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Casualty Season 43 Episode 04
Show moreShow lessCasualty is a weekly television show broadcast on BBC One, and the longest running emergency medical drama television series in the world. Created by Jeremy Brock and Paul Unwin, it was first broadcast on 6 September 1986 and transmitted in the UK on BBC One. The producer was Geraint Morris. The programme is based around the fictional Holby City Hospital and focuses on the staff and patients of the hospital's Accident and Emergency Department.Year started: 1986
Country: UK
Creators: Jeremy Brock Paul Unwin
IMDB rating: 6.1
Categories: Drama
Show moreShow lessStars: Derek Thompson Suzanne Packer Ian Bleasdale Jane Hazlegrove Tony Marshall Charles Dale Sunetra
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Transcript
00:01You have a mass on your ovary.
00:03Is it benign or...?
00:05I don't have any answers yet.
00:06In terms of, like, wait time,
00:08our guidelines say 62 days.
00:11Hey, come on.
00:12I'm just so fed up with having to prove myself down here.
00:15I just want to be able to do my job.
00:16There's an opening for an advanced nurse practitioner.
00:18What do you think?
00:19Yeah.
00:21Good.
00:22All the places I'm looking at, the rent is crazy.
00:25You've got a good job. Don't they pay you properly?
00:28No, so these shifts are part of my course,
00:31so I don't get paid.
00:32The patient you brought in,
00:33she asked me to give this to you.
00:34Yeah.
00:35A woman died, alone, in a corridor.
00:39The patient was your responsibility.
00:41Come on, this isn't on me.
00:42You're fired. Get out.
00:43Have your witch hunt without me.
00:45I quit.
00:58Come on, Indy.
01:01You alright?
01:03Oh why not?
01:17Come on, Indy!
01:19No, no, you alright?
01:21Why not?
01:22This is very much a spectator sport.
01:24Ready?
01:26He drinks a whiskey drink, he drinks a vodka drink.
01:29He drinks a lager drink, he drinks a cider drink.
01:31He sings the songs that reminds him of the good times.
01:33He sings the songs that remind him of the better times.
01:36Daddy boy, daddy boy, daddy boy.
01:44I get knocked down, but I get up again.
01:47You're never gonna keep me down.
01:49I get knocked down.
02:07Jesus.
02:093-0-0-6 to control.
02:11Running call.
02:12Possible major trauma.
02:14Life status.
02:16Questionable.
02:17It's still warm.
02:42It's still warm.
02:48Hello?
02:49Hello?
03:11Anyone out here?
03:20Over here! I see something!
03:29Hello?
03:31Hello, paramedics?
03:34Hello?
03:36Hey.
03:40Okay, help is coming, okay?
03:43Teddy! Ian!
03:45My name's Indy. I'm just gonna go around there.
03:49Hello?
03:51Hey, can you hear me?
03:53Okay.
03:54I'm just gonna have a look at your arm there.
04:01Deep breaths.
04:03This is gonna really hurt.
04:06Sorry.
04:07Look!
04:08Ah!
04:10Ah!
04:12All right, everybody stay nice and calm for me.
04:15My name's Ian.
04:16Okay, we're gonna help you.
04:17Teddy, do you want to call it in?
04:18Right.
04:203-0-0-6 to control.
04:21Update on the running call.
04:23Request hems support and urgent evacuation ASAP.
04:26We've got an RTC with two male patients,
04:28one with a traumatic amputation to the left arm.
04:31Hiya.
04:32Look, hang on, Teddy.
04:33What's your name?
04:34Drew.
04:35All right, Drew, where's the pain?
04:37I don't know.
04:38All right, we need a line in.
04:39Yep.
04:40TXA ready.
04:41Five of them all, three people.
04:42What's your name, fella?
04:44Ellis.
04:45All right, mate.
04:47We're gonna stop this bleeding,
04:48then we'll get you some pain relief as soon as we can, all right?
04:50What have you done?
04:54Nice and steady, mate.
04:56Look, mate, the calmer you are,
04:57the less blood you're gonna lose, all right?
04:59Look at me.
05:01Okay?
05:02Good.
05:03Good, mate.
05:04You don't want any more blood over your nice car, dear?
05:07It's not my car.
05:09Yeah?
05:10Whose is it?
05:11He's gonna kill us.
05:12Step does.
05:13All right, you two brothers.
05:15Don't tell me this is your first driving lesson.
05:17All right, mate.
05:18Ellis.
05:19Ellis, stay with me.
05:20Ellis.
05:21Ellis, talk to me, mate.
05:22That's it.
05:23That tree's gonna come down.
05:25Yeah, we need to get finished up and get out.
05:26We need to immobilise him.
05:27We haven't got time between you.
05:28Let's go.
05:29Let's go.
05:30Let's go.
05:31Let's go.
