to tell Siobhan and Flynn. 492 00:27:49,160 --> 00:27:52,360 Well... But she might be an anomaly. 493 00:27:52,360 --> 00:27:54,160 I don't... I don't think it's a pattern yet. 494 00:27:54,160 --> 00:27:57,560 Yet. This isn't a pattern yet, Dylan. Why are we waiting? 495 00:27:57,560 --> 00:28:00,320 Dylan, come on, this is you. You're right about everything. 496 00:28:00,320 --> 00:28:02,160 I'm not, Jodie. Really, I'm not. 497 00:28:02,160 --> 00:28:06,600 I think we wait for more evidence. Jodie, do you ever... 498 00:28:06,600 --> 00:28:08,240 Do you ever think about your dad? 499 00:28:08,240 --> 00:28:10,640 What?! 500 00:28:10,640 --> 00:28:12,160 I try not to think about him. 501 00:28:13,480 --> 00:28:15,160 Some people don't change, Dylan. 502 00:28:15,160 --> 00:28:18,760 Max, he weren't meant to be a dad, so he never will be. 503 00:28:38,320 --> 00:28:40,160 Right, Siobhan... Now's not a good time. 504 00:28:40,160 --> 00:28:43,400 Our patients - maybe all of them - Dylan thinks they might have been 505 00:28:43,400 --> 00:28:45,840 exposed to something like a chemical. Just... 506 00:28:45,840 --> 00:28:48,280 Jodie, with respect, love... One of our patients, 507 00:28:48,280 --> 00:28:50,960 Laura Beech, OK? She's getting worse. 508 00:28:50,960 --> 00:28:53,320 She's not getting better from treatment, she's getting worse, 509 00:28:53,320 --> 00:28:56,200 so we've got to find the source, we've got to change direction. 510 00:28:56,200 --> 00:28:58,560 Stop. We've got to work out why... Stop. Can I just stop you 511 00:28:58,560 --> 00:29:02,080 right there, OK? If Dr Keogh thinks his theory viable, 512 00:29:02,080 --> 00:29:03,640 he should share it with Dr Byron. 513 00:29:03,640 --> 00:29:07,360 And, until then, try staying within your paygrade. Hmm? 514 00:29:24,840 --> 00:29:30,960 Sad-swan...er...do-pony? Pony? 515 00:29:30,960 --> 00:29:33,480 PHONE APP: Sorry. I was unable to detect the language. 516 00:29:33,480 --> 00:29:35,200 Keep me updated on the anaphylaxis patient. OK? 517 00:29:35,200 --> 00:29:37,800 I'm needed off the shop floor. But... 518 00:29:39,080 --> 00:29:44,000 We need to talk. I know. I already know. And I'm fine, I promise. 519 00:29:44,000 --> 00:29:45,440 OK. 520 00:29:45,440 --> 00:29:49,080 OK, Mr Gibson, the transfusion should be finished now, so... 521 00:29:49,080 --> 00:29:51,520 Mr Gibson? 522 00:29:51,520 --> 00:29:52,680 Mr Gibson? 523 00:29:52,680 --> 00:29:55,720 Dr Byron! Yeah? Can I borrow you, please? Are you OK? 524 00:29:58,080 --> 00:30:01,720 Take a look at his oxygen cylinder for me. OK. 525 00:30:01,720 --> 00:30:04,160 It is low, yeah. Yeah. OK, I think it's 526 00:30:04,160 --> 00:30:07,040 a transfusion-associated circulatory overload. 527 00:30:07,040 --> 00:30:08,640 Let's stop the transfusion. 528 00:30:08,640 --> 00:30:10,520 Jano, can you give this gentleman... Flynn. 529 00:30:10,520 --> 00:30:13,520 Yeah, sorry. ..intravenous diuretic, please? 530 00:30:13,520 --> 00:30:14,760 Hopefully, that'll calm him down. 531 00:30:14,760 --> 00:30:17,520 Don't give him any more blood. Get another oxygen cylinder. 532 00:30:17,520 --> 00:30:22,440 Yeah? Flynn, her blood gas shows CO2 at 14 and a pH level of 7.24. 533 00:30:22,440 --> 00:30:25,280 Yeah. She's got a respiratory acidosis. Not now, Beryl. 534 00:30:25,280 --> 00:30:27,600 Tachycardic and hypercapnic, with hypoxia. 