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00:0028, 29, 30
00:06Claire
00:09Damn it
00:12Taking over compressions
00:14Come on Ross, please
00:15What did you get him?
00:16Standard treatment for hypokalemia, potassium chloride
00:19How much?
00:2040 millimoles and a stamp bag of ivy saline
00:22Oh god's sake puppy
00:24Come on
00:26I don't know what I did
00:27The rate of delivery was too fast
00:30You rush to start checking?
00:31Yeah, write it up hatchet man
00:33That's not what I meant
00:34What do we do now?
00:36Poppy
00:37We need to correct the hypokalemia
00:39Calcium gluconate
00:40Let her speak
00:41Calcium gluconate 10%
00:4310 mils ivy over 5 minutes
00:45And 10 units of short-acting insulin
00:48Plus 500 mils glucose 10% in the same bag
00:51For how long?
00:52IV over 60 to 120 minutes
00:53And?
00:54Check blood glucose within 1 hour
00:56And continue to monitor at least hourly
00:58That's it Dr. Achari
00:59Proceed
01:00Whoa, whoa, whoa
01:01Watch it
01:02Back it up guys
01:04Hey
01:05Can you park her outside?
01:06There's not enough room in here
01:07The women will be with you as soon as they can, okay?
01:10Yeah?
01:125 milligrams of morphine
01:14For the pain
01:15And then
01:16Park him outside
01:17So that we can clear the bed, alright?
01:18Good luck
01:19They're piling up like sardines out there
01:21Again?
01:22Oh, on my way
01:23Right, clear
01:25Sign us with him
01:28He's back
01:29Oh, thank God
01:30Get those up and running
01:31Now
01:31Nice work
01:34Hey
01:36Nice work
01:37And it's official
01:43We're code black
01:44Get these beds clear
01:45Ear infection and cube 2 prescribed
01:51Iproprofen and amoxicillin
01:53And the bed is now free
01:54Thanks for chipping in
01:55You're already ripping through them
01:56Nope
01:56Go black
01:57Sorry to keep you waiting, Isabel
01:59I just need to check your temperature
02:00You just performed a transplant
02:04You shouldn't even be standing
02:05Your head's probably ready to explode
02:06What can I say?
02:07I'm a machine
02:08Hey, let's get a weight on Isabella
02:10And paracetamol as per a standing order
02:12Yeah
02:13We'll get this fever down
02:15And start on a nebuliser
02:16Hey
02:16We'll get your breathing easy soon, eh?
02:20Fast pass update
02:21For the urgent care clinic
02:23Julian wants us out of code black
02:24As soon as possible
02:24In that case, patience
02:26Vouchers?
02:27Mom, no one wants to drag this sick kid
02:29Across town to the emergency dock
02:30In a storm
02:31Yeah, go figure
02:32I get that, but we're trying to help
02:33Reagan!
02:35What have we got?
02:36This is Sammy
02:37Six-month-old baby girl
02:38Deep burns all down her back
02:39From boiling water
02:40I'd say about 20% VSA
02:41Oh my God
02:42Jesus
02:42Okay, let's get some vitals
02:43And a weight estimate
02:44Did they call her down?
02:45Amber said about 20 minutes
02:46Under a cold tap
02:47She's hypertensive
02:48Come on, let's go
02:48Hey, guys
02:50Let's give the doc some space, yeah?
02:52Why not leave the night?
02:53Of course not
02:53We're just going to wait outside
02:54Is your mum there?
02:56I told you it was a bad idea
02:57There was no other choice
02:59You know this
03:01Cleo
03:03Cleo
03:06Cleo
03:10There was just so much blood
03:14And...
03:14We know
03:15I'm really sorry
03:18We need to tell the family
03:20I can do that
03:21I'm so sorry
03:23We'll get through this
03:24I promise
03:25Okay
03:26Your next patient's ready
03:29What?
03:31Code black
03:31We need to keep moving
03:33Right, yeah
03:35Hey, you take sending this patient
03:37I'll be in theatre too
03:38It's back in action
03:39Well, that's something
03:40You okay to keep moving?
03:42Yeah
03:43Woods
03:44You sure you're up for that?
03:47Yeah
03:47You'll be okay, Scrobs?