05:32Let's go.
05:33Let's go.
05:34Hey!
06:00Hey!
06:04Alright.
06:05Here we go.
06:06Alright, guys let's go everywhere.
06:07That's okay.
06:08Let's go!
06:10Let's go.
06:28Good on, brother.
06:29Let that film on the first bench.
06:31Lean on the cap.
06:34Hold on.
06:35All right, just bear with me, Alice.
06:45OK, let's go.
06:50Go, go, go, go!
06:51Go, go, go, go!
06:59Ian?
07:00Indy?
07:02Yeah?
07:03We're all right.
07:21Hold the ED?
07:35Yeah, of course, go ahead.
07:39Oh, wow, all right.
07:41Yeah.
07:42Oh, sorry, my...
07:43Oh, goodness me, my pen's not working.
07:47Yes, so go ahead.
07:48Has it partially come...
07:49No, the whole thing's come up, has it?
07:51Hi.
07:52Hi.
07:53Fine, OK, thank you.
07:54Faith, can you allow the trauma team, please?
07:55We've got a hems eight minutes out.
07:57It's trauma case severed limb.
07:58Sure.
07:59I'll, uh...
08:00I'll take it.
08:01No, no, it's fine.
08:02You've only just arrived.
08:03There should be another one in from the same RDC by road,
08:05so you can take that one pass.
08:06OK.
08:08Uh, how are you doing?
08:09You OK?
08:10Uh, no, not really.
08:11Uh, someone smashed my wing mirror outside my flat.
08:14On purpose.
08:15What?
08:16Why?
08:17Dunno.
08:18Dunno.
08:19Anyway, I'm just gonna put it behind me.
08:20Look, I know it's been a bit of a rough start, but I should be able to get out if you're
08:27on time.
08:28You want me to pick up fish and chips on the way home?
08:30You know it's Milly's parents' evening?
08:31Yep.
08:32Yeah, yeah.
08:33I meant after the parents' evening.
08:34You're coming to parents' evening?
08:35Of course I'm coming to parents' evening.
08:36Of course I'm coming to parents' evening.
08:37I can't wait to meet Mrs, uh...
08:38Oh, Mrs Breard?
08:39Yeah.
08:40Oh, Mrs Breard?
08:41Yeah.
08:42I thought it was Mrs Beard.
08:43I know.
08:44Please don't call her that, because she is actually quite whiskery.
08:46She sounds lovely.
08:47Yeah, she is actually, really loves her.
08:48Well, then I definitely need to meet her, don't I?
08:49You know you don't have to come tonight, right?
08:50You've taken on this big challenge.
08:51It's gonna take some time to get to grips with it.
08:52Claire.
08:53I get it.
08:54Claire.
08:55Claire, I wanna be there, okay?
08:56I took on this job so I could spend more time with you.
08:57And yes, I appreciate the honour of you.
08:58Do you think I've bitten off more than I could chew this time?
08:59Honestly?
09:00I think you can do whatever you put your mind to.
09:01Just try not to...
09:02Gotta go.
09:03Gotta go.
09:04Dr Byron.
09:05Yeah, you appear to have me at a disadvantage.
09:06Anna Mills?
09:07I don't know.
09:08I don't know.
09:09I don't know.
09:10I don't know.
09:11I don't know.
09:12It's gonna take some time to get to grips with it.
09:13Claire.
09:14I get it.
09:15Claire, I wanna be there, okay?
09:16I took on this job so I could spend more time with you.
09:17And yes, I appreciate the honour of you.
09:18Do you think I've bitten off more than I could chew this time?
09:19Honestly?
09:20I think you can do whatever you put your mind to.
09:22Just try not to...
09:23Gotta go.
09:24Dr Byron.
09:25Uh...
09:26Yeah, uh, you appear to have me at a disadvantage.
09:31Anna Mills?
09:33Councillor for Holby West?
09:34Right.
09:35Yes.
09:36Of course.
09:37Yeah.
09:38How are you doing?
09:39You've forgotten our appointment?
09:40Uh, no.
09:41No.
09:42Not at all.
09:43Good.
09:44Shall we?
09:56Should we give him another two units of FFP, another two units of packed cells as well,
10:00please?
10:01And shall we get that TXA infusion up?
10:04Any sign of the surgeons?
10:05Speak of the devil and he shall appear, Dr Keir.
10:08Good.
10:09Good, good.
10:12Okay, so this is Ellis Garrick.
10:13He was brought about 12 minutes ago by air ambulance.
10:16Um, he was a passenger in an RTC.
10:17It was a convertible car on his arm outside.
10:19They, um, they hit a bridge.
10:21So there's a traumatic amputation at the elbow and a catastrophic hemorrhage there.
10:26The car then left the road and hit a tree.
10:28So we've, we've done a fast scan.
