- 14 hours ago
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00:01My name is Stevie and I was Kim's mentor during her rotation in A&E.
00:11I know Kim would have made a brilliant doctor.
00:16The bit I didn't know was that she wouldn't get to be around to hear me say that.
00:30Guys, as you well know, the last three days have been relentless.
00:38The overwhelming rise in patients presenting with respiratory illnesses has pushed this department to near collapse.
00:46And as such, the Trust's request for military assistance has been accepted.
00:52An army aide will arrive from tomorrow.
01:13Do we know what we're dealing with yet?
01:16No. No. The virus remains unidentified.
01:22Two viral swaps have returned inconclusive. We are waiting on the results of a third.
01:26OK. Well, we know it's not flu. And the last time we were facing something like this, it was Covid.
01:32So...
01:32Which is why I think we need to prepare for the strong possibility that we are in the early days
01:37of a new pandemic.
01:39Half our team's off sick, so... Have we got enough PPE to protect the ones we've got here?
01:47Tomorrow, I'll be implementing Orbeet infection prevention and control strategy.
01:53Additional PPE supplies are being delivered and visitor access will be restricted.
01:58That's it. Guys, I want you to take care of each other, OK?
02:03We may be about to re-enter hell.
02:05We may be about to re-enter hell.
02:35Thank you. Um, any word on the third swab?
02:39No. Nothing yet.
02:41That's our best chance of knowing what's going on.
02:42I know. And we've only got one overflow area remaining as well.
02:46Hey, listen, I spoke to Nicole and she said that we pushed back on her request for support of her
02:50OSC.
02:51Look, I haven't had time to eat today and you want me to dye her eyes holding Nicole's hand?
02:54OK, OK. When this is over, maybe mentoring Nicole might be good for you.
02:58Well, I'll have you here. Can you sign this for me?
03:01Yeah.
03:05Kim's death wasn't your fault, Stevie.
03:08Now, I know wellbeing offered online counselling sessions.
03:11It's been nearly a week since the funeral and you haven't used any of it.
03:16The very fact you know that means I could report you to HR.
03:19Come on. I'm worried about it.
03:21Don't be. I'm fine.
03:27Well, who's G.A. Joe?
03:30That was my, um, C.O. when I first joined the hon.
03:35Thank you for this.
03:43Who's your buyer?
03:44Can I buy?
03:46You look tired for him.
03:49Well, I had to sleep on my office floor last night, so...
03:55Shall we?
03:56Sure.
03:58So, uh, medical engineering have raised the red flag over quarter blocks in the SOX.
04:02Yeah, I'm sourcing an alternative delivery via different transports.
04:06Well, I can ask my lads to help.
04:08It's OK. We can manage.
04:09You know, I've only been here an hour.
04:12I already know it's the nurses that run this place.
04:15Let me, let me take that.
04:16Thank you very much. Er, resource, please.
04:19Good to see you, Barry.
04:23He's helpful.
04:40Hiya.
04:41Sorry we're late.
04:43Parking was... mad.
04:45Hiya, Dale.
04:52I haven't ordered any coffee because what I mean it was milk no sugar two sugars
05:08how you been is what Mattie's saying true about this pandemic if that's what this is
05:17are we all just sitting ducks waiting to catch her it's too early to tell
05:24well is it safe is it safe for Mattie to work mum come on I'm worried for you
05:31do you remember how sick your dad got in covert his dad spent a week in
05:35intensive care we didn't think he was coming home I'm sorry to hear that
05:46anyway mom you said you wanted to ask questions if we were gonna spend more
05:49time together you know so just ask you know maybe get that decaf after all
06:01okay if you don't sue to get orange turn over there okay thank you hi sir will
06:06you just go and speak to this gentleman here for me thank you okay can you wait
06:09here as well please anyone with a respiratory issue please my wife please
06:13she's pregnant how many weeks is she 25 26 26
06:21no it's too early
06:25there we go
06:27there we go come on it's the ambulance in the queue I go over it myself as fast as I
06:31could
06:31go I just get in well you're doing a brilliant job from I get you to stand on me and
06:35we're
06:35going straight in guys I don't have any consultants available I've got Dylan coming in in about 20 minutes
06:41okay call him call him now