03:52Yeah
03:52Airway first
03:55We're breathing shallow
03:56Nars, get ready to intubate
03:57Sets are dropping
03:5889% on my men
03:59We'll bag her
04:00How could this happen?
04:05Focus, Phil
04:05BP's crashing
04:0655 over 30
04:07Heart rate still rising 210 now
04:09Fluid bolus now
04:10What's her weight?
04:10A kilos
04:11She's so little
04:12Do you need to step out?
04:14No, we're good
04:14Okay, let's do bloods
04:16FBC's and UNE's
04:17And make the bolus
04:18160 mils, please
04:19On it
04:20How's her breathing?
04:21You ready to intubate?
04:22Still shallow breaths
04:2394% on high flow
04:25I'm intubating
04:26Marty
04:27Get the atropine ready
04:28Yeah, no fast pass today
04:31No fast pass today, mate
04:33Blame the weather gods
04:34Take a seat if you can find
04:35Mum, we'll get to you
04:36Tomorrow lunchtime
04:38If you're lucky
04:38I just wanted to go home
04:40To see his family
04:41Could have been a bit nicer
04:42Who me?
04:44Oi
04:44Get that to x-ray
04:45You mean the insensitive
04:48Old dinosaur
04:49With no social graces
04:50That's not what I wrote
04:51Close enough
04:52Pete's only dramatic
04:53Whiny weakling
04:54That's not what I wrote
04:56It's close enough
04:57Hey, hey, hey
04:58Don't block recess
04:59The embos are getting antsy
05:02Hmm
05:02They just got low blood sugar
05:04Give them a chocolate biscuit
05:05And a cup of tea
05:06Look, I can treat patients
05:07Outside in the embow bay
05:08But you need to be
05:09Clearing beds faster
05:10What'd you say about her?
05:13Hmm?
05:13Whip cracker
05:14Ball breaker
05:15Just get anyone
05:16Who can walk out
05:16Into the waiting room
05:17Oh, gee
05:18What a terrific idea
05:19I wish I'd thought of that
05:20Oh, come on
05:21All the beds are full
05:22The embos are just
05:23Gonna have to suck it up
05:24Pip squeak
05:24I need full bloods
05:25And a CT, please
05:26Just clear the beds
05:27Emmett
05:27Oh, yeah, right after I turn
05:29This water into the water
05:29into a line.
05:32You're patient. Stable, yeah?
05:34For now. I want to keep
05:35a close eye on him. Clover can check on him
05:37every half hour. I'd rather do it.
05:41What'd you say about her?
05:42Hot mess.
05:43He never thinks before she acts.
05:45The drug calc app was down.
05:47I had to calculate the trip right by myself, and I made a
05:49mistake. Oh, yeah. We all saw
05:51that. Why didn't you check
05:53your calculation with me, with Gia?
05:55For some ridiculous reason, you were in surgery.
05:58Gia was slammed.
05:59I didn't want to bother anyone.
06:02I'm sorry I let your loved one die
06:04because I was too scared to bother my boss.
06:06Emmett's? What? Too insensitive?
06:08Too old school?
06:09Put it on your list, traitor. I'm sorry.
06:12I don't want to hear an apology.
06:13I'll do better. I'll practice without the apps.
06:16I'll check with you and Gia.
06:18Good.
06:20Ed learns her lessons to your list.
06:25What was in that email
06:26you guys were never meant to say?
06:27Whatever. I need to focus.
06:33Tube's in.
06:34Let's hook up the ventilator
06:35and get an X-ray to confirm position.
06:37BP is 65 over 35.
06:39Heart rate's 190.
06:40The bolus wasn't enough.
06:41She's going into shock.
06:42Start a dopamine infusion.
06:44We need to get her perfusion up.
06:45And draw a blood gas.
06:46Check lactate.
06:47If she's acidotic, we need to know.
06:48All right.
06:49Keep pushing fluids
06:49and get that gas back ASAP.
06:51She's still not responding well.
06:52Can we consider more aggressive measures?
06:54If we can't get the pressure up with dopamine,
06:56we'll have to go to NORAD,
06:57but we need to give the fluids more time.
06:59How's her core temp?
07:00She's hypothermic, 35 degrees.
07:02Get warming blankets and start warm fluids.
07:05What else can we do?
07:06Let's give her time and keep her warm.
