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Casualty Season 39 Episode 05
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
00:00Faith, I love you.
00:02And I don't want to be with you anymore.
00:04I don't want to be this person.
00:06What kind of person don't you want to be?
00:08An addict!
00:10I'm an addict!
00:12Would you mind getting me the list of those rehab centers?
00:14You sure? Yeah, she needs proper help.
00:16We don't come to work for this.
00:18We don't come to work to feel afraid.
00:20I'm always here for you.
00:22Thanks, Ian.
00:24After the attack on Ryan,
00:26we're just enforcing a zero-tolerance policy.
00:28This is PC Harry Sinclair,
00:30who will be based here part-time.
00:32It was my dad's.
00:34He's got dementia.
00:36I'm a grown man.
00:38I don't need looking after.
00:40I know it's not part of the routine or anything.
00:42Yeah, well...
00:44Maybe it should be.
00:58You sure we're not lost?
01:00I'm kind of being full in the saddle.
01:02I don't believe it.
01:04What the hell is this?
01:06Yeah, now we're lost.
01:08This guy, man.
01:10I'll check him with control.
01:12This better not be your hoax.
01:28Uh, free zero zero is to control.
01:30All right, I'll check him with control.
01:32This better not be a hoax.
01:343-0-0-6 to control.
01:39Can you hear that?
02:00Come, come.
02:06What do you think?
02:07I don't know.
02:08Have you ever seen deliverance?
02:10That's a good point.
02:15All right, that's good enough for me.
02:17We'll just go, okay?
02:20Here we go.
02:22There we go.
02:24Here we go.
02:26Rippidi! Rippidi, Merchim!
02:31I'll get you.
02:33Ritchie Spakie, I'll do it.
02:36I'll get you.
02:56Go over there, go over there.
03:26This is it. This is all what they sent.
03:39Hello, I'm Teddy. This is Jacob. We're paramedics.
03:42Can you tell us what happened?
03:43I fell from the roof.
03:45Oh, well, okay.
03:46Excuse me. Can you get the splints for his legs?
03:50Big yellow things just in the back of the van.
03:53Where is the ambulance?
03:54How will you get me out of here?
03:56Okay, okay. Just try and stay calm, all right?
03:58We're going to need backup to get you out.
04:00We'll call the air ambulance, and then they can fly you, all right?
04:03I can't lose my job. I need a hospital.
04:10Just keep me friendly, mate.
04:12Now you're out. Come on.
04:15Come on, boy.
04:16Listen, you were warned. Now you're out. Come on.
04:20The king of the world!
04:22Stevie, it's like a field hospital here.
04:25Oh, I don't know. Five pre-alerts the last 20 minutes.
04:27Yeah, I know. Look, it's all in hand. I've got a plan.
04:33Hey, excuse me. Where are you going?
04:35Uh, I work here.
04:36Well, I'm recognising you.
04:37It's just like I dreamed it. Hey.
04:39Dr. Nash, this one belongs to you?
04:41Yes, this one does. This is Faith, ACP extraordinaire. This treat is Harry. He's part of our zero-tolerance remit.
04:48It's really nice to meet you. I'm so sorry. We've had a... we've had a morning.
04:51It's okay, Harold. We'll take it from here.
04:53Oh, we don't want to get on his bad side.
04:55Well, that's kind of the point. Brave new world, huh?
04:58I would say less brave, more cautious. Anyway, how are you doing?
05:01Yeah, I'm good. I'm good. I'm great.
05:04So, where do you want me? I've been through all the back-to-work documents, all limitations to practice.
05:09Probably easier to tell me what I can do. Isn't the cat again?
05:12Super yawn. Okay.
05:13Don't worry about that. Just get yourself ready and come meet me in reception.
05:15Okay.
05:16Is there an ETA?
05:21I'll have to get back to you. You're the only resource we currently have.
05:23Received. Over.
05:25We go now. The helicopter is here.
05:28Jacob.
05:28You can have a word.
05:33PEMs have been diverted to River Rescue and multiple casualties.
05:36How long?
05:37We're on our own for now. That's all I know.
05:39Sounds like the boys are back.
05:41Okay, let's get a sprint on his leg. We'll have to get him out another way.
05:43Hey, I don't believe this.
05:46What?
05:47They're bringing the ambulance round. Are you serious?
05:49Better not tell Jan.
05:50No way.
05:51Lloyd, looks like it's going to be a bumpy ride.
05:53What choice do we have?
05:54Yeah, fair enough.
05:56Listen, we've got you, all right? We're on our way.
06:01Put it away.
06:03Oi! I've been here ages, you know.
06:06Yeah, well, we've been ordered for our two.
06:07Aye, aye, an army rice.
06:10Some of us should just pass the brine.
06:12Not this time, clearly.
06:12Aye, and, uh, you look like a lass who gets herself into a bit of bother,
06:17so I can represent you personally.
06:21Only if you get a scene next.
06:24How are we?
06:26Fresh off the print.
06:28Yeah, it's still warm.
06:29Uh, overruled.
06:31Eh?
06:32Oh, hey, right, so...
06:34I've got a, uh, welcome back gift for you.
06:40Oh, no, I can say no like that, right?
06:42Well, yeah, but with everything that's happened, you know, we're making changes.
06:45No, no, no, no, it's a barrier, especially for nurses.
06:48Well, why don't you just give...
06:50Um, Stevie, first pre-align, send Dylan one to you.
