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Casualty Season 41 Episode 01
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
00:00I shouldn't even need someone else to get pregnant for me, but I do, and whose fault is that?
00:06The results show that your baby will almost certainly have Down syndrome.
00:11You don't know how I feel. No one does.
00:13Just stop, okay? Both of you, just stop and...
00:16Just leave me alone.
00:30Sorry I've been busy, but...
00:38What did you say?
00:40Dad, I can't hear you. Hang on, one sec.
00:43No! Wait, please!
00:45Stop!
00:50Hello? Yeah, no, just, yeah, I'm gonna be late now.
00:54Yeah, actually, it doesn't matter.
00:56No, Dad, I know I'm not a doctor, but...
00:59All right, give Mum a love.
01:01Okay, bye.
01:12You all right, Cam?
01:14I missed my bus.
01:15Best to get in, then.
01:16Come on!
01:20Come on, put the window up.
01:23Zero.
01:24Give the windows a while, they're steaming over.
01:27Yeah, of course.
01:29Siobhan, how long did it take for you to get to where you are?
01:32Oh, not long.
01:33About 14 minutes.
01:35Sorry.
01:36I'm just naturally funny in the mornings.
01:38You meant work-wise, didn't you?
01:40Yeah.
01:41No, I just...
01:42I feel like...
01:43I feel like I'm ready to step up.
01:45Do you?
01:46Don't you?
01:47I don't know.
01:48What's that?
01:49What's that?
01:50What's happening?
01:51With me.
01:52Help me!
01:53Help me!
01:57Please help me!
01:58Help me!
01:59Oh!
02:00Oh!
02:01Oh!
02:02Hi, I'm Siobhan.
02:03This is Cam.
02:04We're nurses from Holby City Hospital.
02:05Can we take a look?
02:06The sign flew off.
02:07She's pretty deep.
02:08We have a cube making a noise.
02:09We like that.
02:10What's her name?
02:11Chloe.
02:12Chloe.
02:13Chloe.
02:14Right.
02:15Let's get Chloe inside.
02:16Let's take her in.
02:17Cover me.
02:18Come on.
02:19Come on.
02:25Well done, Cam.
02:26I'm going to lay the baby on the floor for me.
02:28Give me baby Chloe.
02:30We'll take good care of her.
02:31Here she comes.
02:32There you go.
02:33Now, baby Chloe.
02:34She's normally fit and well, is she?
02:36Yeah.
02:37Where is she?
02:38There it is, Payton.
02:39I'll sweep a little fast.
02:40The ambulance is on its way.
02:42The sign just fell on the prom.
02:44Please, look after her, okay?
02:46Please.
02:47Why don't you come down here with us?
02:49I think she wants her mum.
03:05There's a good girl.
03:06Mummy's here now.
03:07You should run her breathing slow.
03:08Is it?
03:09Yeah.
03:10You know what to do.
03:13Completely cover her mouth and nose.
03:15Okay?
03:16It's okay.
03:17We're just helping Chloe with her breathing.
03:19Okay?
03:20Can you feel the air going in and out?
03:21Okay, so we can do that.
03:22I'm sorry.
03:24No, we're going to do this.
03:25Yeah, let's just go.
03:26Well, the window.
03:27You're all right, somebody from a house.
03:28If you want.
03:29We're going to do it.
03:30You're all right.
03:31I'm sorry.
03:32I'm sorry.
03:33We're just letting you move in, I'm sorry.
03:35You're all right, man.
03:36Okay, you're all right.
03:37Bye.
03:39We're kind of going to do it very long.
03:41We're all right.
03:42We're all right.
03:43We're all right.
03:44So we're all right.
03:45We're all right.
03:46We're all right.
03:47Um, could I have everybody gather round, please? Let me, uh, do a quick, um, check for stragglers in reception.
04:06Tarek, would you mind checking the staff?
04:08Uh, yeah, on it.
04:11How have you been feeling?
04:13Yeah, really good, actually.
04:15Yeah?
04:15Yeah.
04:15So he's booked a russie again.
04:17She'll come round.
04:21Okay, as well.
04:22So sorry.
04:23It's been eight weeks.
04:26Welcome back, Dr. My son.
04:29Okay, is that everybody?
04:31Right, a bit of bad news, I'm afraid.
04:33I've just had, um, the, uh, weather warning changed to red.
04:37Meaning travel and power disruption and a significant risk to life.
04:42We've been here before and what happens is there tends to be a bit of a lull before the trauma admissions.
04:45But, um, when they start coming, it never rains but it pours.
04:49So, uh, we'll need to buckle up.
04:50It never rains but it pours.
04:53I'll take it.
04:54Uh, Dylan.
04:57Well, you know the deal.
05:01Complain about the weather, you're going to buy around.
05:03Okay, it's more, uh, an observation than, than a complaint but yeah, okay, whatever gets you through the night.
05:10It's nice to get off my nose.
05:10Um, so can we ensure, please, that, um, we proactively, um, make sure that all discharges and referrals take place and that all clinical areas are kept stocked.
05:22Um, other than that, good luck, stay dry.
05:25Sorry.
05:29Hello.
05:30Guys, not to influence you.
05:32Yeah, no, no, I know, I'm, I'm aware of the weather.
05:35Play the game.
05:44Protein bar.
05:45Yeah, keep your energy up.
05:46You can thank for later.