07:08That's all we can do.
07:09Um, I've childlet penicillin for Mr. Singh.
07:15Oh, yeah, I'll get to him when I can.
07:17Oh, I've set up an IV line.
07:18He's all good.
07:19Oh, thanks.
07:20You'd be a great nurse.
07:21Better than a surgeon.
07:22No, that's not what I meant.
07:23It's...
07:24Okay.
07:24I know what you meant.
07:26You did your best.
07:27You fought for Greta.
07:30Uh, do you need a hand with anything?
07:32No, I'm all good.
07:33Just deal with the lurking.
07:37Oh, hi.
07:39Uh, can I help you with anything?
07:40Uh, yes, I want to see my sister.
07:42Yeah, sure.
07:43Uh, was she recently admitted?
07:44Yes, she just had surgery.
07:46Greta Bridges.
07:48Greta?
07:48Yeah, you're one of her doctors.
07:50Do you know where I can find her?
07:54Is Sammy going to be okay?
07:56They're looking after her.
07:57Don't worry.
07:58I want Mum.
07:59We tried to call her,
08:00but her phone's going to check the voicemail.
08:02She'll be here soon.
08:04If you could tell me where she is,
08:05I could try and call.
08:06Look, you guys are awesome.
08:09You did all the right things.
08:11You called the ambulance.
08:12You got Sammy here as quick as you could.
08:15You're being super brave.
08:17Can you tell me what happened to your sister?
08:18You're not in any trouble, I promise.
08:24We're not supposed to talk to anyone.
08:28Heart rate's starting to slow now.
08:30170.
08:31BP's starting to creep up.
08:3375 systolic.
08:34Dopamine and fluids must be starting to kick in.
08:37Good.
08:38Let's titrate the dopamine if needed
08:40and we'll monitor her closely.
08:41I'm not leaving her side.
08:43How is she?
08:44Fighting.
08:45Should I call the burn centre?
08:46She's not stable enough for transfer.
08:48I'd rather treat her here.
08:49But we don't have a burn specialist.
08:51Mum's on it.
08:51What, she's just going to magic one out of her hat?
08:53No, if anyone can.
08:55Okay, I'll go tell the parents
08:56that we're transferring to pick her.
08:57Not here yet.
08:58What?
08:59It was just the kids.
09:00Mum wasn't home.
09:01Are you serious?
09:02Solo Mum, Katie.
09:03Dad's not in the picture.
09:04I treated her eldest, Regan, a few weeks back.
09:06So all three kids were home alone?
09:08We do not know the full story.
09:11This little girl is telling us
09:13everything we need to know.
09:22Um...
09:23Dr. McCaskill will be here soon.
09:29Can you please just tell me what's going on?
09:36I'm really sorry.
09:38What?
09:42Greta, she, um...
09:43She died on the table.
09:47What happened?
09:48How did Greta...
09:49I'm so sorry.
09:50It shouldn't have happened.
09:52And, um...
09:52What do you mean?
09:53What did you do to her?
09:54I, um...
09:55Cleo.
09:56I can take over.
09:58Sorry to keep you waiting
09:59and my deepest condolences.
10:01I can answer any questions you might have.
10:04Cleo, can we step out for just a minute?
10:07We'll give you a moment, Asha.
10:08I'm so sorry.
10:13I messed up.
10:14I told her that she died.
10:15Stop.
10:16Take a breath.
10:18Now we're going to go back in there
10:20and tell her...
10:20No, I can't.
10:22You have to do it.
10:23You need to do it with me.
10:25This is part of the job.
10:26Support yourself together.
10:27Okay?
10:29We go back in there
10:29and say we did everything we could.
10:31But is that even true?
10:33That's what you say, Cleo.
10:35You tell them you're sorry,
10:36but there's nothing more we could have done.
10:39And we're going to do it together.
10:40Okay?
10:42Let's go.
10:47Sage, you finished your reads?
10:49Why?
10:49You spung on me again?
10:51Can I tell your uncle?
10:51That's not what happened.
10:53June wanted to shut ED down.
10:54I stood up to him.
10:55Oh, so you're a hero now.
10:57Look, no one's supposed to see those notes.
10:58Blame whoever leaked it, not me.
11:00Coming through.
11:01Let's go.
11:03What have we got?