06:52Uh, right, okay, just give me two seconds.
06:54Right, um, so for your first half shifts, you're going to be our navigator.
06:58Sorry to be the title.
06:59What, you want an ACP direct in patients and intake histories?
07:03No, if we front load assessment, it just helps with...
07:05Oh, and you're going to be a bouncer.
07:06Look, it's just for now, okay?
07:08Oh, it's embarrassing, Stevie.
07:10Hey, seriously, you're our troubleshooter, okay?
07:13And you're not just across one patient, you've got a whole waiting area, so take your pick.
07:17If you've got any questions about a case for a patient, just come and find me, okay?
07:20Mm-hmm.
07:27Okay, okay.
07:28Okay, okay.
07:29There we go, you can wait on me.
07:31That's it.
07:33There we go.
07:34Okay?
07:35Yes.
07:35It's okay.
07:36Okay, I'm Faith.
07:37Oh, I was you first.
07:40I'm just going to take a few details, okay?
07:43Hey.
07:45You're all coming out tonight, right?
07:47Can't wait to see Harvey after dark.
07:49Hey.
07:50Hey.
07:56I thought you were going to show me the top spots.
07:58What's this?
07:59Oh, um, drinks tonight.
08:00You in?
08:02Charlie's asked me to do a double, so it looks like you'll have to do the honours cam.
08:04No, no, you can't do that.
08:05That's not fair.
08:06Well, someone's got it, haven't they?
08:08Have a good one, though, yeah?
08:09Thanks.
08:12So sad.
08:13Yeah, I know.
08:13I mean you like injury, it's obvious.
08:17Uh, no, no, I don't.
08:18Don't bother to deny it.
08:19Angozi, seriously, I don't.
08:20Uh, uh, yes, I don't bother.
08:24Like a little boy.
08:26Sitting at the back of the classroom, hoping his crush will notice him.
08:30You need to stand up, stand out.
08:31Yeah, but how do I do that?
08:34Do you want me to help you?
08:35No, no, no, I didn't mean that.
08:37You're sorry?
08:37No.
08:37Bring me to that sort of thing.
08:38Angozi, please.
08:39No, I didn't.
08:44Okay, so you've gotten a muddle with your medication this morning.
08:47Excuse me, nurse.
08:49I see you're dealing with the old fellow, right?
08:53Can you please just look at me, uncle?
08:55No, sorry, you're going to have to wait your time, okay?
08:57Hey, can you not give us some painkillers?
08:59No, I can't.
09:00I'm a nurse, you are.
09:02Well, someone has to keep this place moving, okay?
09:05But this is stupid.
09:05I'm supposed to be celebrating.
09:07You can go celebrate somewhere else, thanks.
09:09Uh, Mr. Gross, I'm so sorry about that, okay?
09:11So, so, so you got mixed up with your pills this morning?
09:14Uh, I took them too soon.
09:19Uh, if you could just wait here, I'll be back as soon as I can, okay?
09:24Are we okay?
09:25I need an immediate ECG.
09:27Okay, if I can take a brief history first?
09:32Superventricular tachycardia, with heart rates upwards of 150, with increasing chest pains.
09:37I'm a GP, or was.
09:39Dr. Downs.
09:39Absolutely, if you want to follow me.
09:42Are you being serious?
09:53Uh, Rash, this is Dr. Downs, suspected SVT.
09:56Okay, I'll follow you.
09:57I, um, allocated to triage.
10:00Of course.
10:01Sorry.
10:02Hi, um, this way, please.
10:03How old are you?
10:06Wait, there's a fella next door in a bad way.
10:08Okay.
10:08Okay, what seems to be the problem?
10:16Chest pain.
10:18Well, you were flying two minutes ago.
10:20Yeah, well, it's only just started.
10:21It's really sharp, right in the middle here, like, it's finally getting worse.
10:26I'm dying here.
10:28I'm going to have to deal with this.
10:31Excuse me.
10:34Excuse me, please.
10:36Hi.
10:36Oh, Mr. Grouse, I will be right back with you.
10:39Good.
10:39Just wait there, my darling, okay?
10:41Okay.
10:43Narrow, complex, tacky, either SVT or flutter.
10:46There's no hypertension, you're hemodynamically stable, so let's try some vagal manoeuvres.
10:51That won't work for me.
10:53Okay, well, there are some modified techniques.
10:55I've tried it all.
10:56Coughing, gagging, ice packs, old dog new tricks.
11:00Adenosine has side effects.
11:01Clinical fellow.
11:03You'll find with more experience...
11:04I need you to blow into this.
11:06Hard enough for the plunger to move, then we're going to lower your head and raise your legs.
11:09Give me one good reason.
11:11To prove me wrong.
11:20Okay, that's it.
11:21Keep blowing.
11:22Keep going.
11:23Right, keep going until you need to stop.
11:26Now we're going to lower your head.
11:28Just try and completely relax.
11:31Not my strong suit.
11:33Visualisation might help.
11:34I mean, imagine you're on a beach and you can hear the waves breaking on the golden shore, the palm trees...
11:40Okay, let's bring you back up.
11:43I did warn you.
11:46Back to sinus.
11:47Heart rate's steady.
11:49Well, I'll be blowed.
11:51Okay, let's repeat the 12 lead.
11:53Keep an eye on her BP.
11:56Ah, would you look at that, hmm?
11:58Shot for her.
11:58You know what it is?