06:44hey Debbie your GP didn't really suit me I needed something with a bit more excitement
06:49when did you last have a drink
06:53uh I've been sober for six years
06:55mm-hmm
06:58uh we should we should probably go you know we're supposed to be on you can give me ten more
07:02minutes
07:02actually I have a question
07:07how how how do you keep a secret like that for 25 years it wasn't like it was hard
07:13who wants an alky in the baby's life
07:16but you didn't give me a chance
07:18yeah but I did I tried to
07:21the night I found out I was pregnant
07:23I went to your flat but you weren't in
07:26so I waited I waited but then you came back blind drunk with blood down your phone
07:38we didn't know if it was your own or someone else's
07:44but I remember thinking
07:48couldn't be a doctor
07:50let alone a dad
07:54I needed to protect my baby from you
08:01mm-hmm
08:02mm-hmm
08:03sorry but yeah
08:07hello Dr. Keogh
08:11uh
08:12um okay
08:13yeah
08:14yeah
08:15all right
08:15okay
08:17um
08:17I'm sorry we have to go
08:18it's an emergency
08:19I barely know anything more than I did before
08:22do you have family
08:23friends
08:24I mean
08:25what did they think
08:26I don't have anybody I can talk to about matter you know
08:29what does it matter mum
08:31it matters to me
08:33I won't have anyone be ashamed of you
08:35no I'm not ashamed of Matt
08:36I mean trust me this is all about me
08:38mum mum
08:39please don't make this any harder
08:50all hands on deck today I'm afraid
08:52sorry it's your first shift back
08:54hey no look I've had three weeks doing nothing I'm actually happy to be here
08:58yes
08:59right well
09:00raise yourself
09:02I'm getting
09:03I'm getting
09:04I'm getting late
09:05I'm getting late for my rounds
09:06sorry Beryl love
09:07are we holding you up
09:09this one
09:09here
09:10pop that back on for me
09:11um
09:12could you repeat
09:13arms and chase bloods if they're not back in an hour
09:16yep
09:17er
09:17Beryl
09:18I tell you what
09:20whoever's folded this has done a shoddy job for me
09:23yes
09:23could you do them for me properly
09:25oh
09:25thank you
09:28she used to work here years ago as a nurse
09:31she thinks she still does bless her
09:33it's a dementia
09:35well why is she in there
09:36I know I know it's not the best place for her but if you keep her busy she'll be fine
09:41now could you take over Bay D for me I need to be somewhere
09:45Mr. Gibson he has lung cancer
09:47I think the virus is exacerbating his symptoms so
09:52Cam
09:53sure you're gonna be okay with all this
09:55yeah
09:55er yeah no I wanna be here
09:57okay good luck
09:58okay
09:59mask barrel up
10:07hi sir my name's Cam I'm gonna be your nurse for the rest of today
10:10how are you feeling
10:12full of time on this corridor
10:14it's safe to say that I had more fun at my last colonoscopy
10:18how do you think I'm feeling
10:20fair enough
10:20um well listen I need to take your bloods is that okay
10:23yeah well get on with it
10:24all right yeah I will
10:27I'm just gonna pop that there
10:38I've got cancerous cells that move faster than you
10:48er this man needs a mask
10:50okay yeah um this patient is 26 weeks pregnant
10:53I've had a quick look and the baby's crowning
10:55I'm sorry can you just put that on for me please
10:57erm
10:58coughing
10:59shortness of breath
11:00am I all right to give her entonox?
11:03Dylan
11:04am I all right to give her entonox?
11:06no no entonox with that cough man
11:07er
11:09what's happening?
11:10er we think your baby's coming
11:11what now?
11:12no
11:12no
11:12it's gonna be okay then isn't it?
11:13yeah yeah
11:14I tell you what somebody call her
11:15obstetrics I just want to speak to rash
11:17ah
11:20ah
11:20ah
11:21ah
11:22hi there we've got another preterm delivery
11:24er gestation 26 weeks
11:27er yeah we need the neonatal resus team
11:29another one?
11:30resus one
11:36hey
11:36ah can you arrange for the neonatal resus team to be sent to the ED?
11:39I need to speak to Faith and Ian
11:41oh do you have a minute doctor?
11:43er
11:45no rush
11:46I'll be with you in a minute Jessica
11:50hey
11:51hey
11:51um
11:52guys we're reviewing Niku's visitation
11:55if the department decides to follow the ED's lead there's a chance I may need to ask one of you
12:00to leave
12:00but I'm really hoping it doesn't come to that
12:02neither of us are going anywhere
12:04er
12:06is there any news from the consultant?