535 00:30:27,600 --> 00:30:29,880 It's type 2 respiratory failure. Beryl... 536 00:30:29,880 --> 00:30:32,080 Can you get her on 2L oxygen, please? Yeah, absolutely. 537 00:30:32,080 --> 00:30:33,600 Go back to bed please, Beryl. Cam? 538 00:30:33,600 --> 00:30:36,160 Cam, can you make it two cylinders, please? Two. OK. 539 00:30:36,160 --> 00:30:37,640 Yeah, excuse me. Thank you. Sorry. 540 00:30:40,120 --> 00:30:41,920 LOCK BEEPS 541 00:30:51,000 --> 00:30:53,120 I don't know where my charts have gone. 542 00:30:53,120 --> 00:30:54,480 I'll be right back, Beryl. OK? 543 00:30:54,480 --> 00:30:56,000 Someone's taken my charts! 544 00:30:56,000 --> 00:30:58,560 It's been hours now, mate. OK. Please bear with me, OK? 545 00:31:00,760 --> 00:31:04,200 Byron, there was a delay releasing the vehicle from the barracks. 546 00:31:04,200 --> 00:31:06,120 Delivery's another 20 minutes away. 547 00:31:06,120 --> 00:31:08,320 Look, if you'd accepted my help in the first place, 548 00:31:08,320 --> 00:31:10,000 it would have been here by now. 549 00:31:11,880 --> 00:31:14,480 Just one? Don't tell me that's all we've got. 550 00:31:14,480 --> 00:31:18,480 It was the last one. OK, guys, with me, please. 551 00:31:24,360 --> 00:31:27,480 OK, we've got one oxygen canister and two patients that need it. 552 00:31:27,480 --> 00:31:31,880 We can't just magic up a cubicle, so we need to decide which one. 553 00:31:31,880 --> 00:31:36,080 Advocate for your patients. Er, Mrs Parish's prognosis 554 00:31:36,080 --> 00:31:38,640 might be terminal, but she needs her oxygen. 555 00:31:38,640 --> 00:31:42,560 Her Respect form shows she doesn't want ITU care or intubation, 556 00:31:42,560 --> 00:31:44,040 which she would probably end up on. 557 00:31:44,040 --> 00:31:46,440 Mr Gibson's prognosis is better. 558 00:31:49,520 --> 00:31:50,840 Yeah, I agree. 559 00:31:50,840 --> 00:31:52,760 Mr Gibson would benefit more. 560 00:31:52,760 --> 00:31:54,480 Can we reach a consensus on this? 561 00:31:54,480 --> 00:31:57,520 Shiv, we don't have a lot of time. 562 00:31:59,360 --> 00:32:03,400 OK. OK, Cam's right. OK. Give the oxygen canister to Mr Gibson. 563 00:32:03,400 --> 00:32:05,880 Let's run Mrs Parish's neb on air for now. 564 00:32:05,880 --> 00:32:08,720 She gets a cylinder the second the re-supply arrives, OK? Yeah. 565 00:32:08,720 --> 00:32:12,280 Seriously? I mean, you only need to look at the woman to know 566 00:32:12,280 --> 00:32:15,040 she needs the oxygen more than him. OK, Jack, I appreciate 567 00:32:15,040 --> 00:32:16,880 your help today, but we are the medics, 568 00:32:16,880 --> 00:32:18,760 so why don't you let us do our job? Thank you. 569 00:32:22,000 --> 00:32:27,080 Shiv, I think we need to consider full palliation here. 570 00:32:27,080 --> 00:32:29,160 Can we call next of kin to discuss? 571 00:32:29,160 --> 00:32:31,080 In the meantime, let's keep her as comfortable as we can 572 00:32:31,080 --> 00:32:34,920 and call the palliative care team, so they're aware as well. Thank you. 573 00:32:36,280 --> 00:32:38,240 Give it to Eileen. I don't want it. 574 00:32:38,240 --> 00:32:40,160 I'm sorry, Alan. 575 00:32:40,160 --> 00:32:43,840 Please! I don't want it! I'm sorry. 576 00:32:43,840 --> 00:32:45,840 I don't want it! Hey, come on. Come on. 577 00:32:45,840 --> 00:32:47,880 Please, put it back on for me. Mr Gibson, please. 