12:00Actually has eased off.
12:02Really?
12:02Shouldn't you be looking at me ankle anyways?
12:04Chest pains were our priority, so...
12:06No, no, no.
12:07I thought I heard your voice.
12:08Can I have a word?
12:09How am I, mate?
12:10I'm getting me ankle sorted.
12:11Can you not just get away?
12:12Hey, your ECG was fine.
12:13Just, just wait there.
12:15Well, are you now?
12:15But look at the state of it.
12:16I'll be right back.
12:17Oh, how am I?
12:21It's good to have you back.
12:22Thanks.
12:23Look, I, I, I know what you're going to say.
12:26Then you know you shouldn't be in a clinical area without supervision.
12:30Do you want me to take over?
12:31No, no, no, no, of course not.
12:33I, look, he was faking chest pains to jump the queue.
12:36I knew that.
12:37I just had to check, right?
12:39Policies are in place to safeguard you, me, the team.
12:44Mm-hmm.
12:44You know.
12:45Is there actually an issue here?
12:46Mm-hmm.
12:47Well, he may have a fractured ankle from the fall, but that's it.
12:50Okay.
12:50Well, grab one of the nurses.
12:52They can take it from here.
12:52Okay.
13:01I spoke to Charlie.
13:03I told him you did the double.
13:07Tonight?
13:07Mm-hmm.
13:08But you're welcome.
13:10But that means that...
13:10That's Judy can't go.
13:11That's exactly like she planned.
13:13Yeah, and I'm going to be stuck.
13:13You're working the double.
13:14I thought you were helping me.
13:15I am.
13:16Then why don't you switch your shift?
13:19Trust me.
13:20Small gestures like this will win Judy's heart.
13:30Cam, can I have your help, please?
13:32Yeah.
13:32Yeah, of course.
13:33What have you got for me?
13:36Uh, these are a few.
13:37Blowing me around strange, Dr. Massimo.
13:40Oh, excuse me.
13:42Um, you're a consultant.
13:43Can I have a word?
13:44Yeah.
13:45Is everything okay?
13:46Manifestly not.
13:48Right, okay.
13:48What seems to be the problem?
13:49Why aren't you encouraging this very capable young man to step up?
13:54He's got initiative, backbone, unless you're frightened of hard work, exams, a few rigorous
13:59rotations.
14:00No, no, I'm not.
14:01Great stuff.
14:03Enjoy it.
14:04Both of you.
14:07You're a long time retired.
14:11Uh, okay, I suppose she has a point.
14:13Um, do you want to progress?
14:14Uh, yeah.
14:15Yeah, yeah, I do.
14:16I just, um, just haven't given it much thought at the moment.
14:19Well, you've, you've been keeping up with your qualifications, haven't you?
14:21I think you did a, uh, tropical diseases course quite recently.
14:24Yeah, I mean, maybe it is time to be more proactive.
14:26But, yeah, I mean, give it some thought.
14:27Don't take too long.
14:28Just give me a second to let them know you're taken out.
14:34Hey, oh, oh, what are you doing?
14:36Your ankle.
14:37What about what?
14:38You need to sit back down.
14:40Hey, are you on something?
14:42I'm in your business.
14:44Get off us!
14:45Hey, hey, Max, come back and sit.
14:47Sid, get off us!
14:48Hey!
14:48Sir, you've just assaulted staff.
14:51I'm turning on my body cam.
14:54Hey, I'm bleeding.
14:56Are you okay?
14:57Yeah.
14:58No, you're fine.
14:59Where are you going?
15:01Get off us!
15:02I'm trying for your own safety.
15:04Be careful, I think he's on something.
15:05Be careful.
15:07Just calm it.
15:09It's fitting.
15:09I need to stop.
15:10Get off him now!
15:11Yeah.
15:12Come on, get him on a side.
15:14Okay, let's get some of the resin.
15:16Cam, can we get some of the brous?
15:18Come back to my hammocks.
15:18Jim, please, girl.
15:19Make sure his airway's open.
15:20Peebles are dilated, yeah.
15:21I think he's taken something recently.
15:23Do we know what?
15:23I can try and find out.
15:25Okay, can I?
15:26Yeah, Sue, take over here.
15:28Can we get a trolley, please,
15:29and get him to reach us soon as?
15:40Liz, you okay?
15:41Do you need help?
15:42Oh, Mr. Gross, um, actually,
15:44the guys that were here, the loud ones,
15:45did you see them?
15:46Have they left?
15:47No.
15:48I'll be right back.
15:49I'll be right back.
15:50The patient is posted.
15:51Let's hook him up to an IV.
15:55His friends are gone.
15:56Okay, Cam, take over the airway, please.
15:59Try an OPA.
16:03You've got to size it up first.
16:05Go from the angle of the jaw
16:06to the center of the incisor.
16:08Yep.
16:09Mm-hmm.
16:09Cut it upside down into the roof of the mouth.
16:16Turn it, taking it over the tongue.
16:19Good.
16:19Uh-huh.
16:20Nice back on.
16:22Check for air entry.
16:27Okay.
16:28BP and sats are good.
16:30Nice work, everyone.
16:30Faith, if you could get yourself cleaned up,
16:33we can take it from here.
16:40Rash, do you want to take this pre-allure,
16:42given what we were talking about?
16:43Uh, yeah?
16:44I'm not being procedures.
16:45I think you can do it.
16:46Yeah?
16:46Okay.