05:49Dr. Masson, a hand, please.
05:52Who's that?
05:53Uh, it's my shadow, at least for the next few weeks.
05:56Ouch.
05:57No, she's been good, actually.
05:58Helpful.
05:59No one likes a drunk in the morning.
06:01Why don't I take this one?
06:02Uh, because I, I don't need you to and, um, I, I don't need this.
06:06But, thanks.
06:09So, I did this.
06:11I made it worse.
06:12No, no, you did.
06:13You didn't.
06:13You didn't.
06:14Excuse me, guys.
06:15These are paramedics.
06:16This is mum, Abigail, with...
06:17Jacob, keep and run.
06:19Yeah, calm.
06:20I'll get the weight, please.
06:21And she's going to be siloed.
06:22We're looking at traumatic brain injury and possible crush injuries to...
06:25You got it, yeah?
06:25Yeah.
06:26Mind the step.
06:30Abigail?
06:32Your toy bunny?
06:34She can't sleep without it.
06:35It's okay, I'll get it.
06:36Come on.
06:37You're thinking it's me.
06:38It's okay.
06:38It's okay.
06:46Okay, this doesn't look good.
06:49How do you want to do this?
06:50Um, I'll do primary.
06:51If you get going with, um, access and, uh, get the monitoring on.
06:56Listen, am I glad to see you guys.
06:57I'm Rich Incident Commander.
06:59Hey, I'm Dr. Nash.
07:00This is Susie Chang.
07:01We're critical care.
07:02What have we got?
07:02So her car's aqua-planed into the back of a van.
07:05Two victims.
07:06Primary.
07:06The driver.
07:07She's been impaled by a pole in the left shoulder.
07:10Secondary.
07:11The passenger.
07:11She's less serious.
07:12But both are mechanically trapped by the doors.
07:14Okay, thanks.
07:15Good to know.
07:15Wait, no, no, no, no, no, no, no.
07:16You can't approach just yet.
07:17Why not?
07:18Because the site's still unsafe.
07:19Yeah, but they need to be assessed, so...
07:20Yeah, yeah, well, listen, I got that.
07:21But there's petrol everywhere and we're still dealing with the airbags.
07:24The driver's site didn't deploy.
07:25Happens more often than you think.
07:26Great.
07:26Need more absorbent.
07:27Yeah, on its way.
07:28Listen, hang tight.
07:29I'll get back to you.
07:30Yeah, but if she's been impaled...
07:32Yes, I know.
07:33Don't move.
07:34Dougie, give the hand, mate.
07:35Yeah, come in.
07:42Thank you very much.
07:43I need bodies.
07:44We have an incoming paediatric trauma.
07:46Nine-month-old with cross-injury, so we need to act fast.
07:49I have Karen, I think, Tarek.
07:52I'm going to see you three.
07:54I'm heading to the theatre.
07:55Okay, thank you anyway.
07:56Have we got any other doctors?
07:58Where's Stevie?
07:58She's out on a hem shift, but I can do it.
08:00I've just finished with the patient.
08:01I think probably not just yet, Rash.
08:03Nicole, are you free?
08:04Yeah.
08:04Okay, paediatric trauma on the way in.
08:06Now, impact was quite significant.
08:08So can you call paediatrics and I'll calculate the wet flag?
08:12Okay.
08:15Hey, a couple of weeks.
08:16We'll be back on the A-Team.
08:17We can't use the crane because of high winds.
08:27Over.
08:27Dr. Nash.
08:28Yeah, okay.
08:28Where are we at?
08:29Okay, so the fuel's been neutralized.
08:30You drive aside, airbag's been made safe, and they've just removed the door.
08:33Great.
08:33Okay, we're good to go.
08:34Good to go.
08:34You take the passenger side.
08:35I'll take the driver's side.
08:36Hey, hiya.
08:39I'm Dr. Nash.
08:40Be quiet, Louise.
08:42Just let them do their job.
08:44It's okay.
08:45Hey, I'm Dr. Nash.
08:46Okay?
08:46Critical care.
08:47This is my colleague Susie.
08:48We're going to look after you.
08:49What are your names?
08:50I'm Bev.
08:52This is Louise.
08:53She's my daughter-in-law.
08:54Right.
08:55Hi, Bev.
08:55Hi, Louise.
08:56Daughter-in-law.
08:56Louise, I can see you're in a lot of pain, but I need you to calm for me, okay?
09:00So can you slow your breathing down for me, yeah?
09:04Really good.
09:04Slow it down.
09:05That's it.
09:05That's it.
09:06Okay.
09:06We're going to get a mask on you, get you some pain relief, yeah?
09:10That sound good?
09:11Bev, are you in pain anywhere?
09:12Does anything hurt?
09:13My arm.
09:15Can you move in, Cole?
09:17Yes, that's it.
09:23Start it on the end of the night.
09:24Yeah, yeah.
09:33A plasma light, and can we make sure
09:35that we've got analgesia's going, we're going to start with nine micrograms of fentanyl.
09:39Yeah, I've got that already.
09:40So can I help you?
09:41I'm Sophia Peters, I'm one of the site liaison nurses.
09:44She's fallen getting a call about a patient of mine.
09:46Okay, not now, this is a resus area.
09:48Abigail Donaldson, she came in with her nine-month-old, any news?