10:29There's also saying to be free fluid in the abdomen.
10:31So I think we can assume, um, intra-abdominal injury.
10:34Okay.
10:35Now, Hems intubated at the scene.
10:36He's had a hundred milligrams of rocuronium, a hundred milligrams of ketamine.
10:40Um, he's had a gram of TXA.
10:42We've given him two units of FFP, four units of NEG.
10:45And, and there's another gram of TXA going up now.
10:47He's had 1.2-comoxiclap.
10:49He's had 500-metronidazole and, uh, tetanossus immunoglobulin.
10:52Okay.
10:53Jodie, can you get the monitoring on the bed, please?
10:55And can you check the O2 cylinder, please?
10:57Okay.
10:58Chasing BP at the moment with blood products.
10:59How are we doing?
11:00Uh, I mean, still bleeding through the bandages.
11:03Tornicate time, about 42 minutes at the moment.
11:05That's it.
11:06Catch all that.
11:07Okay.
11:09Let's get going.
11:10Okay.
11:11Portable defib.
11:12Yeah, I've got my right view.
11:13We should prioritise the surgery and talk to plastic supplements.
11:15Yeah, we'll take it up and then they can review.
11:17Where is the arm?
11:18It's here.
11:19Yeah.
11:20All right.
11:21Come on.
11:22No one's going to be able to reattach an arm to a dick, won't you?
11:24We've got plenty of bandages to stem the bleed on that arm.
11:26Yeah, it's on the bed.
11:27Is that sorry?
11:28It's on the bed.
11:29So it is.
11:31All right, Keith, I'm going to posture this rapid infuser,
11:34as soon as you're situated inside.
11:36Okay.
11:37I've got a transfer bag.
11:38Amazing.
11:40Yes.
11:41I just need one to get you started.
11:42Do you know what I mean?
11:43You're going to boss it, mate.
11:44Oh, Keith, grab that.
11:45We're going to need another tourniquet, guys.
11:46Oh, you'll have to hold it.
11:47Okay.
11:48Go on.
11:49Really squeeze.
11:50There you go.
11:51Anyone get up to the course on Saturday?
11:52Yes.
11:53How was the 13th?
11:54Dad.
11:55Double bogey.
11:56How was the 13th?
11:57Dad.
11:58Double bogey.
11:59The greens are still running fast.
12:00Yeah.
12:01How's your new driver?
12:02Beautiful.
12:03Yeah.
12:04How's your new driver?
12:05Beautiful.
12:06Yeah.
12:07How was the 13th?
12:08Dad.
12:09Double bogey.
12:10Nice.
12:11Very nice.
12:12Very nice.
12:13Here we go.
12:15Thanks, sir.
12:17How was the 13th?
12:18Dad.
12:19Any one get up to the course on Saturday?
12:20Yes.
12:21How was the 13th?
12:22Dad.
12:23Double bogey.
12:24The greens are still running fast.
12:27Yeah.
12:28How's your new driver?
12:31Beautiful.
12:32Yeah.
12:33Off the 8th tee.
12:34212 yards.
12:36Nice.
12:37Very nice.
12:41Here we go.
12:50Can somebody get the arm, please?
12:52Can someone clean this up?
13:03Okay, this is the window for viable reattachment of the arm.
13:07After that, we're looking at tissue depth.
13:09Our plastics won't even think of it until he's hemodynamically stable.
13:11So let's get prepped and get going.
13:13Nurse Amon, okay to scrub in?
13:16Yeah, yeah.
13:18Good.
13:18I'll open him up and deal with whatever's going on inside,
13:20but I want you, Sean, to be on the arm.
13:22Get on top of the bleed, debride whatever you can,
13:24and tidy it up.
13:27Through then, there should be some clean scrubs and spare threads
13:29cloaks in the changing room.
13:30Okay, cool.
13:48I'm sure people are frustrated, yeah.
13:50I'm frustrated.
13:52But if you want to speak to somebody,
13:53you should be speaking to the health secretary.
13:54Dr. Byron, I'm a counsellor.
13:57I'm not an MP.
13:58I don't have access to the health secretary.
14:00Well, neither do I.
14:01What I do have is an inbox full of heartbreaking stories
14:04about patients queuing through the night in ambulances
14:07and undignified treatments being meted out in corridors.
14:10Well, believe me, none of us want that, so...
14:15So what are you doing about it?
14:20It took a long time for things to get this bad.
14:23I have been in the post for less than a month.
14:25I understand a lady died in one of your corridors
14:28just a couple of weeks ago.
14:31Gloria Scott.
14:34You were in post then.
14:36Are you trying to kill the patients?
14:41Sorry.
14:44It's just a silly joke that we have.
14:48Um, Siobhan, this is Anna Mills, local councillor.
14:51Miss Mills, this is Siobhan McKenzie.