16:46I've measured very plastics and vascular, okay?
16:48So, yeah?
16:49Come at the hour.
16:50Summon the power.
16:51Um, Dr. Bassoon's going to lead on this one.
16:53This is Florin Barbu,
16:5444-year-old male,
16:55approximately 90 minutes ago.
16:57He fell through a roof onto some farm equipment.
16:59He has isolated lower limb injuries,
17:01left leg partial deep lovin' below the knee,
17:03and a fairly extensive laceration over his right tibia.
17:05Oh, and C-spine clear with no red flags.
17:08Okay, let's do a gentle brace
17:10to get this gentleman off his scoop.
17:11Ready, steady, move.
17:14Okay, uh, how bad is the laceration?
17:16Uh, the wound's 10 centimetres
17:17and down, uh, to periosteum.
17:19Looks like there's some skin loss also.
17:21We've put on a saline-soaked bores.
17:23He's tacky at 110,
17:24uh, hypotensive at 97 over 56,
17:26despite two 250 mil fluid boluses.
17:28GCS 15,
17:29three-hour apart from a vasovagal moment
17:31when his BP dropped.
17:32He's had one gram of IV paracetamol,
17:34one gram of TXA,
17:351.2 grams of coimoxiclub,
17:37and 10 milligrams of morphine.
17:38Okay, thank you.
17:39Okay.
17:40We made it.
17:41All right.
17:46Right, uh,
17:49Dylan, can you start with the primary survey?
17:51I can.
17:52And can we get a second line in?
17:55Uh, right, hi, I'm Rash.
17:57I'm one of the doctors here at Whole BD.
17:58I'll be looking after you, okay?
18:00You can fix it, though.
18:02Uh, yeah, I'll do my best.
18:04Yeah, in good hands.
18:05Uh, right, uh,
18:08BP on the monitor is still 96 systolic.
18:10He's been hypotensive since the injury,
18:12so, uh,
18:13let's activate the major hemorrhage protocol.
18:15Okay, and, uh,
18:16set up a TXA infusion.
18:25Hiya.
18:25Hey.
18:27Yeah, how'd you look like?
18:29Yeah, by unpopular demand.
18:30What's up in your eye?
18:33Oh, yeah, I was trying to cover that up, but...
18:37Hey, sweetheart, what are you doing here?
18:40About to stay back.
18:41Wanted to check in, bring you lunch.
18:43Aw, that's really sweet.
18:46What happened?
18:47Oh, this, uh,
18:48just a patient who got a bit rowdy.
18:51It was...
18:51Has someone examined you?
18:53Dylan, it's just a bruise.
18:54It's fine.
18:55It's horrible.
18:56You've only been back a couple of hours.
18:57Yeah, and the reviews are in.
18:58It's not funny.
19:01I'm only going if you promise someone will check you over.
19:04Yes, yes, yes.
19:06Okay, I promise.
19:07Okay, look, just, just go home.
19:09I've got to get back to work, okay?
19:11Thank you for my lunch.
19:15The reviews are in?
19:16I thought that was funny, right?
19:18Five stars for me.
19:19Oh, see what you did there.
19:22Right, I, uh, better get back.
19:24I've been queuing for two hours.
19:25I've got a patient that's demanding lunch
19:27or medical attention.
19:28Oh, unbelievable.
19:29You know what they say.
19:30Feed a cold and a chest infection, right?
19:33Yeah, yeah, yeah.
19:34Yeah.
19:35See you later.
19:36Bye.
19:37Bye.
19:45Hey.
19:46Natalia told me a bit.
19:47Do you want me to have a look at my office?
19:48I'm fine.
19:49Faith, let me have a look.
19:50Come on.
19:50I'm so sorry.
19:53I, I...
19:54Sat, uh, 98.
19:56Let's speed up the bloods
19:57and can we keep the pressure up?
19:58What happens next?
19:59Will I need an operation?
20:01Uh, possibly.
20:03But, um, let me take a look at the injury first,
20:05see what we're dealing with, okay?
20:06Okay.
20:06Wait, wait, can you just make a picture first, please?
20:10A picture?
20:11Yes, please.
20:12Uh, okay.
20:13Um...
20:14But closer.
20:15Closer.
20:16It's for my daughter in Romania.
20:18I send a photo every day,
20:19but I don't want to see the legs.
20:21Yeah, you must miss her.
20:22I do.
20:23Right, smile.
20:24Great.
20:25Thank you very much.
20:27Yeah, I start a new life for us.
20:29Good money.
20:30Not minimum, not maximum.
20:33I'm strong for her.
20:35Right, well, you need to be strong for us now, too, okay?
20:38This might not be comfortable.
20:40Okay, yeah, let's keep the pressure on.
20:41Can I get the suit set?
20:45What's going on?
20:48Okay, the avulsion's too large.
20:50He needs hemostatic gauze.
20:54You'll help me, huh?
20:58You have to do something.
20:59Yeah, okay, okay.
21:00Okay, that's it.
21:01Let's keep the pressure on.
21:03Right.
21:04It's good.
21:04I should be clotted in a couple of minutes.
21:07Is everything okay?
21:10You'll need surgery on the wound,
21:12but the blood flow on your foot is good.
21:14Okay.
21:14You've been lucky.
21:17Right, let's get some dressing for that,
21:19get it immobilised,
21:20then we'll sort an x-ray and get him to theatre.
21:25I thought you were gone.