11:04John, 59 years old.
11:06Acute hypertension.
11:08Crisis BP, 135 over 120.
11:12Heart rate 110.
11:14And SATs are at 95%.
11:15We needed an ECG and a tronin.
11:17All right, let's give 300 aspirin
11:19and start a libitolol infusion, please.
11:22What's this is like?
11:23More than enough to coat.
11:25Okay, so the solution is 200 milligrams in 40 mils.
11:29What are you doing, Poppy?
11:30Use the drug cooker.
11:32It's back up and running.
11:32I need to be able to do this without the help of technology.
11:35We don't have time.
11:36But Emmett said.
11:37Crying out loud, just use the app.
11:38Practice in your own time.
11:39Um, so BP's 250 over...
11:44235 and 120.
11:45Come on, Poppy.
11:46Hey, just give her a break.
11:47You've knocked her confidence.
11:48Can we just focus?
11:50All right.
11:51There's no sign of a stimulus.
11:53Poppy.
11:5420 milligrams over two minutes,
11:56then a continuous infusion of two milligrams per minute.
11:58I'll prep that.
12:00Thanks, H.
12:04Infection is the biggest risk
12:06given the body surface area involved.
12:08Let's give her the flu-clux prophylaxis.
12:10Oh, no.
12:13Any word for all another yet?
12:14Yeah.
12:14Monique's doing her best to track her down.
12:16Kid's still not saying what happened.
12:19No.
12:23So, Webster at Dunedin is on leave,
12:25and McDonald from Central can't be spared, apparently.
12:28Marty, um, Isabel Randerson.
12:30Breathing well.
12:31Lou from Christchurch Hospital may be able to,
12:33but can't come in for another day.
12:34Sammy, can't wait a day.
12:35We need a burn specialist now.
12:36Look, um, discharge, if you're happy.
12:38How are we tracking?
12:39Two steps forward, one step back.
12:41Look, be back soon.
12:42Still nothing from the mum.
12:44I've tried her work,
12:44but apparently she doesn't work there anymore.
12:48This one's a really hard one, isn't it?
12:50Just part of the job.
12:52Yeah.
12:52Okay.
12:53I love you.
12:54I love you, too.
12:54I've given her flu clocks.
12:58Her BP's come up a little.
13:00The core temp's still 36 degrees,
13:01but I think we're headed in the right direction.
13:03She's by no means out of danger.
13:05Where the hell is the mum?
13:06You know, if you love your kids,
13:07you don't leave them home alone.
13:09Uh, maybe she didn't have a choice.
13:11You always have a choice.
13:13How's she doing?
13:14How do you think?
13:15Look, did you get anything out of the kids?
13:17Nah, I reckon they're scared of getting in trouble
13:19or getting their mum in trouble.
13:20Well, have we called social services yet?
13:22Yeah, they're sending someone.
13:23Good.
13:24Get them away from mum of the air.
13:25They're good kids.
13:26You must be doing something right.
13:28Yeah, so good that they let their little sister
13:30get life-threatening burns.
13:31Oh, don't do that.
13:32Enough.
13:32Logan, try the mother again.
13:34Phil, pull your head in.
13:35Why is no one prepared to say the hard things?
13:37That little girl's fighting for her life
13:38because no one around will give a shit about her.
13:44How's your chest pain?
13:46Better.
13:46About a five.
13:47We hit it in the right direction.
13:50And so is your blood pressure.
13:52I'm such an idiot.
13:53Sorry?
13:54I was trying to keep up with my son.
13:56Gonna do a triathlon?
13:58What was I thinking?
14:00Puppy?
14:02I'll be right back.
14:07Are you okay?
14:08Sage said you freaked out of her calculation.
14:10What a knock.
14:11He's just worried about you.
14:13I just wanted to get it right.
14:14Yeah, but it doesn't look good.
14:16Because you don't want another write-up
14:17like the one Marnie gave you.
14:18That's not in charge.
14:19Yeah, but you're still a baby.
14:22Thanks.
14:22No, look.
14:22I'm just trying to look out for you, okay?
14:24What if Julian saw you flailing around like that?
14:27Look, don't let mana get in your head.
14:30Okay?
14:30If he wants to be the precious little golden boy, let him.
14:33You're the doctor.