578 00:32:47,880 --> 00:32:49,440 HE COUGHS 579 00:32:49,440 --> 00:32:51,240 That's it. Deep breaths for me. 580 00:32:52,720 --> 00:32:53,880 That's it. 581 00:32:55,680 --> 00:32:58,800 I'll speak to Dr Keogh about another dose of furosemide. 582 00:32:58,800 --> 00:33:00,840 The treatment seems to be working. 583 00:33:00,840 --> 00:33:02,880 Is, um... 584 00:33:02,880 --> 00:33:05,280 Is he on his own? 585 00:33:05,280 --> 00:33:08,680 He might not think his mum and dad love him, will he? 586 00:33:08,680 --> 00:33:10,320 If he's on his own up there. 587 00:33:10,320 --> 00:33:12,840 The best team are looking after him, OK? 588 00:33:13,920 --> 00:33:15,800 But we do. 589 00:33:15,800 --> 00:33:17,840 We love him. I know. 590 00:33:17,840 --> 00:33:19,400 I know you do. 591 00:33:21,320 --> 00:33:24,640 Laura, I'm really sorry, 592 00:33:24,640 --> 00:33:27,760 but I have just got to run through some routine questions with you. 593 00:33:27,760 --> 00:33:32,000 The answer may help us reunite you with your baby. Zac. 594 00:33:32,000 --> 00:33:35,560 His name is Zac. That's a lovely name. 595 00:33:38,720 --> 00:33:40,640 OK. 596 00:33:40,640 --> 00:33:44,440 Do you suffer from any stress at work? 597 00:33:44,440 --> 00:33:47,280 Do you drink, or do you smoke? 598 00:33:47,280 --> 00:33:49,440 I want to see my baby. 599 00:33:49,440 --> 00:33:52,920 I don't have time for these stupid questions... 600 00:33:52,920 --> 00:33:54,040 COUGHING 601 00:33:54,040 --> 00:33:56,920 I should be with him and, instead, I'm on trial. No, you're not. 602 00:33:56,920 --> 00:33:59,080 We just want to see him. And you're not letting us. 603 00:33:59,080 --> 00:34:01,040 Laura, I am trying to help you. 604 00:34:01,040 --> 00:34:03,880 Well, then, do your job and take me to my son! 605 00:34:08,120 --> 00:34:09,480 Can you put your mask on, please? 606 00:34:14,680 --> 00:34:18,280 I'm sorry. I'm sorry. 607 00:34:18,280 --> 00:34:20,120 About Laura. It's fine. 608 00:34:22,760 --> 00:34:25,320 Jodie. Yeah? 609 00:34:25,320 --> 00:34:27,920 Come on, man! What? 610 00:34:29,520 --> 00:34:32,600 You know what happens when you get too involved with patients. 611 00:34:35,600 --> 00:34:38,680 You know, I get other people might have the wrong idea of me, 612 00:34:38,680 --> 00:34:40,560 but I didn't think you'd be one of them. 613 00:34:42,400 --> 00:34:45,840 Zadz, er...won... 614 00:34:45,840 --> 00:34:47,560 Zadzwon do Leny. 615 00:34:47,560 --> 00:34:48,760 PHONE APP: Call Lena. 616 00:34:50,000 --> 00:34:51,880 Zadzwon do Leny... 617 00:34:51,880 --> 00:34:53,880 Powiedz...jej? 618 00:34:53,880 --> 00:34:57,320 PHONE APP: Call Lena. Tell her. 619 00:34:57,320 --> 00:34:59,720 Powiedz jej... Powiedz jej... 620 00:34:59,720 --> 00:35:04,600 Powiedz jej...ze ja kocham. 621 00:35:04,600 --> 00:35:06,000 PHONE APP: Tell her I love her. 622 00:35:06,000 --> 00:35:08,480 EQUIPMENT ALARM RINGS 623 00:35:10,160 --> 00:35:12,520 Come on, Piotr, mate. Stay with us. 624 00:35:16,360 --> 00:35:18,280 PHONE BUZZES 625 00:35:45,680 --> 00:35:47,720 He's taken them! 626 00:35:47,720 --> 00:35:49,440 Give my charts back. 627 00:35:51,040 --> 00:35:54,280 I can't do my rounds without them! 628 00:35:54,280 --> 00:35:56,560 Give my charts back! 629 00:35:56,560 --> 00:35:58,640 I need them back! Shut it! Shut it! 630 00:35:58,640 --> 00:36:00,480 Shut up about your rounds! 