21:35I didn't want Mum getting jealous.
21:39Ham and picket-lily, your favourite.
21:43I'm sorted, thanks.
21:45If you're on a break, we could grab a coffee.
21:51Yeah, I've got a really hungry patient
21:54and Jan's breathing down my neck, sorry.
21:58And more for me.
21:59It's my favourite now, too.
22:02Are you still okay picking me up later?
22:04Yeah, yeah, yeah, if you need me to.
22:11Why are you being weird?
22:12Oh, this is so awkward.
22:15Well, that is your speciality, so...
22:18Yeah, yeah, seems to be.
22:19Right, listen.
22:22Me and you, we're...
22:24We're friends.
22:26Yeah?
22:27But not like friend-friends.
22:30I'm more like a cool uncle, slash chauffeur.
22:36What?
22:37Wait, you don't think I fancy you, do you?
22:39I just want to be clear.
22:40Seriously, you're like old, old.
22:45Sorry, I...
22:47No.
22:48No, that's good.
22:49That's good.
22:50It's good, it's clear.
22:52It's out in the open, we've talked about it
22:54and that's really good.
22:58Great.
22:59All right, then, we'll, er...
23:00I'll see you later.
23:01You don't have to.
23:03No.
23:04No.
23:05This old weirdo will see you at seven o'clock.
23:12See you later.
23:17Yeah, everything seems to be in alignment.
23:19No septal haematoma.
23:20Told you.
23:21You gonna call it a day?
23:23No, I don't want any more time off.
23:24Yeah, fair enough.
23:25OK, so why don't we ease you in
23:27with a nice office debrief.
23:29Erm, if you fill in your statement,
23:31I can get the paperwork to the police,
23:32just get the ball rolling.
23:32Oh, hey, I never said I was gonna speak to the police.
23:34No, I know, but this is zero tolerance policy.
23:36Get it off his face, it...
23:38It doesn't matter.
23:39No, no excuse for abuse, OK?
23:41It's literally our motto now.
23:42It rhymes.
23:43Stevie, come on, he was just...
23:44Just let me look after you, OK?
23:46Let me look after the department.
23:48OK, I mean, of course I want to support you, so...
23:51Yeah, yeah.
23:53OK, look, can you start, please?
23:56By wearing this?
23:58Yeah.
24:01Whatever you want.
24:04This will be ready for him in half an hour.
24:06How's he doing?
24:07Uh, BP's still a little bit low.
24:08Uh, OK, can we check his gases?
24:10Right, the, um, wound's a bit too large for stitching,
24:15so they'll use something called a vacuum dressing.
24:20This arm's cold.
24:25I can't find a pulse.
24:27Uh, OK, uh, Florian, um, has your arm been hurting?
24:31Well, I still am bad.
24:33Did she have pins and needles before the accident?
24:34Can you get the droplet, please?
24:35Did she feel dizzy or anything like that?
24:36Is that why I fail?
24:37OK, I, I can't feel a radial.
24:40Cap refills, five seconds.
24:42Um, I'm just gonna have to check the circulation in your arm, OK?
24:44You said everything was OK, that I'm lucky, man.
24:57OK, there, there seems to be a problem with the blood supply in your arm.
25:01You might have a blood clot that's blocking one of your arteries.
25:03I don't understand.
25:04What does it mean?
25:05OK, um, can you just give me a moment, I'll scare you.
25:07Yeah, yeah.
25:08Uh, we, we can't use stopping the six with his other injuries.
25:12OK, so one thing at a time.
25:15Yeah, um, OK, vascular work, we're on their way down for his legs.
25:18Uh-huh.
25:18Let's do an upper limb angio before they get here.
25:21OK, OK.
25:23So do you want to tell me what happened?
25:25I fell in town.
25:26A friend insisted on bringing me in, but I...
25:28It's OK, I've, uh, I've got this.
25:30So can you bring, what's your name?
25:31Mel.
25:32Mel to cubicle seven.
25:33I'll join you in a second.
25:34Just...
25:35You all right?
25:37Yeah, fine.
25:38I've just got a lot to catch up on.
25:40I think your wee man in there has had an accident.
25:41Do you mind getting someone to clear it up?
25:44Yes.
25:44Sorry.
25:47Well, come, are you free?
25:48Um, just discharging a patient.
25:50I will be in five, though.
25:50Sorry, babe.
25:51Thanks.
25:51Hey, sweetheart.
25:56Thank you for looking out for me, Elliot.
25:59Are you OK?
26:01I'm OK if you're OK.
26:02How are you feeling?
26:04A bit wobbly.
26:05Yeah, well, I'm going to get a wheelchair.
26:07I'm going to...
26:08Oscar, Oscar, can you bring that over?
26:10And I'm going to take you through to cubicle.
26:11Is it OK?
26:12I've had a bit of an accident.
26:14Oh, yeah.
26:14Don't you worry about that.
26:15I'll take care of it.
26:15It's my fault.
26:16It's never happened before.
26:17Mary, we'll talk about it when we get you through.
26:20It's all right, sweetheart.
26:21Take care of it.
26:22OK?
26:22I'll be down.
26:24OK, do you mind if I have a feel of your ribs?
26:26Mm-hmm.
26:27OK.
26:32Yeah, that's looking like a cracked rib there.
26:35I'm going to feel the bit of crap it is.
26:36That's the two bone ends rubbing together.
26:39Right.
26:40You say this from a fall?