14:54Clinical nurse manager and...
14:56comedian.
14:57I'll let you get on.
15:00I know you have a lot to do.
15:05I really hope we don't have to have this conversation again.
15:21Nurse of mine.
15:23Rita.
15:24Apologies for the rather crude initiation.
15:26Oh, no, it's fine.
15:29Orderly fluid's very much in my job description, so...
15:32It's a good attitude.
15:34Now, look, if you have any concerns, do come and talk to me.
15:39Excuse me.
15:46Hey, there she is.
15:48Thought you know what you're letting yourself in for.
15:50Change your mind about this, yeah?
15:52No.
15:53Not at all.
15:54All this, it's a bit I'm used to, isn't it?
16:00Thank you for this.
16:01I'm just so excited to see everybody's happily ever after.
16:07What, happy ever after?
16:08Coming right up.
16:09Let's hope so, eh?
16:10This is Drew Garrett.
16:12He's got a head laceration and vomited at the scene.
16:14Abdomen's tender and he's complaining of lower back pain.
16:17We had to perform a rapid extrication due to safety at the scene.
16:20OK, let's do base wall, please.
16:22All right.
16:22BP is 105 over 60.
16:24He's tacky at 110.
16:26Sat to 100 on high flow and GCS has been 15 throughout.
16:29He's had a gram of IV paracetamol, 10 milligrams of morphine, and four of on dancetron.
16:33Is my brother okay?
16:34He's in the field, son.
16:35He's being looked at.
16:36Look, seven across on lift, please.
16:39Ready?
16:39Brace.
16:40Lift.
16:42Dylan, you came to your primary survey?
16:44Yeah, of course.
16:45I'm good.
16:45I'm going to listen to your cat.
16:47Did you get a hold of our mum?
16:49She's in Edinburgh.
16:49It's her anniversary.
16:51Yeah, we've got the number, so we'll source it.
16:52Okay, don't worry.
16:54How we doing?
16:55Okay, BPS dropped to 90 over 60.
16:58Okay, right.
16:59I think we're looking at intra-abdominal injury, so let's, uh, Lamorna, can you call CT and request a PAN scan?
17:06You being chair of the resource committee, I thought you would have prioritised the ED getting one of the new DFID.
17:12The cath lab were absolutely desperate.
17:14Well, you're desperate.
17:15Ours is on its last legs.
17:17The patients won't even make it to the cath lab if they're in VF, and we can't shock them.
17:21Look, I had to balance the books.
17:23The human budget was all that was left.
17:24I've ordered the new equipment, until then we just have to make do.
17:28Look, I'm not telling you how to do your job, okay?
17:32I know it's hard.
17:33Been there, got the T-shirt, but with respect, there is saving money, and there's compromising patient care.
17:41Can I show you something?
17:42Yeah.
17:46Mr Epping.
17:47Um, I have a consultant here who would like to take a look at those pressure sores.
17:54Okay.
17:55Hi.
17:56How are you doing?
17:56I'm Dr Byron.
17:57Do you mind if I take a look?
17:58Sure.
18:02Nice custom job you've got going on there?
18:04Can't take any credit, I'm afraid.
18:06My granddaughter's worked.
18:08How old is she?
18:09Three.
18:10And she's told me to be very careful, because these are her best stickers.
18:14Yeah, I can see.
18:14She's been very generous with them.
18:16Yes.
18:17Well, I don't want to blow my own trumpet, but I am her favourite grandpa.
18:21Do you remember when this was put on?
18:23Uh, last Wednesday, I think.
18:25My appointment at the fracture clinic is supposed to be tomorrow.
18:29Right.
18:30Who put this on?
18:31It doesn't matter who.
18:32I knew he was the young man over there, wasn't it?
18:37Good.
18:38Uh, would you excuse us for a second, please?
18:39Of course.
18:42Maybe the nursing staff need a refresher on basic competencies and bag slabs.
18:47It's cheap plaster.
18:48It dries badly.
18:49It cracks.
18:50This is the result.
18:51That is a grade four pressure ulcer.
18:53He has a raging infection.
18:55He's this close to success.
18:58Siobhan, sorry to interrupt.
18:59Uh, Dr. Seam wrote up 40mg of furosemide for this patient,
19:03but she's not responding to the medication.
19:04I'm a bit concerned.
19:05Okay.
19:06You all right, Bridget, love?
19:07Take it nice and steady, yeah?
19:09Oh, uh, excuse me.
19:11Excuse me a minute, love.
19:13The cannula's tissueed.
19:15Half of it's on the bed.
19:17I'm so sorry.
19:17I didn't realise.
19:18No, it's not your fault.
19:19Give another 40mg of furosemide,
19:21and if she doesn't respond to that, set up a GTN infusion.
19:24For God's sake, change the cannula.
19:28Okay.