14:35You're supposed to be the one with the skills.
14:37Supposed to be.
14:38Look, babe.
14:38I believe in you.
14:40Okay?
14:41You are a star.
14:44Just don't let mana outshine you.
14:51Dopamine bolusine?
14:53Yes.
14:54Come on, Sammy.
14:56Her pressure's increasing.
14:57Let's titrate until her systolic is stable at 75.
15:00We'll do.
15:02What the hell are they doing here?
15:05Hey.
15:07Get them out of here.
15:08Yeah, chill out.
15:08Get them out.
15:10They just want to see their sister.
15:11Their sister nearly died just now.
15:12What's happening?
15:13She's okay, mate.
15:14She's about as far from okay as you can be.
15:17Phil.
15:19Your mum left you with Sammy alone.
15:21Does she do that often?
15:22Phil.
15:22It was an accident.
15:24You need to tell us the truth,
15:25otherwise you could go to prison like your mum.
15:27Dr. Grayson.
15:29Anaphylaxis en route to ED could need a surgical airway.
15:32Downstairs now.
15:34Go.
15:35I'll be right back, guys.
15:37Hey.
15:38Great news.
15:38I found a burn specialist.
15:39Dr. Shah.
15:40I'm flying her out from Christchurch.
15:43What?
15:43Is that okay?
15:44Apparently she's the best.
15:45Fine.
15:45Fine.
15:46Good.
15:47Why don't you guys come with me?
15:53A BP's down to 110, over 65.
15:55Heart rate's up.
15:56120 BPM.
15:57He was fine, and then...
15:59Assess your patient.
16:01I'll set up an ECG.
16:02I think he might be infarcting.
16:05Muffled heart sounds.
16:07What else?
16:10His neck veins are distended, and he's diaphoretic.
16:15It's not a heart attack.
16:16It's cardiac tamponade.
16:17There you go, pipsqueak.
16:19Nice catch.
16:19Sage, call Theodore.
16:21Tell them we're coming up.
16:22They're slammed.
16:22We won't get him in.
16:23He's getting more tacky.
16:25Could it be pericardial effusion?
16:27Ultrasound will tell us.
16:28On its...
16:29Bloody hell.
16:34Sorry, a bit cold.
16:36What's happening?
16:37So we think there's fluid around your heart compressing it.
16:40That's why you're in so much pain.
16:43Yeah, I'm right.
16:44It's tamponade.
16:45Emmett, shall we confirm?
16:48Ding, ding, ding.
16:49Acharya is right.
16:50Awful surgeon.
16:51We don't have time.
16:52We need to do a bedside pericardiosentesis.
16:54She's right.
16:55Let's go.
16:56Emmett, they need you in recess.
16:58Pipsqueak.
17:00I've got it.
17:02I'm going to let you know they've got someone new coming.
17:05Sage, you call them mana, prep John's chest.
17:07Got it.
17:09Here we go.
17:13You did the right thing, called 111.
17:16Sammy going to die?
17:19The burn has made her very sick, but we're trying to make her better.
17:23And anything that you can tell me will help us treat her and help Sammy keep fighting.
17:27Don't put mum in prison.
17:30Please.
17:31Mum wasn't even there.
17:34Your mum was out?
17:35Was she working?
17:38Look, you're not in trouble.
17:41He sent me out a dirty nappy.
17:43It went everywhere.
17:45I tried to clean her.
17:48I tried to use the kettle.
17:50Mum says it saves water.
17:52The water was still too hot.
17:55Please make her better.
17:56John, listen to me.
18:01There's fluid around your heart and it's making it hard for it to pump.
18:05I'm going to drain that fluid right now and relieve the pressure.
18:08Hey, we've got you.
18:11Okay?
18:12This is going to help you breathe.
18:17Between the ziffer sternum and the left costal margin towards the left shoulder.
18:24I'm in.
18:28That's it.
18:30We'll start feeling better very soon.
18:32VP's back up.
18:3385 over 50.
18:35Heart rate down to 110.
18:36How are you feeling, John?
18:39Better.
18:40Fluid's almost cleared out.
18:43VP's back to 95 over 60.
18:45He's stabilising.
18:47All right, John.
18:48Now that's done.
18:50Your heart can pump properly again.
18:54Both of you.
18:57Nice work, Judas.