26:41In town.
26:43I'm really clumsy.
26:47Yeah, there's some oil bruise in here, too.
26:51Is that from a similar thing?
26:54I reckon my guardian angel drinks.
26:59OK, can I have a look at the front of your chest?
27:05That's a great foundation.
27:06Perfect match.
27:07Mm-hmm.
27:12Right, yeah.
27:13I'm going to want to run you around to x-ray.
27:15Rule it in your thorax.
27:16It's collapsed long.
27:17Well, how long will that take?
27:19I've got to pick my son up from school.
27:21Do you have a partner, husband?
27:23Yeah.
27:24So could they step in?
27:25He's at work.
27:26Well, look, if you want to play the emergency card,
27:28this is the place to do it.
27:30If he can step in, then I can keep you here a bit longer,
27:32get you sorted.
27:35That sound OK?
27:36Yeah.
27:38OK.
27:39I'll get that x-ray requested.
27:40OK.
27:40Oh, dear, oh, you are a bit wobbly, aren't you, Gerry?
27:51All right, just sit here.
27:53Have you had anything to eat today?
27:56Mm-hmm.
27:57No?
27:57OK, well, I'll go and get you something, OK?
28:00You shouldn't be doing this.
28:02Any of this.
28:03Oh, come on, don't be silly.
28:04It's my job.
28:05It's not right.
28:07I'm a grown man.
28:09I never saw myself like this.
28:12Like what, sweetheart?
28:12I've got to hardly walk here, and now my eyes are going.
28:20You've been getting a bit muddled recently.
28:23No, my mind's fine.
28:25I'm sorry.
28:25It's just that you said you made a mistake with your medications.
28:28It wasn't.
28:30It wasn't.
28:31It wasn't what, Gerry?
28:33It wasn't.
28:35OK, OK, OK, look.
28:37You were there for me earlier.
28:39Let me do the same, yeah?
28:40It's just us.
28:41You can talk to me.
28:42I didn't do it well enough.
28:46What, the pills?
28:47I took all of them.
28:49Oh, Gerry.
28:51But now I'm really scared because it's changed my mind.
28:59OK, OK, OK.
29:00Well, I'm glad you changed your mind.
29:01I'm really glad, yeah?
29:03But you need to tell me what you took so I can get you some help.
29:06OK.
29:07Talk to you, Rosh.
29:14Vascular Earl worried about a thrombus in his brachial artery.
29:18They're going to take him to theatre after CT with trauma in the plastics team.
29:21OK, good.
29:24I should have picked this up on the secondary survey.
29:26I think his other injury is quite a big distraction.
29:28But if he loses his arm.
29:32He did everything with Kurt.
29:34Do you want me to talk to him?
29:37No.
29:38No, I should do it.
29:39He's my patient.
29:40Have you?
29:40Uh, Florin, um, our tests confirm there's a block in one of your arteries.
29:52Now, you'll need an operation to unblock it, which they'll do whilst they work on your legs.
29:57They will fix everything at once.
29:59The surgeons will do everything they can to get circulation back, but with reduced blood flow, possible tissue damage, your arm may be compromised.
30:24No.
30:25What use is a laborer without its arm?
30:33A father who cannot support its family.
30:37OK, I understand you're upset.
30:39Upset?
30:41I sacrifice everything.
30:46No friends.
30:48No family.
30:51Like, I'm invisible.
30:55OK, the surgeons will do everything they can to get circulation back in your arm.
30:58Every day, I send a picture pretending I'm happy here.
31:05It was worth to make new life.
31:10Now what?
31:15Now I'm broken.
31:16Now she has nothing.
31:23No, no, she, she has you.
31:26OK, you can be there for her.
31:28Yeah.
31:30Says the rich doctor.
31:33You don't know anything.
31:34I know this.
31:41I know that your daughter will always need you.
31:45Because you're her dad.
31:51Why don't you let me manage his pain relief until Vasques go out here?
31:54OK, take a break.
31:56Yeah.
31:56And we'll catch up later.
31:58OK.
31:58Uncle.
31:59Ooh.
32:00Oh, pretty.
32:03For you.
32:04No, Uncle.
32:05This is your wife's jewelry box, right?
32:07Madhya?
32:08Right?
32:09Sit.
32:10Sit.
32:11Sit.
32:12No, Uncle.
32:13This is your wife's jewelry box, right?
32:15Madhya?
32:16Right?
32:17Sit.
32:18Sit.
32:19Sit.
32:20Sit.
32:21Sit.
32:22No, Uncle.
32:23Sit.
32:30Mmm.
32:31Bling, bling, Auntie Em.
32:35You should wear it, Mary John.
32:38Er...
32:39A week's wage.
32:54So nice.
33:01So beautiful.
33:08Uncle.
33:09Hey.
33:11It's me.
33:14It's Rita.
33:15Rita.
33:21Rita.
33:22Yeah.
33:23Yes?
33:24Yeah.
33:26Favoured by God.
33:28I can't wear this.
33:30I'd like to see it, Rita.
33:33Not in the box.
33:35Not in the box.
33:36OK.
33:37OK.
33:38OK.
33:39I'm gonna wear it.
33:40Yeah?
33:41But just for today.
33:42Yeah?
33:44Yeah?
33:54So Cam here is gonna draw some blood so we can see how you're doing, Jerry, yeah?
33:58There is a chance that you could have done a wee bit of damage to the liver, especially,
34:01so better to be safe than sorry, hm?