12:10it's the same I'm afraid there's no change
12:14with Pearl's prematurity we need to take each day as it comes
12:21look I'm here on a Caesar rotation for the next month
12:25so if there's anything I can do anything at all
12:28just let me know
12:29thanks mate
12:30thank you
12:35oh
12:54baby's nearly here
12:56that's it Laura well done
12:57keep going that's it
12:59that's it that's it
13:01good good good well done
13:01Well done, well done, well done.
13:02Well done.
13:06Oh, he's here, Laura.
13:08He's beautiful.
13:10OK, so the baby's a bit floppy, he's not breathing, so let's cut this cord and...
13:16Is he OK?
13:18Well, he's not breathing at the moment, but we're going to have him transferred to neonatal
13:23and they'll try and stabilise him there, OK?
13:24Can we deliver the placenta?
13:26But you did great, Laura.
13:28And your baby is in the best hands, I promise.
13:36Dylan, what's going on with you?
13:39Come on, we need Dr Keogh back in his room now.
13:42Sorry, sorry, sorry.
13:46It looks as though his heart's not beating at the moment.
13:48We can do everything we can to get him breathing, all right?
14:04It's taking deep breaths on that, Eileen, someone will be with us in a minute.
14:07Hey, Andy, you OK?
14:08Yeah, this is Eileen, 72, exacerbation of COPD, worsening cough and shortness of breath.
14:14Sats on arrival at 80, rest to 36.
14:17She's had five milligrams of subutamol, five hundred micrograms of ipotropium and a hundred milligrams of hydrocortesone.
14:23OK, uh, thank you.
14:25All right, let's, uh, continue with oxygen here, please.
14:27A titrator saturator of 88 to 92 percent.
14:30Thank you, Andy.
14:30All right, Eileen, I'm gonna leave you with them now, OK?
14:33It's all right, it's all right.
14:34Don't fuss!
14:34I'm not tossing, I'm not tossing.
14:36I'm not tossing.
14:37I'm not tossing.
14:37I've nothing capable of.
14:39I'm gonna put this over you.
14:40All right.
14:43Nothing I haven't seen before, Alan.
14:48Eileen?
14:50As glamorous as ever in that gown.
14:53The price you can see over here, with those cataracts.
14:57Do you two know each other?
14:58Yeah, we were both teachers.
15:00Holby High, English department.
15:03We went through the long, thankless hours.
15:07All the marking.
15:09Catherine would be turning in her grave if she found out you'd turned into such a grumpy old man.
15:17It's all an act.
15:19He was a great teacher.
15:29Any news on the oxygen in the cylinder we stopped?
15:3210.05.
15:32I mean, they should have left distribution by now.
15:34Your guess is as good as mine.
15:35If we don't receive it soon, we won't have enough oxygen to treat the corridor patients.
15:39OK, well, how long will stocks last?
15:41Well, the rate we're going, uh, two or three hours.
15:47OK, listen.
15:48We ration the cylinders until the delivery arrives.
15:50Anybody wants one, they run across the senior doctor first, OK?
15:53Yeah.
15:53No exceptions. Excuse me.
15:55After you.
15:58OK, Beryl, love.
16:14So what's the ETA?
16:17Look, I've been arranged for a unit to pick up the delivery if distribution can't organise themselves.
16:23No, no, no, it's fine, thank you.
16:25I've gone around in control.
16:30It's a jamous offer.
16:31What's going on?
16:32The guy doesn't even think he is, OK?
16:40OK, er, sir, so we've got your bloods back and it looks like you've got quite severe anemia,
16:44so we're going to have to do a transfusion pill, is that all right?
16:46That is a trip hazard.
16:48Leave the poor boy alone.
16:52Er, excuse me.
16:53Sorry.
16:54You can't put him there.
16:55Got to get me out of here, mate.
16:58Er, yeah, OK, I understand.
16:59I'll be with you shortly, OK?
17:01Nathan will be with you shortly.
17:03It's my missus's birthday.
17:04I understand.
17:04Where's your mask?
17:05Arse over tit, someone is going to go.
17:08I need to clock off soon for my Brian.
17:11OK, shall we get you some, er, sheets?
17:12You were really good at folding the sheets earlier.
17:16Are you OK?
17:18I'm so, so sorry.
17:20Did I hurt you?
17:22No.