631 00:36:00,480 --> 00:36:02,040 Give my charts back! 632 00:36:02,040 --> 00:36:04,160 I need them back! Shut up! 633 00:36:04,160 --> 00:36:05,840 GASPING 634 00:36:05,840 --> 00:36:07,040 Hey! Hey! 635 00:36:09,640 --> 00:36:11,120 Get off! Get off! 636 00:36:11,120 --> 00:36:13,000 Get him out of here! Get off! 637 00:36:13,000 --> 00:36:14,120 Stop resisting. 638 00:36:15,480 --> 00:36:16,880 Get off! 639 00:36:16,880 --> 00:36:19,200 Get him out of here! 640 00:36:19,200 --> 00:36:20,840 Get off! We've got you. 641 00:36:20,840 --> 00:36:23,200 It's all right. It's OK. 642 00:36:23,200 --> 00:36:25,480 What are you doing? We need your help. 643 00:36:30,920 --> 00:36:32,440 What are the sats? 644 00:36:37,360 --> 00:36:41,200 Right, Nicole, can you draw 80 of furosemide, please? 645 00:36:41,200 --> 00:36:44,320 And let's do a 10mg bolus of isosorbide dinitrate. 646 00:36:44,320 --> 00:36:46,720 Yeah. Why didn't you call me? 647 00:36:46,720 --> 00:36:49,400 I asked you to keep me updated, and you've had your phone on you 648 00:36:49,400 --> 00:36:51,720 all afternoon. Yeah, I did call. You didn't answer. 649 00:36:51,720 --> 00:36:54,120 Yeah, well, this was a simple case of oxygen and fluids, OK? 650 00:36:54,120 --> 00:36:56,240 So from now on, might I suggest you use your medical degree 651 00:36:56,240 --> 00:36:57,640 to treat patients and not Duolingo? 652 00:36:57,640 --> 00:36:59,600 Nicole, how are we doing? Yeah. 653 00:36:59,600 --> 00:37:03,440 OK, yeah, I think we're looking at a possible flash pulmonary oedema. 654 00:37:03,440 --> 00:37:05,040 Creps throughout. 655 00:37:05,040 --> 00:37:06,680 What do you think's causing it? 656 00:37:06,680 --> 00:37:08,520 Don't know. OK, Lisa, 657 00:37:08,520 --> 00:37:10,520 can we do an urgent X-ray, please? 658 00:37:10,520 --> 00:37:12,680 Let's stop fluids and we'll repeat the ECG. 659 00:37:12,680 --> 00:37:16,120 And, Nicole, when you're ready, let's do an IV infusion. 660 00:37:16,120 --> 00:37:18,640 We'll do 2ml/hour, titrating up against the BP. 661 00:37:20,680 --> 00:37:23,320 Sats are rising. Yeah. 662 00:37:23,320 --> 00:37:26,160 Yeah, they are. 663 00:37:26,160 --> 00:37:28,600 Stay with him, keep a close eye, keep me updated. 664 00:37:51,680 --> 00:37:54,480 W-Why am I here? 665 00:37:54,480 --> 00:37:56,680 It's OK, Beryl. Don't be afraid. We're here to help you. 666 00:37:56,680 --> 00:38:00,480 OK? It's Cam. I'm your nurse. Cam... 667 00:38:00,480 --> 00:38:01,880 Cam. 668 00:38:03,800 --> 00:38:05,840 That's right. I'm Cam. 669 00:38:05,840 --> 00:38:07,560 Cam. 670 00:38:07,560 --> 00:38:11,240 Cam's going to help me. Yeah. 671 00:38:11,240 --> 00:38:14,280 Let's get you to bed now. OK? I'll take you back. 672 00:38:15,800 --> 00:38:17,160 Mm. 673 00:38:21,400 --> 00:38:23,800 COUGHING 674 00:38:23,800 --> 00:38:26,640 ECHOING: Part of being a doctor is doing the medicine, 675 00:38:26,640 --> 00:38:28,000 so do the medicine! 676 00:38:44,080 --> 00:38:46,640 There's nothing more we can do. She's being moved to a side room. 677 00:38:46,640 --> 00:38:48,000 Jack, thank you. 678 00:38:48,000 --> 00:38:50,360 I don't know what we'd have done without your help today. 679 00:38:54,640 --> 00:38:57,600 Make the pain go away! I know, Beryl. I know. 680 00:38:57,600 --> 00:39:00,160 Give her some of the strong stuff. 681 00:39:00,160 --> 00:39:02,680 We've given her all the morphine we can. 682 00:39:02,680 --> 00:39:04,840 OK, can you pass me your finger? 