19:30The cannulas are just as bad as the plastic.
19:33They are as flimsy as anything,
19:35and they won't stay still because the tape that you bought doesn't stick.
19:40See?
19:41It's rubbish.
19:42Okay, false economy.
19:43We need to go back to the original supplier.
19:46Right, so it's just the coincidence
19:48that the two people who have problems were treated by the same nurse.
19:53Come on.
19:54A bad workman blames his tools.
19:56Yeah, and, uh,
19:57a bad leader blames his team.
19:59Dr. Merson, you care to weigh in on this?
20:07I thought we were taking responsibility when things went wrong.
20:10Not blaming the nurses.
20:13Excuse me.
20:17I'll get that furosemide.
20:19Hold still, Dr. Viper.
20:34Saxon,
20:35don't be scared.
20:37You're not going to do any damage.
20:41Do that.
20:49How are you doing, Dr. Redman?
20:54Almost there.
21:01Hey, please.
21:02Yes, thank you, Dr. Viper.
21:04I do have ears.
21:06Vessels are clumped.
21:09And the abdomen is packed.
21:13It should mitigate the loss of volume.
21:15Let's replace his blood volume
21:18and correct his coagulopathy.
21:22And see if he stabilizes.
21:26How much longer on the arm, Dr. Redman?
21:2974 minutes.
21:3174 minutes.
21:32Dr. Viper, what do you think?
21:33Can we do it?
21:35Yeah, I think so.
21:36We have hemorrhage control.
21:43Let's give team anaesthetics a chance to catch up
21:45and we'll see what we've got.
21:50Music, please.
21:51And my hands were shaking.
22:07It's not like we knew we were going to it
22:08and we could prepare for it.
22:10I think you did brilliantly.
22:11Hmm, really?
22:12Mean it.
22:13Proud of you.
22:17Oh, I forgot about this.
22:19Was it?
22:19Cam told me to put it up last week.
22:22Look, it's got little tear-off strips
22:24like we're in the 90s.
22:26Love him.
22:27Have they got a room going?
22:29Yeah.
22:29A little box room.
22:30Not sure if it'll have any take
22:31because it's tiny.
22:32I don't care about that.
22:34Your landlord's still not got his eyes together.
22:36It's ridiculous.
22:37Yeah, so I'm thinking
22:38I should find somewhere else.
22:40Right.
22:40Well, there you go.
22:42It's quite handy, isn't it?
22:43Yeah.
22:45Cool.
22:45I'll message him.
22:46Right.
22:47Can you do me a favour, though?
22:48Can you tell him that you found it in the break room?
22:50Because I forgot to fill it up.
22:51Yeah.
22:51Yeah.
22:51Got you.
22:52See ya.
22:52Right.
22:52See ya.
22:52See ya.
23:22Left and right upper quadrants shall dry, liver and spleen intact, moving on, here we
23:48go. Suction. Oh, come on, Dr. Hype. Music down, please. I can't see what I'm doing. More suction.
24:18Got it. Mesenteric evulsion. I'll use a clip.
24:30Good. Two zero suture, please. For this. And then we'll do the repair on the serosal injury.
24:47Call Plastics. Tell them we're nearly ready for them to have a look at this arm.
25:08Temperature's not coming down, is it? I think we're going to have to admit you till we get on top of this infection.
25:13Stay here. I'm afraid so. Is there anyone I can call to bring some stuff in for you?
25:18My daughter. His daughter's on the system as his next have come.
25:21OK. I'll give her a call. Cam, could I have a word? Yeah.
25:25Could you redo that cast while I sort a bed out? Well, I think maybe someone else should do it.
25:29Like I said before, this wasn't your fault. You did nothing wrong.
25:34Thank you. Thank you.
25:38Right. Mr. Epping. I'll take this and I'll be right back. OK?
25:42Oh, no. Don't throw it away.
25:44I just need to get this back on you.
25:49OK, Drew, someone's managed to get in touch with your mum and dad.
25:54Stepdad. OK, stepdad.
25:56They're getting the next train so they should be here soon, OK?
25:59Do you think they're angry? No, I don't think so.
26:02How's Ellis? I imagine he's still in theatre.
26:06Sorry. It's OK.
26:11I'm always messing everything up. Can't do anything right.
26:14No, I'm sure that's not true. No, it is.
26:16He was helping me pass my driving test before I started uni.
26:20This is how I repay him. He'll say that as well.
26:24Just try and stay calm, OK?
26:26Look, this was a horrible accident.
26:28It's nobody's fault.
26:31You all right? Do you want me to?
26:32I don't know if your friends have to do it.
26:34Um, where's the pain injury?
26:37OK, let me just examine your abdomen.
26:40It's all right.
26:42Yeah, OK. There's rigidity in the abdomen.
26:46Dylan, is that CT report back by any chance?