09:53Yeah, they're on their way in, sorry, is there something we need to know about the mum's mental health?
09:56She's got post-natal depression.
09:58Yeah.
09:59I'm going through.
10:01This is Chloe Donaldson.
10:03Nine months old, estimated 8 kgs.
10:0640 minutes ago, she was struck by a falling metal shop sign approximately 3 metres high.
10:10Injuries from top to top include a significant hematoma to the left-hand side of her head.
10:14Okay, ready?
10:15Okay, ready, steady, slide.
10:17There's so many people.
10:18Chest wall, rest rate irregular at around 25, requiring support with a BVM on 15 litres.
10:25She is saturating 3%.
10:26Let the doctors help Chloe.
10:29120 milligrams of TXA, 80 milligrams of paracetamol and 24 milligrams of morphine.
10:34Okay, that's great, thank you.
10:35Guys, why don't you get changed? Come back and join us when you get.
10:38Thank you, all right.
10:39Fine, so let's start the primary survey then, please.
10:42And once we have a new line in, should we get a full set of bloods in the Venus podcast?
10:48It's miserable, aren't there?
10:51Ah!
10:52Ha ha ha!
10:58Ah, like how you're playing?
11:03How's it looking with the baby?
11:05It's not good.
11:08Today's supposed to be an easy day back.
11:10I'm worried about Rash.
11:12Okay, and when's it ever been an easy day back?
11:15We just need to give him some space.
11:17I hope that he'll be all right.
11:19Do you think he will?
11:21Um, I don't know.
11:23But Rash would never come back if he didn't think he was ready.
11:27I've got your bloods!
11:28Thank you!
11:34I said this would happen tonight.
11:35I said that she would fall or I would drop her.
11:38Abby!
11:38It is not your fault.
11:39Shevonne, could you set me up a TXA infusion?
11:47Please and Cam, there is a bolus.
11:48I've drawn up a 40 mils.
11:50It should be 5 mil per kilo of saline.
11:52I can't see a pneumothorax here.
11:59Okay, I've got the onegon lie.
12:01Sasa dropping 89%.
12:03Can her infants hide these things very well?
12:07She's certainly bleeding from something.
12:08It's down to 84 now.
12:09Okay.
12:12Let's go for an RSI then, please.
12:13Can we get a two-person jaw thrust technique?
12:16And Nicole, I think it's probably time to step outside and update Mum.
12:20Okay, thank you.
12:23Sorry, please go to...
12:24Yeah.
12:26I've lost ephemeral pulse.
12:28She's in PA.
12:29Let's start compressions then, please, Cam.
12:32Cam, on the chest, please.
12:34Please, now.
12:39I don't know if I can.
12:40You can.
12:40Look at me.
12:41Look at me.
12:411, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15.
12:49On the chest.
12:50And back on, please.
12:521, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15.
13:01On the chest.
13:021, 2, 3, 4, 5, 6, 7, 9, 10, 12, 14, 15.
13:05Can you say that again?
13:07Abby, I need you to listen, okay?
13:12I'm afraid Chloe is very unwell.
13:16She's stopped breathing, so we're having to help her.
13:19I thought you were making her better.
13:22We're treating her the best we can.
13:25Do you want to come in and be with her?
13:28You can't do anything.
13:29You just need to be there.
13:32Be there for Chloe.
13:33We can come in and out.
13:35Anytime.
13:36Will you stay with me?
13:38Of course.
13:43It is quite busy in there.
13:44There's a lot of people.
13:46They're all helping Chloe.
13:48There's a machine helping her breathe.
13:51And they're doing chest compressions now
13:53because her heart has stopped beating.
14:06It's still up here.
14:07Dylan.
14:09This is Chloe's mum.
14:11The blood's running through her, okay, isn't it?
14:13I don't know.
14:14Isn't that hurt?
14:19Why isn't she crying?
14:21There's a tube in her throat to help give her oxygen.
14:24It's so warm.
14:33It's okay.
14:34It's okay.
14:44It's okay.
14:52I mean, it's okay.
14:53It's okay.
14:55It's okay.
14:57Okay. How's the pain? More manageable?
15:06Yeah.
15:07Okay, good. Good news is the pole hasn't gone the whole way through.
15:10Yeah? So we'll be able to get you to hospital as soon as possible.
15:13Just going to have a little listen to your chest.
15:15Why didn't you just go the other way?
15:18Ev, Ev, please.
15:20What? This would never have happened if you went the way I said.
15:24This happened because I picked you up.
15:26Why can't I take you shopping?
15:28Why can't I call you every week?
15:30Right, right.
15:31I take out the red weather warning for you.
15:33Louise, mask on.
15:36Louise, Louise.
15:42Louise, Louise.
15:44Louise.
15:46Louise, can you stay awake for me?
15:48Louise.
15:49What can I do?
15:52Okay, hold your head for me nice and still.
15:55I've got to get an OPA in.
15:56Can you get Bev to the ambulance?
15:58Bev, do you want to come to?
15:59No, I don't. I'm not going anywhere.
16:03Okay, I'm going to start a blood transfusion.
16:05Wake up, Louise.
16:07Please.
16:08Wake up, please.
16:09Please.
16:10Whoa.
16:13You okay?
16:17Yeah.
16:20Yeah.
16:20I'm fine.
16:26Okay, can you just take a seat in there, so I'll be with you shortly, all right?