17:22I'm so sorry.
17:23What idiot has left that in the middle of the corridor?
17:25So sorry, sir.
17:27Sorry, everyone.
17:29Er, really, that's my fault.
17:31I know.
17:31I know, look, I was excited to be back, but just, babe, D-I-F, they're just...
17:36It's doing my head in, I don't know what I'm doing.
17:38Why are you calling them by their letters?
17:40Just because they're elderly doesn't mean you shouldn't learn their names.
17:43I didn't mean it like that.
17:44Just treat them like human beings.
17:46I don't know if you might remember a bit better.
17:47My foot is really hurting.
17:50Sorry.
18:28Phoebe, this is the doctor of 20s.
18:31Research to you guys.
18:32Presenting Mr. Beha, with spirit distress,
18:34shuffles of breath and angiordema to his gateway.
18:36We've treated as anaphylaxis.
18:38Go, go, go, go.
18:40Any known allergies for anaphylaxis?
18:42And when did they last have I am adrenaline?
18:43No to the first question and six minutes ago.
18:46Do you guys know any more about the virus?
18:48About how it's infecting patients?
18:49Only what you do.
18:52On lift.
18:53Ready, ready, lift.
18:57Say that again, mate.
18:59Matthew, can you move?
19:00Bobbie, shall we go?
19:01I'm going to do primary survey to check your airway, sir, OK?
19:06Yes.
19:07Significant swelling at the airway.
19:09Let's do an adrenaline nebuliser
19:11and we'll do another 500 micrograms of adrenaline.
19:14I'm struggling.
19:15You're not pushing air properly at all.
19:17Yeah, OK.
19:18Yeah, it's Strider.
19:18He's got four to oedema.
19:20Matthew, when you can, give it a seat
19:21and you participate in the airway support.
19:23Yeah.
19:23Just get some oxygen on and help you breathe.
19:26Right, OK, this isn't working.
19:27You might need a surgical airway.
19:30Can I get the RSI kit, please,
19:33and the difficult airway trolley?
19:34Yeah, thank you.
19:49Excuse me, lads.
19:50Yep.
19:51How do we do?
19:52Yeah, sure.
19:54There was also the third viral swab
19:56in the back and they're negative.
19:58We're not dealing with the virus.
19:59How come we know even less than we did this morning?
20:01Well, for now, it's vital that we maintain safety proportions
20:05until we know anything more, OK?
20:06I'm gonna give you a shout when I know.
20:07Yep.
20:09Hey, stop messing about.
20:10I'll take that to base seven.
20:22He's still deteriorating.
20:24I'm struggling to get any air in.
20:25Wait, let's get the air gel out.
20:28What's happening with the lights?
20:35Yeah, OK, he's got severe.
20:37Glottic oedema.
20:38Right, we're not gonna be able to intubate.
20:39Uh, let's, um...
20:41Yeah, let's do a cricothyronomy.
20:45Scalpel.
20:45Oh, cool.
20:58That bougie?
21:04Which other way?
21:05Is anybody hurt?
21:06Is anybody hurt?
21:07Is everyone OK?
21:18Oh, boy, now the lights decide to go.
21:20Let's just...
21:21That's perfect.
21:22That's, that's...
21:22That's really, really helpful.
21:43No.
21:43No.
21:44No, more light.
21:44More light, Matty, OK?
21:45More light as I can't sing.
21:46Not let's prep for a reflexology session.
21:48Yes?
21:48Closer, please.
21:51Okay, let's attack the BBM, please.
22:00Um, there's still some resistance here, like?
22:02Yeah, we've got intubal, but the tube must have gone down the right knee on Broncos.
22:06So it's more the right-hand side that's moving.
22:11It's 85%.
22:12Intubal's still a bit low.
22:18Where was the short circuit when the cylinder hit it?
22:21Yeah.
22:21Well, at least it's just the lights.
22:25Promptor monitors seem to be working.
22:27Help me test this board.
22:29Can you move this out of the way?
22:34Oh, is that still hovering at 90%?
22:38Why can't we see him?
22:39Please.
22:41But he's okay.
22:42He's safe.
22:43Um, well, as you know, he's with Nika at the moment, and they've managed to get his heart
22:48started, which is great, but, um, I'm afraid the two of you are just too ill to go up there
22:52at the moment.
22:52You can't stop us from being with him.
22:54No-one can even tell us what this thing we all have is.