26:49Uh, yes, it is. Yes, it is.
26:51Uh, yeah, he's got some intralivum there around the bowel, so he might have ruptured.
26:56OK, thank you. Right, uh, yeah, let's get him on IV, Cormox, Clav,
26:59and we'll do a stat dose of gentamicin.
27:01I'm going to ring surgery as well.
27:03I can do that.
27:04No, no, no, you're grand.
27:05If you have to review his analgesics, that'd be great. Thanks.
27:10You're OK. You're OK. We'll take care of you.
27:13Ah!
27:19Please don't tell anyone that I'm using this, OK?
27:21Because this is just meant for closing wounds.
27:24Ah, secret.
27:27OK, last one.
27:28And that goes there.
27:31Now, I've just got to make sure that these are on absolutely perfectly,
27:34because she will definitely notice.
27:41And that's it.
27:42There we go.
27:44What do you think?
27:46Barry?
27:49Barry?
27:52Barry, can you hear me?
27:55Mr Epping?
27:57Mr Epping?
27:58Can you hear me?
28:00Um, can I get some help, please?
28:07He was drowsy but talking. Now he's just not responsive.
28:10Crash trolley.
28:22Let's do a rhythm check.
28:30Oh, there's a fault.
28:32Oh.
28:34OK, fine. Get it off him.
28:35Just continue, please. Can.
28:36Keep up compressions.
28:37It's getting out of the resource.
28:39Let's go. Let's go.
28:42Go.
28:48Yeah, can you put me through, please?
28:50Thanks.
28:53Yeah, they can't staff a theatre without pulling another team from surgery.
28:56OK, well, he's deteriorating fast.
28:59Shall we give him another two units of Pac-Ride cells and a unit of FFP?
29:07There's one.
29:08Rita.
29:09Hi, it's Stevie here.
29:11Hi.
29:13Yeah, yeah, it is.
29:14Look, I'm here with the kid from the RTC this morning, the driver.
29:17I think you're treating his brother at the minute.
29:20Erm, we've got a possible bowel injury at the DJ Flexure.
29:24Can I set him up to you?
29:26We have plastics here.
29:29Looking at the arm reattachment.
29:31I think that's going to take a couple of hours.
29:33Yeah, yeah. Basically, I need you to forget the arm.
29:36Yeah, Rita, I've got a kid here.
29:38It's a 17-year-old with a new score of six.
29:41You know, he's triggering for sepsis.
29:42We're looking at possible organ failure.
29:45Well, whatever it is, the other trauma team will have to do it.
29:48Yeah, Rita, could you tell Russell if he has something to say
29:50he can come on the phone to say it?
29:51Because I'm perfectly aware the other trauma team
29:53are working on a ruptured spleen.
29:54So, you're this kid's only hope.
29:56Yeah, erm, do you know what?
29:57Just hold on.
29:59Put me on hold.
30:01They sound quite worried.
30:03They always sound worried.
30:05It's his brother.
30:07He was driving the car.
30:08They were in a bowel injury, triggering for sepsis.
30:11If we clear the theatre for him, then this fellow loses an arm.
30:15I'm sure he'd rather that than lose his little brother.
30:21Rita?
30:23Mr Whitelaw has given his final.
30:25I'm really sorry, guys.
30:27It's not up to me, and I don't know anything, but...
30:30How likely is it that this arm reattachment is going to work?
30:35Genuine question?
30:38I agree it is a long shot.
30:39And there is an outside chance that he might be too unstable for a plastic sock.
30:45This could be life or death.
30:49No.
30:54My apologies, gentlemen.
30:55It appears that your services are no longer required.
31:04Send him up.
31:06Great. Thank you. Thanks.
31:08Did she get us a theatre?
31:09Yeah, she did.
31:10I did.
31:12Let's go.
31:14If we open him up and find that it's a fuss over nothing, then you're going to have to explain why we didn't at least try to save his arm.
31:21Let's close and reset the theatre, please.
31:25And will somebody take the arm down to the morgue?
31:27He's been down for ten minutes. He's in VEF. Come on. Shocking.
31:28Okay.
31:29Charging to 150.
31:30Okay.
31:31Top, middle, bottom, clear.
31:32Tap.
31:33Off the chest.
31:35Shocking.
31:36Wait.
31:37Wait.
31:38Wait.
31:39Oh my God.
31:40I've got it.
31:41The big part of my arm.
31:42I've got it.
31:43Wait.
31:45Wait.
31:46Oh my God.
31:47Okay.
31:48That's fine.
31:49I don't know.
31:50What's that?
31:52I don't know.
31:53I've got it.
31:55Into the back.
31:57Shocking.
31:59Wait, wait.
32:03OK, I've got Rosk.
32:05Right, start a repeat, ECG, a blood gas, call ITU.