16:31How are we doing in recess now?
16:33Yeah, I've been there about 20 minutes.
16:34I feel like we should be doing something now.
16:36Yeah, we are.
16:36We're keeping up that way.
16:38Grant Nelson.
16:39That's me.
16:40Sorry for the weight, Mr Nelson.
16:42Weather's causing us some delays.
16:44Oh, it's all fuss about nothing.
16:45Bit of rain never hurt anyone.
16:46Yeah, our waiting room says otherwise.
16:49That's a tasty headway.
16:50Are you okay to walk?
16:51Yeah, I've had worse on me a lot, then.
16:53That's from sight broke me.
16:54Said I don't want to be here, but they insisted.
16:57Insurance, I suppose.
16:58So you found out work, then?
17:00Yeah, like a sack of spuds.
17:01And on every end of it.
17:03They've already caught me at home, man.
17:06Cheeky sauce.
17:06Did you lose consciousness, that's all?
17:08No, no.
17:09Just over here.
17:11There.
17:11Yeah, that's it.
17:12Oh, I don't want to.
17:13Can you just take a seat for me?
17:16That's a nice seat.
17:17All right.
17:17Okay.
17:18Well, your blood pressure's quite high.
17:23Were you feeling lightheaded or busy when you fell?
17:26A bit, maybe.
17:29Dehydrated probably from last night.
17:30I had a few too many at darts.
17:33You've got to enjoy your life, haven't you?
17:34Otherwise, what's it for?
17:36I'm all for that.
17:38You have to look after yourself, too.
17:41Yeah.
17:41Know your limits.
17:42Yeah, I do.
17:43Mine's about 20 pints.
17:45Oh!
17:45Well, if you're not laughing, you're dying, aren't you?
17:48How's she doing?
18:00Yeah, the pressure's way too low.
18:01Okay.
18:05Yeah, this is tissue.
18:05Okay, let's get another line in.
18:07I'll have another unit of bone egg.
18:08Thanks.
18:11What's taking so long?
18:13The duck's cold and soaked through.
18:15Lads, let's get some salvo cheese over here.
18:17Get the rain off the duck's back.
18:19Oh, I hate noodles.
18:28I don't know how you do it.
18:32I'm not helping.
18:36Take your time.
18:37Oh, yeah.
18:41I hate storms.
18:44Me and my sister used to hide down at the kitchen table, hold hands and sing ABBA.
18:55You want me to sing?
18:56What?
18:57I calm you down.
18:59Yeah, no.
18:59I want you to shut up.
19:03Fair enough.
19:04I'll spin when you are.
19:06Yeah, okay.
19:09Good job, by the way.
19:16Okay.
19:18Good to move her.
19:20Good.
19:21All right, you hit the lady!
19:29Okay, let's do a rhythm check then, please, at 35 minutes.
19:48Asystolic.
19:55Abigail, do you want to come a little bit closer?
19:59Oh, no.
20:03We've been trying to restart Chloe's heart for some time now, and I'm afraid we haven't been successful.
20:13So, if you did want to come and hold her hand, I think it would be a good time, because, really, we ought to stop.
20:21No.
20:22No, no, no, no, no, please, please, please, please, don't stop.
20:25Don't stop with kissing.
20:26She's all I've got.
20:29And she's stopped breathing, and her heart's not beating anymore, I'm afraid.
20:36She has died.
20:40What?
20:43No, no, no, no.
20:44Now, you need, you need to help her, because she's just a baby, please.
20:49Please, help her!
20:53What am I supposed, what am I supposed to do?
20:58Hold her hand.
20:59What am I supposed to do?
21:00Hold her hand.
21:01Tell that you love her, and say goodbye, because it will help you.
21:05It really will.
21:06It will help.
21:06It's okay.
21:07It's okay.
21:12It's okay.
21:13It's okay.
21:14Come on.
21:14It's okay.
21:15It's okay.
21:16It's okay.
21:16It's okay.
21:17It's okay.
21:17It's okay.
21:18It's okay.
21:19It's okay.
21:20It's okay.
21:21It's okay.
21:22It's okay.
21:23It's okay.
21:24It's okay.
21:25It's okay.
21:26It's okay.
21:27It's okay.
21:28It's okay.
21:29It's okay.
21:48Mummy's here.
21:52Mummy loves you very much.
21:57Look at she's got you.
21:59Okay, Louise, I'm going to give you some more gloves, yeah?
22:17I want you to try and stay awake for me.
22:19Susie, can we draw up 10 mils of 10% calcium chloride, please?
22:27Okay, thanks.
22:28Okay, I'm going to get you nice and relaxed.
22:31Then we'll be on our way and I'll be with you the whole time, okay?
22:37Oh, hi.
22:38So you've got yourself a visitor?
22:40Can I speak to her?
22:41Okay, yeah.
22:42Do you want a speech up here?
22:52My mother-in-law
22:54She's the worst woman I ever knew.
22:59I hated her.
23:01I don't want to be her.
23:05I never wanted to be her.
23:07I'm so sorry.
23:14I am so sorry.
23:18Yeah.
23:19I just heard that the route back's flooded.
23:38You're going to have to hold here while we work out a new one.
23:41How long?
23:42I don't know.
23:45Okay, um, thank you for letting me know.
23:52No problem.
23:52All right.
24:00Sure!
24:02Let's get a sightseeing!