22:56Okay, no, but whatever it is, we need to protect him from it.
23:00Um, do you have any history of heart problems?
23:05Okay, um, I want to repeat the buzz, please.
23:07Can we get a chest x-ray and an ECG as well?
23:11Please, just let me see him.
23:13Please.
23:14Um, let's, let's cut back on her fluids.
23:16Um, as soon as that x-ray comes, I want to see it, please.
23:19You've got an idea what it is, don't you?
23:22Let me talk to radiology, okay?
23:23I want her top of the list.
23:49Okay.
23:50Yeah.
23:51Never better, Byron.
23:53You give it another go?
23:54No.
23:54Yeah.
23:55Nice to meet you.
24:14It's after Stella 85.
24:15Yeah, I know.
24:16Okay, give me a bit more light, please.
24:18A bit more than that.
24:21You okay?
24:22Yeah, fine.
24:25Come on.
24:29Okay.
24:37Good, okay.
24:38Yeah, numbers are normalising and, uh, we're adequately auctioneating, so that's good.
24:43Let's complete the RSI checklist, please.
24:52You know, there's, uh, always a place for your world wyverns and demeaning for, if you ever get bored.
24:59Thank you for this.
25:00Seriously, I appreciate it.
25:02No worries.
25:05Jack.
25:08Are you still ready on your transportation?
25:11Yeah, of course.
25:12You would.
25:20What am I doing here?
25:23You're in hospital.
25:24Okay?
25:25I'm your nurse.
25:26I'm Cam.
25:27Cam?
25:28Yeah.
25:29Beryl?
25:30I'm Beryl.
25:32I'm a nurse, too.
25:33I know you are, Beryl.
25:34I know.
25:35Listen, you were really helping me earlier with the sheets.
25:37Do you remember the bed sheets?
25:39You were folding them for me.
25:40Look, they're on the floor now.
25:42If you can help me fold those, that would be great, Beryl, yeah?
25:46Thank you so much.
25:47I'll be with you soon.
25:48Okay?
25:50Sorry.
25:50Sorry.
25:53Okay.
25:54That should be it now with the lights, Mr Gibson.
25:57Huh.
25:58Reminds me of the power artiches.
26:01Back in the day.
26:02When, er...
26:03When Thingy was Prime Minister.
26:05Was that Churchill?
26:06The Blitz?
26:09Keith.
26:10The 70s.
26:11How old do you think I am?
26:15I ran...
26:17Marathons.
26:19Not so long ago.
26:20You're worse than my grandson.
26:23Henry.
26:24Not as bad as my grandson, Isaac.
26:28He would rather I was dead.
26:30He just dumped the bow.
26:32I've blown his inheritance on cigarettes and pinot.
26:40She gonna be okay?
26:42We're doing everything we can, Mr Gibson.
26:44Hey!
26:48What's the doctor playing at?
26:50The doctor's gonna be here very soon.
26:51Okay?
26:51I'll chase him.
26:52But until that point, Mr Acker, I'm gonna need you to sit down for us.
26:54Okay?
26:55It's a busy hospital.
27:07Oh.
27:08Dylan.
27:09Yeah.
27:10Laura Beecher's x-ray.
27:11Is that fluid on the walls?
27:13Er...
27:13That's pulmonary edema.
27:15Erm...
27:16Let's take her off her fluids and I'll give her some furosomide.
27:18So, basically it means that her heart isn't pumping efficiently.
27:24So that could be due to heart failure, although it's quite rare in somebody of her age.
27:29Sometimes it's an abnormal response to treatment.
27:32Erm...
27:33Exposure to chemicals.
27:45Erm...
27:45Dylan, this could be huge.
27:47You've gotta tell Siobhan I'm playing.
27:50Well...
27:50But she might be an anomaly.
27:52I don't...
27:52I don't think it's a pattern yet.
27:54Yet?
27:55This isn't a pattern yet, Dylan.
27:56Why are we waiting?
27:57Dylan, come on, this is you.
27:58You're right about everything.
28:00I'm not, JD.
28:01Really.
28:01I'm not.
28:02I think we wait for more evidence.
28:04Er...
28:05JD, do you ever...
28:06Do you ever think about your dad?
28:09What?
28:10I try not to think about him.
28:13Some people don't change Dylan.
28:15Max, he wasn't meant to be a dad, so he never will be.
28:38Right, Siobhan.