34:04I'm such a nuisance.
34:05Oh, stop it.
34:06No, you're not.
34:07Not at all.
34:08Right, Cam's gonna take care of you and I'm gonna go and fucking phone your daughter.
34:11Sorry.
34:12Um...
34:13All right.
34:14It's all right.
34:15Here.
34:16Give me your hand.
34:17You squeeze mine.
34:18Hard as you like.
34:19All right.
34:20Look for low-lying beans.
34:21Yeah.
34:22OK.
34:23There we go.
34:24Squeeze tight.
34:25Faith, I'm having a bit of trouble trying to...
34:26OK.
34:27Uh...
34:28All right.
34:29Just give me a second.
34:30I'll just take over.
34:31Faith, I don't think he's supposed to be doing this.
34:34It's all right.
34:35I'll just cannulate him and then it's fine.
34:37OK?
34:38Um...
34:39Be nice and quick.
34:40OK.
34:41I'll just do this wee bit and Cam can do the rest.
34:44Yeah?
34:45All right.
34:46All right.
34:47That's it.
34:48Right.
34:49So you just look at me.
34:50One, two, three.
34:51Deep breaths.
34:52There you go.
34:53Well done.
34:54Well done.
34:55That's it.
34:56Right, you just wanna take over?
34:58Great.
34:59Well done.
35:00Well done.
35:01I mean, there's nothing you can do for a broken rib.
35:04No, no, no.
35:05That's...
35:06That's not necessarily true.
35:07And, um...
35:08I wanna talk to you about your older injuries.
35:11Cause if you...
35:12Yeah, you look at your x-ray here.
35:14There's, uh...
35:15Two previous rib fractures.
35:17Different stages of healing.
35:18And I looked at your doctor's notes but...
35:20Did you seek treatment?
35:23Well, I just thought...
35:25There was nothing we could do?
35:26Yeah.
35:27Well, you know, I would've recommended rest.
35:29I would've said avoid strain.
35:31Uh, there are breathing exercises.
35:33Great.
35:34And I'll look where I'm going next time.
35:36Mel.
35:37Mel.
35:41Did someone do this to you?
35:43I told you.
35:44I fell.
35:45It was an accident.
35:46My son will be waiting.
35:47Hey.
35:48I just see your text.
35:49How's she doing?
35:52Sorry, you...
35:53Yeah, Mel's my wife.
35:55You broke a rib of your wife.
35:56Yeah.
35:57Yeah.
35:58Yeah, yeah.
35:59The, uh...
36:00The x-ray confirmed it.
36:01Oh, sweetheart.
36:02Look, plenty of TLC when you get home, okay?
36:05What are you doing on your feet?
36:07I'm already late for Lloyd.
36:08No, no, no, no.
36:09I'll take care of that.
36:10I'll call the school.
36:11It's fine if it's just a broken rib.
36:12No, that's good for me, actually.
36:13Cause I'm still waiting on the heart report from the radiologist.
36:15Cause sometimes we miss things.
36:16Uh, fractures.
36:17Uh, you may need a CT scan.
36:19Yeah.
36:20It's fine.
36:21Listen to Stevie now.
36:22Come on.
36:23Get back, get back.
36:24Actually, uh, Gemma.
36:26Can you run another set of obs for me on Mel?
36:29And, uh, yeah, you can make your phone call.
36:31Okay.
36:32I'm gonna chase that report for you.
36:47Be right back.
36:48Uh, just come to the main reception at the ED.
36:49Okay.
36:50Thanks, Nicola.
36:51Please, can I just talk to Faith?
36:52She's busy.
36:53She has other priorities.
36:54Please, I just want to tell her that I'm sorry.
36:55I heard my name.
36:56Did I do that?
36:57Mm-hmm.
36:58Mr. Halliwell has been informed of the charges against him.
36:59He says he has no recollection.
37:01Look, I am so sorry.
37:02Never been that drunk before.
37:03I don't normally do drugs.
37:04Here we go.
37:05Look, I swear it.
37:06We started drinking at 9.
37:07I was just so happy that I passed me exams.
37:08I mean, half the guys didn't.
37:09Did I do that?
37:10Mm-hmm.
37:11Mr. Halliwell has been informed of the charges against him.
37:13He says he has no recollection.
37:15Look, I am so sorry.
37:19I've never been that drunk before.
37:21I don't normally do drugs.
37:24Here we go.
37:24Look, I swear it.
37:27We started drinking at nine.
37:30I was just so happy that I passed me exams.
37:33I mean, half the guys didn't.
37:36And I'd worked so hard.
37:38But I couldn't afford not to.
37:41It wasn't me when I hurt you.
37:44Look, it's out of my hands.
37:46No, look, I swear.
37:47It was the drugs.
37:51Look, I know I deserve to be punished.
37:53I do.
37:55But if there's any other way...
37:58Look, I can't be a lawyer with a criminal record.
38:00If you could sit back, please.
38:02Look, please, I'm sorry.
38:05I am.
38:05But this is my whole life.
38:10If you give me a second chance, I swear I'll never do anything like this again.
38:15I swear, though.
38:16I can't.
38:17I can't.
38:17Oh, please.
38:20Stevie, stop.
38:21There's no way Harry would do something like this.
38:23Come on, Charlie.
38:24I just need you to distract your mate while I talk to his wife.
38:26Listen to me.
38:28His family situation is complicated.