24:03He's fast positive, GCS is 14, maintaining his own airway.
24:12Mr. Nelson, Mr. Nelson, we think you're having a stroke.
24:16Do you understand?
24:17Yeah?
24:18We're going to give you some medication,
24:20we're going to arrange a head scan,
24:21and then the stroke team are going to come and see you.
24:23They're very good at what they do.
24:25Sue is going to stay with you in the meantime.
24:26Is that okay, Sue?
24:27Okay, yes.
24:28And can you get a gown for Mr. Nelson, please?
24:30Hey, man, you were great.
24:32You were all over that.
24:33Take her away.
24:34I was with another patient.
24:36Mr. Nelson's your patient.
24:38I shouldn't have to cover for you.
24:39Please, not today.
24:43I'm sorry about that, Elise.
24:45I had to step in there.
24:59Yeah, the butterfly room is set up
25:01whenever Abigail's ready
25:02and we can bring Chloe through to her then.
25:07Abby,
25:08the butterfly room is a space for you
25:11to spend time with Chloe as much as you like.
25:16Are you all going to stay with her?
25:18The clients haven't made it in.
25:19Okay.
25:19Shall we let the nurses take over here for a little while?
25:23I've got him.
25:44I've got him.
25:48Look after him.
25:49Oh, well.
26:01Come.
26:02Why don't you take five?
26:04Read us here.
26:05It's okay.
26:05I want to.
26:06Are you sure?
26:07Okay.
26:07Let's just have a debrief in this lab room in 20.
26:18Bye.
26:28I'm nearly good to go.
26:29Can you top her up with SD10 milligrams of ketamins
26:32before we go over there?
26:35You okay?
26:36You got clearance?
26:38Yeah, almost, hopefully.
26:41Listen, I just wanted to say good job today.
26:43Okay.
26:44That's not patronising at all.
26:45No, no, no.
26:46I didn't mean it like that.
26:47I meant it was a tough one given the weather
26:48and considering you weren't singing
26:50Gimme, gimme, gimme
26:51with your sister under the kitchen table.
26:53We were in school singing Super Tripper, actually.
26:57Ah, of course.
26:58Yeah.
27:00Anyway, I don't sing ABBA anymore.
27:02Why not?
27:03The office still stands if you fancy a little sing-song.
27:05I don't.
27:07You sure?
27:08It'll lift your heart.
27:11My sister died.
27:13She's dead.
27:15Oh.
27:16I'm really sorry to hear that.
27:18I'm sorry.
27:19Helimed, 13 Delta.
27:22Are you receiving?
27:24Yeah, control, yep.
27:25The route is clear.
27:26Yeah, we're on our way.
27:27Thanks, over.
27:28Thank you, over.
27:30Okay, well, let's get going.
27:38Can I help you with something,
27:39because it's kind of starting to rain?
27:42Okay, I tell you what you're going
27:50Yeah, I said it, didn't I?
28:12Are you married, Rich?
28:20Yeah, but it's complicated
28:23Might want to tell your wife that
28:26You have a good day
28:29Um, do you think you might just pop over for five minutes
28:38Maybe, maybe take her for a walk
28:40Well, yeah, I mean, obviously, I know it's frightening
28:44But you're worried you're going to melt
28:47Hello?
28:50Oh, man
28:51My dog walk had cancelled on me, so I'll just try your neighbour
28:56It didn't seem to go that well
28:58No, it didn't
28:59Um, how's Abigail?
29:02Oh, devastated
29:04She's asked to talk to Cam and Siobhan
29:08I'm hoping it'll help
29:10Have you seen him?
29:12There's a hot debrief in the staff room
29:14Quite sorry
29:16I won't keep your...
29:18Okay
29:19Mm-hmm
29:20Hi, that's me
29:24I'm sorry about that
29:25Thanks for coming, guys
29:27Difficult day
29:29We're in the business of saving people
29:35And when we can't, it feels, well, feels rubbish
29:39So I just wanted to check in with you all
29:41Make sure you're okay
29:42A death like this one
29:45A death like this one, it affects everybody
29:47Whether you were directly involved or not
29:49So I just, I wondered if there's anything you need from me?
29:54Anything?
29:55No
29:56Anything you want to get off your chest?
30:00Anything at all?
30:04I think we did well
30:05I do too on Gauzy
30:09Anything else?
30:11Okay, well, I need to be at a meeting
30:16So I'll stick around for ten if anyone wants to talk
30:20Off you go
30:21Look after yourselves, be kind to each other
30:24I'm proud of you
30:29Thanks
30:30Thanks
30:31You coming?
30:34Uh, no
30:34We love you
30:37Yeah?
30:38Love you too
30:39Come
30:45You okay?
30:49Sit down
30:50What can I say?
30:59It was a rare occurrence
31:00How it played out for us two
31:02I hesitated when Dr Keogh asked me to give the compressions
31:04For a few seconds
31:06Do you think that could have made a difference?
31:12You know better than that
31:13No
31:14Death's a big part of the job
31:17But accepting that doesn't mean you've failed
31:20In any way, shape or form
31:23Okay
31:27Okay
31:31Mm-hmm
31:33You all right?
31:35Yeah
31:35Right
31:37Uh, cubicles need restocking in three
31:42If you want time out
31:44Okay
31:45Thank you
31:46I'm worried about Rash
32:03Did you see him blow up on me?