28:39No, it's not a good time.
28:40Our patients, okay?
28:41Maybe all of them.
28:42Dylan thinks he might be exposed to something like a chemical.
28:45Just...
28:46Jodie, with respect.
28:47One of our patients, Laura Beach, okay?
28:49She's getting worse.
28:51She's not getting better from treatment.
28:52She's getting worse.
28:53So we've got to find the source.
28:54We've got to...
28:55We've got to change the direction.
28:56We've got to work how I...
28:57Stop, stop.
28:57Can I just stop you right there, okay?
28:59If Dr Keogh thinks his theory viable, he should share it with Dr Byron.
29:04And until then, try staying within your pay grade.
29:06Hmm?
29:25That's one...
29:27Uh...
29:28Do Pony...
29:30Pony...
29:31Uh...
29:31Sorry, I was unable to detect the...
29:33Keep me updated on the anaphylaxis patient.
29:35Okay.
29:35I'm gonna do it off the shop floor.
29:37What?
29:39We need to talk.
29:40I know.
29:41I already know.
29:41I'm fine.
29:42I promise.
29:43Okay.
29:45Okay.
29:46Okay, Mr Gibson.
29:46The transfusion should be finished now.
29:48So...
29:49Uh...
29:49Mr Gibson.
29:51Mr Gibson.
29:52Uh...
29:53Dr Byron.
29:53Can I borrow you, please?
29:54Okay.
29:58Uh...
29:58Take a look at his oxygen.
29:59See what you have for me?
30:01It is low.
30:02Yeah.
30:03I think it's a transfusion associated circuitry overload.
30:06Um...
30:07Let's stop the transfusion.
30:08Jenna, can you give this gentleman...
30:10Uh...
30:11Yeah, sorry.
30:12Uh...
30:13I reckon, please.
30:13I think that will calm her down.
30:14Don't give him any more blood.
30:16Get another oxygen cylinder.
30:17Yeah.
30:18Yeah.
30:18Blood gas shows CO2 at 14 and a pH level of 7.24.
30:22Uh...
30:23She's got a respiratory acidosis.
30:25What now, Beryl?
30:26Tachycardic and hypocapnic with hypoxia.
30:27Type 2 respiratory failure.
30:29Um...
30:29Can you get her on in there?
30:30Two litres of oxygen, please.
30:32Go back to bed, please.
30:33Uh...
30:33Can.
30:33Can you make it two cylinders, please?
30:35Two.
30:36Sorry.
30:50I don't know where my charts have gone.
30:53I'll be right back, Beryl, okay?
30:54Someone's taken my charts.
30:56It's been hours now, Beryl.
30:57Okay.
30:57Please bear with me, okay?
31:00Byron.
31:01There was a delay releasing the vehicle from the barracks.
31:04Deliveries another 20 minutes away.
31:06Look, if you'd accepted my help in the first place, it would have been here by now.
31:12Just one.
31:13Don't tell me that's all we've got.
31:14Where's the last one?
31:16Okay, guys.
31:17Uh, with me, please.
31:24We've got one oxygen canister and two patients that need it.
31:27We can't just magic up a cubicle, so...
31:30We need to decide which one.
31:32Advocate for your patients.
31:34Uh...
31:34Mrs Parrish's prognosis might be terminal, but she needs that oxygen.
31:38Well, her respect form shows she doesn't want ITU care or intubation,
31:42which she would probably end up on.
31:45Mr Gibson's prognosis is better.
31:49Yeah, I agree.
31:51Mr Gibson would benefit more.
31:52Can we reach a consensus on this?
31:55Shiv, we don't have a lot of time.
31:59Okay, okay, Cam's right.
32:01Okay, give the oxygen canister to Mr Gibson.
32:03Let's run.
32:04Mrs Parrish is never on air for now.
32:05She gets a cylinder the second the resupply arrives, okay?
32:08Yeah.
32:09Seriously.
32:10I mean, you only need to look at the woman to know she needs the oxygen more than that.
32:14Okay, Jack.
32:14I appreciate your help today, but we are the medics, so why don't you let us do our job?
32:22Shiv, um...
32:23I think we need to consider full palliation here.
32:26Um...
32:27Can we call next to Ken to discuss?
32:29In the meantime, let's keep her as comfortable as we can
32:30and call the palliative care team, so they're aware as well.
32:36I'll give you to what I mean.
32:37I don't want it.