683 00:39:04,840 --> 00:39:06,840 You've done all right today, son. 684 00:39:09,400 --> 00:39:11,280 Thank you. Mm. 685 00:39:11,280 --> 00:39:14,040 Listen, I can call Isaac for you, 686 00:39:14,040 --> 00:39:15,600 if you want. I mean, I'm not really 687 00:39:15,600 --> 00:39:17,720 supposed to, but... It's Henry. 688 00:39:17,720 --> 00:39:20,080 My grandson's Henry. 689 00:39:20,080 --> 00:39:22,640 Eileen's grandson is Isaac. 690 00:39:25,960 --> 00:39:28,360 I'm really sorry. It's all right. 691 00:39:30,920 --> 00:39:32,400 It's all right. 692 00:39:41,320 --> 00:39:43,600 Er, yeah, he's very unwell. 693 00:39:45,280 --> 00:39:47,520 Unwe... 694 00:39:47,520 --> 00:39:49,160 Sick? 695 00:39:49,160 --> 00:39:52,000 Yes! Yes. Sick. 696 00:39:52,000 --> 00:39:54,080 Look, he wanted to tell you... 697 00:39:54,080 --> 00:39:55,920 No, Piotr wanted to tell you... 698 00:39:57,880 --> 00:39:59,280 Lena, he loves you. 699 00:40:00,520 --> 00:40:01,880 OK? 700 00:40:03,240 --> 00:40:04,720 He loves you. 701 00:40:14,240 --> 00:40:16,680 That was tough, earlier. 702 00:40:16,680 --> 00:40:19,280 Seriously tough. You did well. 703 00:40:20,320 --> 00:40:21,680 Keep your chin up. 704 00:40:26,440 --> 00:40:28,520 Is Cam OK? 705 00:40:28,520 --> 00:40:31,520 You need to toughen up your men, Byron. 706 00:40:31,520 --> 00:40:34,000 That lad wouldn't last a day in my unit. 707 00:40:34,000 --> 00:40:36,120 Weak links like him let the side down. 708 00:40:37,960 --> 00:40:42,200 You know, I always knew you didn't have it in you. 709 00:40:44,280 --> 00:40:46,200 To do what, Jack? 710 00:40:48,400 --> 00:40:50,320 Real leaders don't need a reminder. 711 00:41:04,920 --> 00:41:08,160 Dr Keogh, can I get a second opinion, please? Dr Nash has left. 712 00:41:09,640 --> 00:41:11,720 Yeah, yeah, yeah. OK. 713 00:41:11,720 --> 00:41:14,960 Yeah, he's in respiratory distress, isn't he? 714 00:41:14,960 --> 00:41:17,320 Have we ruled out anaphylaxis? Yeah. 715 00:41:17,320 --> 00:41:21,160 All other things normal, sats are normal, bloods normal? 716 00:41:21,160 --> 00:41:24,800 Yeah, pulmonary oedema, but the echo shows no heart failure, 717 00:41:24,800 --> 00:41:27,720 so we don't know what's causing... How long has he had that rash? 718 00:41:27,720 --> 00:41:31,600 Er, that must have literally just developed. 719 00:41:31,600 --> 00:41:34,320 That's weird. I've seen two patients with the same rash today. 720 00:41:46,440 --> 00:41:48,080 KNOCK ON DOOR 721 00:41:46,440 --> 00:41:48,080 Yeah, yeah. Come in. 722 00:41:50,000 --> 00:41:51,880 It's chemical. 723 00:41:51,880 --> 00:41:54,520 The rashes are the symptomatic connection. 724 00:41:54,520 --> 00:41:57,080 Patients are reacting adversely to treatment. 725 00:41:57,080 --> 00:41:58,680 It's causing pulmonary oedema, 726 00:41:58,680 --> 00:42:00,600 and it's the slow-developing rash round the mouth. 727 00:42:00,600 --> 00:42:02,480 That proves it's chemical, right? 728 00:42:02,480 --> 00:42:04,080 Yeah, yeah. I've seen it before. 729 00:42:04,080 --> 00:42:06,240 A chemical attack in Afghanistan. 730 00:42:06,240 --> 00:42:08,040 Of course it's chemical! 731 00:42:08,040 --> 00:42:12,040 So we need to isolate each case, locate the source, 732 00:42:12,040 --> 00:42:13,920 because we need to avoid a week like this week again. 