32:05Yeah
32:05Half the cubicles did
32:07I feel like he might have a point though
32:09I said give him space
32:11Not avoid him completely
32:12Now how am I supposed to do that?
32:14I'm either too near or too far
32:15Either way, he's pissed, Rita
32:16You keep trying
32:17And you try not to get annoyed
32:19Because this is important
32:20It's just hard, man
32:22I live with him
32:24I see him every day
32:25And we say nothing
32:26Sounds rough
32:29How are you coping?
32:33Look, I just want him to be all right
32:34And he will be
32:36And he will be
32:36We just need to believe that
32:39Hey, Cam
32:46Hi
32:47Did Dr Keo speak to you?
32:50Um, what about
32:52Abigail wanted to talk to you
32:54Abigail wants to talk to me?
32:57Why me?
32:58First on the scene
33:00You're kind
33:02Don't you jack it down for her
33:04She's having trouble
33:07Piecing things together
33:09Okay, yeah
33:11Um
33:12Well, it was all a bit of a blur for me too
33:15To be honest
33:15Okay
33:17Well, there's no right or wrong answer
33:19So
33:20Yeah
33:22I just
33:23I don't know how much help I'd be
33:26I'm sorry
33:27Who are you?
33:30I should
33:31I should probably
33:31Of course
33:32If you change your mind
33:33Will you
33:33Hi
33:37Sorry
33:38If you could
33:38Step back for me
33:39Sorry, sir
33:40Hi
33:41I'm a nurse here
33:42I'm Cam
33:42What's your name?
33:45My name's Ralph
33:46I get bussed by myself
33:47I have a regular social skills
33:49Mental skills
33:50And life skills
33:50My health passport
33:52Okay, thank you
33:53Did you hurt yourself, Ralph?
33:56My leg hurts
33:57I took a tumble
33:58I get uncomfortable
34:01In unfamiliar situations
34:02I'd like to speak to my parents
34:04Now, please
34:04Yeah, that sounds like a good idea
34:06Alright, how about we find
34:06Empty cubicle
34:07I'll try and contact them, okay?
34:09I don't know
34:10It's okay
34:12Come with me
34:13Come
34:13And remember
34:16Predictable periods of decreased use
34:19Would offer opportunities
34:21For non-emergent
34:22Private patients
34:24Kachings all around
34:27Anyone got any questions?
34:32Well, maybe we can
34:33Break
34:33Apologies
34:34Oh, no worries
34:36We were just about to go for a break
34:38Everyone back in five?
34:40Thank you
34:40Can I join you?
34:47Yeah, why not?
34:48It's your meeting
34:49Are you worth pitching for the new scanner?
34:51Of course
34:52I'm a tech guy
34:53I like all the toys
34:54Do I have your support?
34:57Oh, you know you do
34:57I voted for your appointment
34:59So don't let me down
35:00Yeah, I, er
35:02Sorry for the lateness
35:05We lost a baby
35:06Oh, that sounds horrendous
35:08Yeah, it was
35:09And I'm not expecting it to get any easier
35:11Over the next 24 hours
35:13There are storms, yeah
35:14I got the alert
35:15If you need me
35:17Just yell
35:17I'll be there
35:18Good man
35:19I've never been a fan of bureaucracy
35:21Me neither
35:22What?
35:23New clinical lead
35:24Without an ego
35:25Giveover
35:26Hmm
35:27So, how's it all going?
35:28Well
35:29It's certainly going
35:30Is that coffee I'm dying?
35:36No
35:37What is it?
35:39The river hole's just burst its bones
35:40Well, your ankle is pretty swollen
35:45No wonder it hurts, right?
35:47I would like to take you for an x-ray
35:48Personally
35:49But how do you feel about that?
35:51I'm not going out there
35:52It's too, too many people
35:53Hmm
35:54Well, your passport said you prefer calm spaces
35:56So, why have I took you a different way?
35:58It's like a super secret quiet way
36:00It's not a good feeling
36:01I really need my mum and my dad
36:03Okay, do you remember I told you
36:05Their train's been cancelled
36:05Yeah, but they are on their way
36:07I promise they'll be here soon
36:08Alright
36:09You really like animals, don't you?
36:16Giraffes have seven bones in their neck
36:17Same as a human
36:18Just bigger?
36:20Yeah
36:20Wow
36:20Do you know what?
36:25I've got an idea
36:25Will you stay there?
36:35Okay
36:36How would you like to turn this piece of paper into an animal?
36:40What kind?
36:41I was thinking of bird
36:42What's that sound?
36:43Yeah
36:43Yeah, cool
36:44Right, take this one for me
36:45Hey
36:49Hey
36:49Hi
36:50I'm too awesome what day it is again
36:51Every half hour
36:53Till we get you a bed on Neuro
36:55Alright, it's Thursday
36:56I'm in hospital
36:58And I'm doing great
37:00You are
37:01How are you feeling now?
37:03Never better
37:04I'll take a 20-pound hangover any day
37:06I'm going to go
37:10I need to get back to work
37:11Mr. Nelson
37:14You can't go back to work anytime soon
37:17But it's time to ease off a bit
37:19And then what?
37:23Shut up and get us, will you?