32:09I owe you an apology.
32:12It's OK.
32:13No, it's not.
32:14Let him apologise.
32:17I'm sorry, OK?
32:19Nothing that happened today is on you at all.
32:22You're an excellent nurse.
32:24And I'm grateful for all your hard work.
32:42Well, that was interesting.
32:44God, I really hope this kid's on death's door.
32:49Sorry, you know what I meant.
32:53Do you think it was a mistake?
32:55I just can't believe he listened to you.
32:59He hasn't listened to anyone.
33:00Then again, I've never seen anyone speak to him the way you do, so...
33:04Yeah.
33:06Everyone keeps saying how he's this big tyrant,
33:08but he seems perfectly friendly to me.
33:11If anything, a little too friendly.
33:13Well, you've got some balls, I'll give you that.
33:30Hey, guys.
33:32Hey, Rimi.
33:33Hey, can I give you this now?
33:35Don't worry, we can sort that later.
33:36That's not a...
33:37No, cos then they just...
33:38No, it's definite and done and sorted.
33:39OK.
33:41And I'm sorry it's not as much as you wanted for the deposit.
33:43That's all I've got left saved.
33:45Don't be silly, that's fine.
33:46Erm, well, I suppose we should all celebrate later.
33:48Yes.
33:49Have a drink or something?
33:50Yep.
33:51Cool. And I guess I'm buying?
33:52You're gonna have to.
33:53OK.
33:54No worries.
33:55See you later.
33:56Cheers.
33:57You're welcome.
33:58Brilliant.
34:21Suction.
34:23I think we can safely confirm a perforated colon.
34:26OK.
34:27Plan of action.
34:28Dr. Piper?
34:29Peritoneal saline washout.
34:32Erm...
34:33And then primary anastomosis.
34:35Dr. Redmond?
34:36I agree with the washout, but a joint wouldn't heal.
34:41I'd give him a Hartman's in reverse in six months or so.
34:43I agree with you, Dr. Redmond.
34:45Anastomosis is a ludicrous suggestion.
34:48The brother has already sacrificed an arm.
34:50Let's not risk anything more.
34:52No, Sir Ma'am.
34:55This boy may well owe you his life.
34:59This is why I brought her up here.
35:01All patients should be so lucky as to have such an advocate.
35:08Let's begin.
35:09Now I'm telling you, Eve, that he's definitely the person who smashed my murder.
35:22I thought you said you hardly saw him.
35:23I saw enough.
35:25Are you sure you're not just being a wee bit?
35:26You know, Faith, I'm not cracking up.
35:28I'm not saying you're cracking up, but maybe you're overthinking it.
35:30Look, there's all sorts of people around here.
35:32It's a public place.
35:33Okay, but outside my flat?
35:35I'd say my flat.
35:36It's a public street.
35:37Like, why would somebody be targeting you?
35:39Who would want to do that?
35:40Yeah?
35:41Oh, great.
35:42More paperwork.
35:43Great save.
35:44As long as it's not more numbers that don't add up.
35:46You're at that stage, right?
35:47Yeah.
35:48It's impossible.
35:49Okay, good.
35:50But as long as you realise that, I mean, it is actually impossible.
35:53It doesn't matter which way you try and add things up.
35:55They don't because there just isn't enough money to go round.
35:59Resources are just allocated according to whatever people are most likely to.
36:01I don't know.
36:02I don't know.
36:03I don't know.
36:04I don't know.
36:05I don't know.
36:06I don't know.
36:07I don't know.
36:08I don't know.
36:09I don't know.
36:10I don't know.
36:11I don't know.
36:12I don't know.
36:13I don't know.
36:14It's just allocated according to whatever people are most upset about on any given day.
36:17Right.
36:18Well, you know, I think once you realise that you are just moving deck chairs about in the
36:23Titanic, strangely enough, it does become, it becomes less frustrating.
36:25Strangely.
36:26And they're just giving up.
36:27Or, or pragmatism, I think.
36:29Just understanding there's only so much that one person can do.
36:32It's a bigger job than you.
36:33It's a bigger job even than me.
36:35Bonne chance.
36:44Well, what's this?
37:12What's this? Wait, is this a colostomy bag?
37:15Hey, hey, Drew. I'm Rita. I'm your surgical nurse.
37:19I want you to know this is temporary.
37:21It's just giving your body time to recover,
37:23and then you can have another operation to reverse it.
37:26Where's my brother? Ellis.
37:28It's OK. He's over there. You can see him.
37:34Hey.
37:40It's OK.
37:43Look at me. Look at me.
37:46It's all right.
37:49It's not all right.
37:51This is all your fault.
37:55What?
37:56Faster. Go faster. Now look at us.
37:58Drew, hey, I know. This is such a shock, isn't it?