32:38I'm sorry, Alan.
32:40Please!
32:41I don't want it!
32:42I'm sorry.
32:44I don't want it!
32:45Come on, please, put it back on for me.
32:46Mr Gibson, please.
32:49That's it.
32:50Deep breath for me.
32:55Well, I'll speak to Dr Keil about another dose of throsamide.
32:58The treatment seems to be working.
33:02Is, um...
33:02Is he on his own?
33:05He might not think his mum and dad love him, will he?
33:08If he's on his own up there.
33:10The best team are looking after him, okay?
33:13But we do.
33:15We love him.
33:16I know.
33:17I know you do.
33:21Laura.
33:23I'm...
33:23I'm really sorry, but...
33:25I have just got to run through some routine questions with you.
33:28Erm...
33:29The answer may help us reunite you with your baby.
33:31Zach.
33:32His name is Zach.
33:34It's a lovely name.
33:38Okay.
33:41Erm...
33:41Do you suffer from any stress at work?
33:44Do you drink?
33:45Or do you smoke?
33:47I want to see my baby.
33:49I don't have time.
33:50For this stupid question...
33:53I should be with him and instead I'm on trial.
33:56No you're not.
33:57We just want to see you.
33:58And you're not letting us?
33:59Laura, I am trying to help you.
34:01Well then do your job and take me to my son.
34:08Can you put your mask on please?
34:14I'm sorry.
34:16I'm sorry.
34:17I'm sorry.
34:18I'm sorry.
34:18About Laura.
34:19Sorry.
34:19I'm sorry.
34:22I'm sorry.
34:25Come on, ma'am.
34:27What?
34:29You know what happens when you get too involved with patients?
34:35You know, I get other people might have the wrong idea on me.
34:38But I didn't think you'd be one of them.
34:46Call Lina.
34:49Call Lina. Tell her.
34:59Tell her I love her.
35:10Come on, Piotr, mate. Stay with us.
35:45She's taken them.
35:47Give me my chance back.
35:50I can't do my rounds without them.
35:54Give me my chance back. I need them back.
35:57Shut it, shut it. Shut up before your rounds.
36:00Give my chance back.
36:02I need them back.
36:03Shut up!
36:09Get off! Get off!
36:13Get off!
36:15Get off!
36:16Get off!
36:17Get off!
36:19Get off!
36:19Get off!
36:19Get off!
36:19I hope we've got you.
36:21It's all right.
36:22It's all okay.
36:22Get off!
36:23What are you doing?
36:24You need your help.
36:25Get off!
36:26Get off!
36:28Get off!
36:31Get off!
36:32Get off!
37:00Get off!
37:03Get off!
37:03Get off!
37:04Get off!
37:06Get off!
37:09Urgent x-ray, please.
37:10Let's stop fluids.
37:11And we'll repeat the ECG.
37:12And Nicole, when you're ready, let's do an IV infusion.
37:16We'll do two mils an hour.
37:17Try treating up against the BP.
37:21Sats arising?
37:23Yeah.
37:23Yeah.
37:24They are.
37:26Stay with them.
37:26Keep a close eye.
37:27Keep me updated.
37:51What?
37:52Why am I here?
37:54It's okay, Beryl.
37:55Don't be afraid.
37:55We're here to help you.
37:56Okay?
37:57It's Cam.
37:58Cam, your nurse.
37:58Cam.
38:00Cam.
38:03That's right.
38:04I'm Cam.
38:06Cam.
38:08Cam's going to help me.
38:10Yeah.
38:11Let's get you to bed now.
38:12Okay?
38:13I'll take you back.
38:24I've been a doctor.
38:25He's doing the medicine.
38:26So do the medicine.
38:44There's nothing more we can do.
38:45She's being moved to a side room.
38:46Jack, thank you.
38:48I don't know what we'd have done without your help today.
38:56I know, girl.
38:57I know.
38:57Give her some of the strong stuff.
39:00We've given her all the more things we can.
39:02Okay.
39:03Can you pass me a finger?
39:05You've done all right today, sir.
39:11Listen, I can call Isaac for you if you want.
39:14I mean, I'm not really supposed to, but...
39:16It's Henry.
39:18My grandson's Henry.
39:21Eileen's grandson is Isaac.
39:25I'm really sorry.
39:27It's all right.
39:31It's all right.
39:42Yeah, he's very unwell.
39:45Unwell.