37:27It's bad enough I'm wearing these
37:29We have people go
37:30Look
37:33Sometimes you need to listen to what your body's saying
37:36Even if you don't want to hear it
37:39I'm 62
37:40And all I've got is this job
37:42It's okay
37:45To slow down, Mr. Nelson
37:47It really is
37:48You're more than your job
37:50Well, they're comfy
37:53I'll give them that
37:54Hey, Mr. Fielding
37:58Mr. Fielding, please
38:00Ready
38:00Lacerated hands
38:01He's partially deaf
38:02So he can't hear you by the record
38:03That was quick
38:07How did he go?
38:08It went
38:09Have you heard?
38:09The river's burst its banks
38:11Does that happen often?
38:12It's never happened before
38:14The causeway's flooded
38:15Saltwood Way's flooded
38:16The high street's under three feet of water
38:19No!
38:21What?
38:22I've just remembered I left my car down there
38:24We're going to be inundated
38:26Patients won't be able to leave
38:29Neither will we
38:30How's the night shift going to get in?
38:33Javon, sorry
38:34Can I have a quick word, please?
38:35Is it urgent, Cam?
38:37No, it's just that
38:38Listen, I've been thinking
38:40And I'm ready to speak to Abigail
38:41If she wants me to
38:42I can
38:43Thank you very much
38:45But, you know, really
38:46I would hurt
38:47Not today
38:47Give us some space
38:49These conversations
38:50They're never easy to have
38:51And I'm going to talk to her later
38:53Myself anyway
38:54Ngozi
38:54Could you make up a list of staff?
38:56Who's in?
38:57Who's missing?
38:59Yeah, blunt trauma
39:00Yeah, if I have to
39:02Dylan
39:03There's a spare bed in triage
39:05Er, can I ask you to get in touch with Siobhan
39:08About who to shuffle round
39:09You could try the guy with the burn
39:11Er, Mr Stokes?
39:12Yeah, him
39:13Okay
39:13Thanks, bye
39:15Can I help?
39:19Actually, yes
39:19I'm looking for Siobhan too
39:21Er, she is around somewhere
39:24Sorry, it's a bit chaotic at home
39:26Yeah, I totally understand
39:27Er, how was the debrief?
39:31You'll have to ask Siobhan
39:32I'm afraid
39:33You didn't go?
39:37Well, it's not really my bag
39:38I mean, I know it can be very useful
39:39For some members of staff
39:41But perhaps a bit less safe for me, really
39:43But it's an opportunity for the team to share it offload
39:46Yeah, I'm just not sure that there was anything I could ask
39:48But you were the trauma team leader
39:49Yeah, but there were no mistakes
39:50There weren't any oversight
39:51So it was just
39:51It was incredibly sad
39:53Then you offer your support
39:54Okay, in an ideal world
39:56That would be an absolutely lovely thing
39:57As you can see
39:58For a little bit
39:58Yeah
39:59Okay
40:02Hello?
40:05No
40:05Hey, that's unbelievable
40:08Sorry
40:09You don't know me
40:12I didn't ask for your opinion
40:14Sorry, can you just leave that for a second?
40:20We need to focus on this
40:21Janette, how did you get a glass bottle in here?
40:23I will bring it up now
40:25Thank you
40:25Cam!
40:30Jamie
40:30This is mad
40:31I swear you haven't changed in, what is it, ten years?
40:34It'll be something like that, yeah
40:36Look at you, you made it
40:38You're a nurse
40:39How'd you talk your miserable dad round?
40:41Well, I didn't, not really
40:43What about you?
40:45What are you doing here?
40:46Well, right now I'm trying to make myself useful
40:48But, er, is it actually on the board here, Liv or not?
40:52Oh, yeah, it feels weird playing with the big boys, I'll tell you
40:55You okay?
41:01No, you're not
41:02What's going on?
41:06Oh, that looks nothing
41:07It's just, it's one of those days
41:08Yeah, of course
41:10Yeah, of course, yeah, we're all of them
41:11Can I help?
41:13No
41:14You sure?
41:17You don't sound certain
41:17What is it?
41:19It's nothing
41:20It was just, I was going to talk to someone
41:22But I've been told not to
41:22Why?
41:24I don't know
41:25Ignore them
41:28Like you did your dad when he said you couldn't be a nurse
41:31I know you, Cam
41:34There's not a lot you can't do
41:35It's like we used to say, erm
41:37Scared's a feeling
41:39But brave's an action
41:43Exactly
41:44Yeah
41:44Oh, it's so good seeing you again, Cam
41:47Yeah, and you
41:48Look
41:54Oh, wow
41:56Hey, that's a good one
41:58Let me see
41:59That actually might be better than my one
42:02Seems a lot better
42:06Yeah
42:06Loves those socks
42:08Oh, hey
42:11I'm sorry about today, man
42:15Guess I've been nervous about you coming back to work
42:18Yeah, me too
42:20Look, you
42:21You don't have to worry about me
42:23No, but I do
42:25Because
42:25What?
42:30Look, where are you need
42:31I'm here
42:32It's good to know
42:36Heads up, people
42:45Yeah
42:46This time is critical
42:48Because we are at that capacity
42:49And we need to find some more space
42:51I know some of you should have left already
42:53But that is looking increasingly unlikely
42:56So I promise you
42:57We'll find somewhere
42:58Where to get your help
42:59Sue's going to take you up to X-ray now, right?