38:03It is so much to take in, but I promise you,
38:07this is temporary, OK?
38:10Yeah, so screw you.
38:13And it won't stop you from doing anything.
38:16There's nothing that you can't do with a bag
38:18that you couldn't do before.
38:20Pushing me.
38:22Always pushing me.
38:23Learn to drive. Go to uni.
38:24I didn't even want to go to uni in the first place.
38:27I was trying to help you.
38:28You're selfish.
38:29I don't need your help.
38:33You're not my dad.
38:34you're selfish too.
38:35I am.
38:36You're selfish.
38:37I don't want to go.
38:38You're wrong.
38:39Do you just need to take one in your family?
38:43Hey.
38:44Hello.
38:47Indy, Indy is me.
38:50It's your dad.
38:51Oh, hi.
38:54How are ya?
38:57Alright.
38:58How are you?
38:59Yeah.
39:00Yeah, I'm getting there. Actually, that's not true. I'm in a bit of trouble.
39:21I thought you were supposed to be staying out of trouble after what happened. It wasn't
39:26a one-time thing, was it?
39:28I feel bad asking, but I need to borrow some money. Just a few hundred quid. I'll pay
39:34you back, I promise.
39:36It...
39:38really helped me out.
39:40More than you know.
39:43You don't have a car.
39:55Kay?
39:58Look, I know it's not my place, but you're both extremely lucky to be alive.
40:19And seeing as you still have each other, I think you need to talk.
40:24I can't leave because I have to monitor you, but I'm going to just turn around and I'll
40:31pretend I can't hear you and you two can just...
40:34Yeah?
40:35Yeah?
40:36Yeah?
40:37Look.
40:41look.
40:42When Dad died, it didn't seem important. Exams.
40:58I know.
40:59You can be better than me. You can have more.
41:11You can't carry on at the factory anymore. I... What else are you going to do?
41:27I thought maybe... driving instructor.
41:39This is a set of trees now.
41:40I guess...
41:42This is a set of trees just like a tree.
41:44No, no.
41:46It's not a tree.
41:48It's not a tree.
41:50It's not a tree.
41:52It shouldn't be.
41:54No, no, no.
42:24I thought we agreed we wouldn't need to speak again.
42:31Yeah, I think you agreed that.
42:44Look, the way I see it, we're on the same side.
42:50So we don't need to treat each other like the enemy.
42:53We both want the same thing.
42:57I started this job to do something positive.
43:05And instead, I am wasting my time making impossible decisions between safe staffing and safe equipment.
43:12We need more money.
43:17It's that simple.
43:18What I want to know is, what are you going to do about it?
43:28What are you going to do about it?
43:30What are you going to do about it?
43:32What are you going to do about it?
43:33What are you going to do about it?
43:34What are you going to do about it?
43:36Sean said I was a natural and that he's really proud of me.
43:43Hey.
43:44Hey housemate.
43:46Can't tell us the good news.
43:47Yeah.
43:48I'm really sorry to mess you all around.
43:49I don't actually need the room anymore.
43:51Oh.
43:52Yeah.
43:53I went to talk to my landlord to hand him a notice and he said that renovations are going
43:57to be done by the weekend.
43:58Aww.
43:59That's a shame.
44:00Would have been fun.
44:01Yeah.
44:02It's just all my stuff's already there so it's easier.
44:04No, of course not.
44:05That makes complete sense.
44:06Here, I should give you this back.
44:07Is that alright?
44:08Yeah, of course it is.
44:09Here you go.
44:10Thanks.
44:11Sorry.
44:12Well, do you guys still want to go to the pub?
44:16Absolutely.
44:17Definitely.
44:18Yeah.
44:19Rita.
44:20Can I see you in there?
44:21Okay.
44:22We're just going for a drink.
44:23Do you want to come?
44:24Er, no, I can't stop.
44:25I just wanted a quick word.
44:26About how amazing I was, Nicole.
44:28I already know.
44:29You okay?
44:32Er, yeah.
44:33So, when I started in surgery, one of the lasses told me what I'm going to tell you.
44:39Okay.
44:40Er, there's a list.
44:44Er, of blokes you want to be careful around.
44:49And Mr. Waitlaw is top of that list.
44:54Are you serious?
44:56Well, you said he's already been a bit too friendly.
44:59Er, yeah, but I...
45:02Okay.
45:04Well, thank you.
45:06And thank you for letting me know.
45:08He wasn't the only one I was warned about.
45:17Sean's name is on the list too.
45:22I am so sorry.
45:24I...
45:25I just...
45:26I just thought you shouldn't have...
45:36I'll, erm...
45:37I'd better...
45:39Sorry, Pat.
45:40I will...
45:41Goodbye.
45:42Hmm.
45:43I don't know.
46:13I don't know.
46:43I don't know.
47:13I don't know.
47:43I don't know.