733 00:42:13,920 --> 00:42:16,440 Yeah, yeah. Listen, I'm going to call St James', we've got to 734 00:42:16,440 --> 00:42:18,520 co-ordinate a response from this. Oh... 735 00:42:20,040 --> 00:42:23,960 Yeah, what's up? Oh, erm, so as my line manager, 736 00:42:23,960 --> 00:42:26,840 I have a duty to inform you that Matty, 737 00:42:26,840 --> 00:42:30,600 Matthew Linlaker, Matty... Matty, yeah, yeah, yeah. 738 00:42:30,600 --> 00:42:32,040 He's my son. 739 00:42:34,640 --> 00:42:37,160 OK, Dylan, I don't... 740 00:42:37,160 --> 00:42:39,560 Whatever, man. OK, just...let's focus on this. 741 00:42:39,560 --> 00:42:42,600 If you want me to escalate it with HR myself, I'm happy to do that. 742 00:42:42,600 --> 00:42:44,640 Hold on. Hold on. Dylan... 743 00:42:46,680 --> 00:42:50,720 ..um, thank you for telling me. No worries. 744 00:42:57,080 --> 00:43:02,280 Hi. Erm, sorry... It's Dr Byron, from Holby ED. 745 00:43:02,280 --> 00:43:06,480 Can you transfer me to your clinical lead, please? Urgently. Thank you. 746 00:43:09,960 --> 00:43:12,160 I miss Kim too, you know. 747 00:43:12,160 --> 00:43:14,840 I do. I just wanted to tell you. 748 00:43:14,840 --> 00:43:16,440 Hey, look, I know it's weird, 749 00:43:16,440 --> 00:43:18,480 but if you ever want to talk... About what? 750 00:43:18,480 --> 00:43:21,320 What wisdom could you possibly have to offer me, Matty? 751 00:43:21,320 --> 00:43:22,800 You are a barely competent junior, 752 00:43:22,800 --> 00:43:25,000 who couldn't be left alone with a patient for five minutes. 753 00:43:25,000 --> 00:43:28,440 Yeah, well, maybe you shouldn't have left him with me, then. Oh, grow up! 754 00:43:29,760 --> 00:43:32,800 Really? Look, I know you're hurting, OK? 755 00:43:32,800 --> 00:43:35,720 I'm hurting too, except I'm not taking it out on everybody else. 756 00:43:35,720 --> 00:43:37,040 Or is that what you're trying to do? 757 00:43:37,040 --> 00:43:39,200 You're trying to push everybody away, cos you don't want to know 758 00:43:39,200 --> 00:43:42,320 the truth? Hold on a second. I do want to know the truth, OK? 759 00:43:42,320 --> 00:43:44,160 So don't you dare...don't you dare stand there 760 00:43:44,160 --> 00:43:46,560 and psychoanalyse me, OK? I want to know the truth. 761 00:43:46,560 --> 00:43:49,040 I'm so sick and tired of everyone walking round, telling me 762 00:43:49,040 --> 00:43:51,440 it's not my fault, it's not my fault she's dead. Yeah, well, it is, 763 00:43:51,440 --> 00:43:55,280 OK? Yeah, I know that, Matty! OK?! I know I'm guilty! 764 00:43:57,880 --> 00:43:59,600 Yeah, you are guilty... 765 00:44:00,640 --> 00:44:02,320 ..and so am I. 766 00:44:12,160 --> 00:44:15,400 Uh, yeah, no, I just wanted to let you know that it turns out 767 00:44:15,400 --> 00:44:17,920 we're not dealing with a virus. 768 00:44:17,920 --> 00:44:22,280 Yeah... And, Sarah, I've thought about it and I, um, 769 00:44:22,280 --> 00:44:27,360 I want to be honest with everybody about...about me and Matty. 770 00:44:27,360 --> 00:44:30,720 I've thought about it and I want this. 771 00:44:30,720 --> 00:44:33,720 It's taken Matty a long time to find his calling 772 00:44:33,720 --> 00:44:37,000 and I would hate to see him screw it up. Yeah. 773 00:44:37,000 --> 00:44:39,280 I will take care of him. 774 00:44:41,480 --> 00:44:43,200 I'll keep him on the right path. 775 00:44:45,120 --> 00:44:46,520 You have my word.