43:01I'll have some more paper when I get back down, please
43:03Yeah, of course
43:03I'll get you some on your back
43:04Okay
43:05Thank you, Sue
43:05Thanks
43:06Come
43:11You'll help out, right?
43:13It's great setting up, come
43:14Yeah, we're going to be stuck here overnight, Cam
43:25So we need to set up an area
43:27Where the staff can get some shut-eye
43:29Yeah, but what are we going to do for food?
43:30Because the canteen's closed
43:31Don't worry, I'll sort that
43:32Hey, Cam
43:35How do you know him?
43:37He was kind of like a mentor
43:38I did outdoor stuff when I was a kid
43:40Ooh, outdoor stuff
43:41I'd do outdoor stuff with him
43:43She asked me to speak to her
43:45Oh, babe, I'm so sorry
43:48You okay?
43:48Yeah, yeah, I'm fine
43:50I'll be right back, okay?
43:54Sophia, hi
43:55Cam
43:56I just wanted to say that
43:57I think that I'm ready to speak to Abigail
43:59If she still wants me to
44:01Yeah, I think she'd like that
44:02Yeah?
44:03Yeah
44:04I'll come find you
44:05Okay
44:05Unidentified male
44:08Find face down in flood water
44:09In cardiac arrest
44:10He's been intubated and ventilated
44:12Initial rhythm was PEA
44:14He's had 25 minutes of ALS
44:16And we've given him six rounds of adrenaline
44:19And he's been in sinus tachycardia
44:22Since achieving ROSC, okay?
44:28How's it going out there?
44:29Uh, yeah
44:31Looks like we're going to need a bigger boat
44:32No
44:33Who's that?
44:34An absolute waste of space
44:36Are we finished?
44:37Yep, look, I'm going to get into some dry scrubs
44:39And I've got to come help
44:41Because there's no way I'm getting home in this
44:42Your shift is over
44:44Fine
44:44Abigail
44:49I've got Cam here
44:52He'd like to speak to you
44:54Would you like that?
44:57Yeah
44:57Um, Cam
45:00It'd be really beneficial to understand what happened when we got to the hospital
45:08Okay, of course
45:09Well, we arrived here
45:12And Chloe was taken straight through to recess
45:14Um, we immediately connected her up to the monitors
45:19And Dr. Keogh used an ultrasound to try and identify her injuries
45:24Uh, it was at that point that Chloe went into PEA
45:30And, um, that means that her heart wasn't working properly
45:37It had stopped, it had stopped beating
45:38Sorry
45:42Uh, Dr. Keogh then asked me to do compressions
45:46And, I mean, if I'm being completely honest
45:48I was scared
45:50It's difficult with an infant
45:52They're very small
45:53But, but I got my two fingers like this
45:57And I, and I was very gentle
45:59Um
46:00And, uh, I, I, I, I, I hesitated at first
46:04But I, I just didn't want to make a mistake
46:06Okay
46:07And, um
46:08Why did you wait?
46:11Your heart had stopped
46:12No, it was just, it was just a couple of seconds
46:16Dr. Keogh talked me through all of it
46:17And
46:17Why wouldn't you help her?
46:19No, no
46:19I, I was helping her
46:20We performed CPR for, for over 30 minutes
46:22She's so tiny
46:23That's all she needed was for somebody to help her
46:26Abigail
46:27Abigail
46:27Listen to me
46:28Can you look at me, please?
46:31CPR
46:31Yeah, it should be started as soon as possible
46:34But a few seconds would not have changed
46:36You keep on saying that like it makes sense
46:38Like what happened makes sense
46:40Okay, but it doesn't make sense
46:41It doesn't make sense
46:43And what, you want me to walk away
46:45And leave my life behind
46:46Is that what you want me to do?
46:48And then what?
46:49And then what?
46:50Should we, should we stop there?
46:52Let Abby have some time
46:54Oh, I am so sorry
46:55I'm, I'm
46:55I'm so sorry
46:57Coughed
47:07What did I say?
47:12Hmm?
47:13Give her space
47:14I was only trying to help
47:14You haven't helped
47:16You've made it worse
47:17Why?
47:17Why would you tell her that you hesitated?
47:20She's a grieving mother
47:21I just wanted to be honest
47:23And
47:23She didn't need your honesty
47:25She needed comforting
47:26And I told you
47:27I said to you
47:28That your hesitation made no difference whatsoever
47:31To the outcome
47:32Cam, Cam
47:35Listen to me
47:36When a baby dies
47:37When you lose a baby
47:38You feel hopeless
47:40Okay, that's totally natural
47:41There are children that I've lost
47:43Who live in my head
47:44Forever
47:44But you have to be aware
47:46You have to stay aware
47:47That's the parent's grief
47:48Not yours
47:49Okay, um
47:51Siobhan
47:51I, I understand
47:53And listen
47:53I'm really, really sorry
47:55And I promise you
47:55It won't happen again
47:56It won't
47:57Because I'm putting on restricted duties
47:59But shh
48:00Vaughan, you said I didn't make a mistake
48:01You said that
48:02Not with your treatment
48:03With Abigail
48:05Okay
48:05You made it all about you
48:08And it wasn't
48:09She needed closure
48:10She needed to understand
48:12She did not need your guilt
48:14And honestly, Cam
48:16Seriously
48:17Think about whether the ED's right for you
48:19You can go now
48:26To be continued
48:56To be continued