39:47Sick?
39:49Yes.
39:49Yes, sick.
39:51Look, he wanted to tell...
39:53No, Piotr wanted to tell you.
39:57Lena, he loves you.
40:00Okay?
40:03He loves you.
40:14That was tough, Eileen.
40:16Seriously tough.
40:18You did well.
40:20Keep your chin up.
40:26Can we go?
40:27Okay.
40:28You need to toughen up your men, Baron.
40:31That lad wouldn't last a day in my units.
40:34Weak links like him.
40:35Let the side down.
40:38You know...
40:39I always knew you didn't have it, didn't you?
40:44To do what, Jack?
40:48Really, I just don't need a reminder.
41:04I got a cue.
41:06Can I get a second opinion, please?
41:07Doctor Nash has left.
41:09Yeah, yeah, yeah.
41:10Okay.
41:12Yeah, he's in respiratory distress, isn't he?
41:15Have we all got anaphylaxis?
41:16Yeah.
41:18All of the things normal, sats are normal, blood's normal?
41:21Yeah, pulmonary oedema.
41:23But the echo shows no heart failure, so we don't know what's causing...
41:25How long has he had that rash?
41:28That must have literally just developed.
41:31That's weird.
41:32I've seen two patients with the same rash today.
41:46Yeah, yeah, come in.
41:50It's chemical.
41:51The rashes are the symptomatic connection.
41:54Patients are reacting adversely to treatment.
41:57It's causing pulmonary oedema, and it's the slow-developing rash around the mouth.
42:00That proves it's chemical, right?
42:02Yeah.
42:02Yeah.
42:03I've seen it before.
42:04A chemical attack in Afghanistan.
42:06Of course it's chemical.
42:07So, we need to isolate each case, locate the source, because we need to avoid a weak fight this week
42:13again.
42:14Yeah, yeah.
42:14Listen, I'm going to call St James.
42:15We've got a coordinated response on this.
42:17Oh.
42:19Yeah, what's up?
42:21Oh, so, as my line manager, I have a duty to inform you that the Matty...
42:27Matty...
42:29Matty.
42:29Matty, yeah, yeah, yeah.
42:30He's my son.
42:34Okay, Dylan, I don't...
42:37Whatever, man. Okay, just let's focus on this.
42:39If you want me to escalate it with HR myself, I'm happy to do that.
42:42Hold on, hold on.
42:44Dylan.
42:46Um, thank you for telling me.
42:49No worries.
42:56Hi.
42:57Um, sorry.
42:59It's, um, Dr. Byron from whole BED. Can you transfer me to your clinical lead, please?
43:04Versionly.
43:09I miss Kim too, you know.
43:12I do, I just wanted to tell you.
43:15Hey, look, I know it's weird, but if you ever want to talk...
43:17About what?
43:19What wisdom could you possibly have to offer me, Matty?
43:21You are a barely competent junior.
43:23You couldn't be left alone with a patient for five minutes.
43:25Yeah, well maybe you shouldn't have left him with me then.
43:27Oh, grow up!
43:29Really?
43:31Look, I know you're hurting, okay?
43:33I'm hurting too, except I'm not taking it out on everybody else.
43:35Or is that what you're trying to do?
43:37You're trying to push everybody away because you don't want to know the truth?
43:39Hold on a second.
43:40I do want to know the truth, okay?
43:42So don't you dare, don't you dare stand there and psychoanalyse me, okay?
43:45I want to know the truth.
43:46I'm so sick and tired of everyone walking around telling me,
43:49it's not my fault, it's not my fault, she's dead.
43:50Yeah, well it is, okay?
43:51Yeah, I know that, Matty, okay?
43:53I know I'm guilty.
43:58Yeah, you are guilty.
44:00So am I.
44:11Um, yeah, no, I just, I want to let you know that, um,
44:14it turns out we're not dealing with the virus.
44:18Yeah.
44:19And, and, and Tara, I've thought about it and I, um,
44:22I want to, I want to be honest with everybody about,
44:24about me and Matty.
44:27No, I've, I've thought about it and I want this.
44:30It's taken Matty a long time to find his calling.
44:33And I would hate to see him screw it up.
44:35No.
44:36I will take care of him.
44:41I'll keep him on the right path.
44:45You have my word.
44:45Bye-bye.
44:48Bye-bye.
44:58Bye-bye.
45:21Transcription by CastingWords