19:05You did well in there.
19:07He's devastated.
19:08He knows you did everything you could.
19:12I was wondering if we could talk about the art.
19:16Not now, okay?
19:17I'm about to keel over.
19:18Of course.
19:20At least let's call it a day for now.
19:23Drew.
19:25What?
19:26I'm really sorry that I let you down.
19:29I know it's gross.
19:33And Greta.
19:36I can't stop seeing her and she's lying there.
19:39Yeah.
19:41You left that for a while.
19:42I heard what you did, Poppy.
19:49Smooth as anything.
19:50What code black.
19:52Not such a hot mess now, huh?
19:55Oh, let's not go back there.
19:58Teamwork makes the dream work.
19:59Yeah, you were all great.
20:00You especially were amazing.
20:02Oh, look.
20:03Some praise from our biggest critic.
20:04Look, I'm sorry.
20:06Truly.
20:08Thanks, Mona.
20:09So, Bea, Molly's, not me, sorry.
20:12We've got lads.
20:13Maybe another time?
20:14Yeah, sure.
20:15Hey, don't leave me hanging.
20:20I just want to crash.
20:21Come on.
20:22I know you.
20:22You have my back in there.
20:24I don't want any drama in the AD department.
20:26Neither do I.
20:27Uh-huh.
20:28I really don't.
20:29I'd approve it then.
20:31I'm sure you'll find someone to drink with in the bar.
20:33I'll see you tomorrow.
20:37Good night.
20:39I can't believe I actually feel sorry for him.
20:42Well, karma's a bitch.
20:44Indrix.
20:44Well, he deserves it.
20:45He shouldn't put you down like that.
20:47Thanks.
20:48And thanks for the pep talk.
20:50Well, I'm glad it helped.
20:52I heard you really stepped it up.
20:53Yep.
20:54Feels amazing.
20:57Hey.
20:58I've got to wait until you hear about my day.
21:00It was crazy.
21:02What's up?
21:03Nothing.
21:03I just want to go home.
21:05Leo, talk to me.
21:06Has driven a dick again?
21:07What's happened?
21:12Right up, Bridges.
21:13My patient.
21:14You took her to surgery.
21:17Oh, my God.
21:19Oh, Cleo.
21:20I'm sorry.
21:21What's going on?
21:22Uh, I'll take you home.
21:24Uh, we're going out.
21:26I'll be okay.
21:27No, no.
21:28There's no way I'm leaving your side.
21:30Uh, maybe come back with us?
21:33Or go without me?
21:34No, no, no.
21:35I'll get it.
21:35I'll catch you tomorrow.
21:36You should head back down to PZD.
21:53Help them out.
21:54Marty doesn't need me right now.
21:57About those kids.
21:58Look, I understand what happened to Sammy is deeply upsetting.
22:01I'm feeling it, too.
22:04We all are.
22:04But it's not Regan and Riley's fault.
22:06They're just children.
22:07I know.
22:08Naz, this is our burn specialist, Dr. Zoya Shah.
22:11Dr. Nazar Arshad.
22:12Thank you for coming so quickly.
22:14Of course.
22:16Uh, this is Dr. Phil Grayson.
22:17She's one of our surgical registrists.
22:19She's been working with me on Sammy.
22:22Do you two know each other?
22:24No.
22:27Only by reputation, yeah.
22:28Okay, great.
22:31Uh, let me know if you need anything while you're here.
22:33Thank you, Monique.
22:35Uh, it seems to me that Sammy has been...
22:38I'm looking for my daughter Sammy.
22:40I'm looking for my daughter Sammy.
22:41Is she okay?
22:42She's far from okay, thanks to you.
22:43What?
22:44Phil?
22:45Oh, Sammy.
22:47Katie, you're finally here.
22:48Look, Sammy's stable.
22:49You can see her soon.
22:50But Regan and Riley are...
22:51You're joking.
22:51We shouldn't be letting her anywhere near them.
22:53Phil, please leave.
22:54They're my kids.
22:55What kind of awful mother are you?
22:57Leaving them to fend for themselves.
22:58Look after a defenseless baby on their own.
23:01Look what happened to Sammy.
23:02Her back is covered in burns.
23:04She is fighting for her life, and that is on you.
23:06That's enough.
23:06That's enough.