38:31Damn right it's complicated.
38:32Come on!
38:33Come on!
38:34Calm down, Mum!
38:36Come on!
38:36Come on!
38:38This is better, yes?
38:39You've got to be gentle, right?
38:41My mum is a bit sore right now.
38:42Okay?
38:42Mrs. T offered to pick him up.
38:50Luke's asking for his mum.
38:52Nice hands, Lloyd.
38:53Give me nice hands.
38:53No, no, no, no, no, no, no, Lloyd, don't hold it.
38:55Don't hold his arms.
38:58It's okay.
38:59I will be careful.
39:00Calm.
39:00Sit, sit, sit.
39:01I'll be riding sugar underneath the horse I'm feeling like a song.
39:18There we go.
39:20Friends again now, eh?
39:23Why don't you blow my knee a kiss?
39:28You wanted to take Mel for a scat.
39:31Probably a good moment.
39:32Yeah.
39:33Good idea.
39:42Is there any update on flying?
39:45Uh, no.
39:45No, that was particularly emotional and difficult cases.
39:48It was not ideal, really, for training.
39:50No, but I got rattled.
39:52Well, they were life-changing injuries.
39:55You know, you have the makings of an excellent consultant.
39:59And that's exactly what I want.
40:02I sense about coming.
40:04Just not right now.
40:06I need to be there for my dad.
40:09Yeah, understood.
40:10Um, look, it's the end of your shift, isn't it?
40:12This can wait until tomorrow, I think.
40:14Are you sure?
40:14Yeah, absolutely.
40:15Go on.
40:16Go ahead.
40:16Let me guess.
40:31There's a long wait.
40:33No, hot report came back, and there's nothing of concern.
40:36I just wanted to say I'm really sorry for earlier.
40:42Do you think I was a battered wife?
40:46I jumped to some pretty big conclusions.
40:48I don't blame you.
40:51All the signs were there.
40:53You know, there is help available to Lloyd.
41:00Specialists, support.
41:02I was thinking that maybe I could push for some emergency respite care.
41:06Thank you, but I'm the only one who can calm him down.
41:10But maybe that needs to change.
41:12No.
41:12I won't give up on him.
41:14That's not what this is.
41:15This is temporary.
41:18Look, Mel, if you can't step in, Lloyd could hurt himself or someone else.
41:22He needs to be with me.
41:27I know this must be hard.
41:30It's awful.
41:40I love Lloyd so much.
41:45I know.
41:47So, give yourself some time to heal.
41:51Get your strength back.
41:52It's not just me.
41:54You'll need convincing.
41:57Who?
41:58Harry.
41:59I can talk to Harry.
42:01If that's okay.
42:07Okay.
42:20Hi.
42:21They're looking for you everywhere.
42:23Thank you so much for doing the double.
42:25Oh, um, it's all right.
42:26Someone's got to do it.
42:27Oh.
42:28So kind.
42:30I know.
42:30And, uh, sorry for being a bit grumpy.
42:33No, it's fine.
42:33Look, you need an eye out.
42:35You're my hero.
42:36I'll make up to you.
42:37I promise.
42:37You see?
42:38I know my stuff.
42:39I know my stuff.
42:39That was quick.
42:51Yeah, so look, um, good news all round.
42:54This one's good to go.
42:55And I've spoken to social services about taking Lloyd.
42:59What do you mean, taking Lloyd?
43:00Just for a couple of weeks.
43:01For some rest by care.
43:03Oh, no, I'll take time off.
43:05It's fine.
43:05I know, but Harry, look, we saw what happened.
43:08Lloyd wants to go to Mel quite naturally, and you need time to fully recover.
43:12Well, you don't want that, surely?
43:15I need a break, Harry.
43:17I'm exhausted.
43:19But he'd be left with complete strangers, Mel.
43:23Look, Lloyd is becoming a young man with complex needs.
43:26They're shifting all the time.
43:27This is a big thing.
43:28You can't make decisions like this without including me.
43:31Harry, Harry, look, nobody's made any decision.
43:35Just think about an empty house.
43:39You're going to hate that.
43:40I know.
43:42I know.
43:43Also, rest and recuperation is never a bad thing.
43:48No, exactly.
43:49And look, this is about what's best for Lloyd,
43:51and also what's best for you guys as a family.
43:54But ultimately, it is up to you.
43:59What are the Mel things?
44:03Okay, so can I go ahead and confirm?
44:09Okay.
44:21Oh, um, you're home early?
44:30Uh, yeah, um, finished on time.
44:33Ah!
44:35Okay?
44:35Yeah, all good.
44:37Hey.
44:38Hey, Dad.
44:38I think he's just a bit tired.
44:55Why is that man following me?
44:57Why is he here?
44:58It's okay.
45:01It's okay.
45:02Hey, Dad.
45:04Hey, it's me.
45:06It's Rash.
45:07Should we, um, should we do something together?
45:11I actually find that choices are a bit better for him.
45:15I don't know.
45:17Okay.
45:18Um, what about a walk?
45:21Should we go for a walk, or we could play a game?
45:23We have had such a busy day today, haven't we?
45:33What about a jigsaw, Dad?
45:35Should we go for a jigsaw?
45:38No!
45:39Okay.
45:41Uncle...
45:42Shall we all play snap with these cards?
45:52I'll deal.
45:53Okay.
46:07I, I, I think we've done enough, Steve.
46:10Well, why do you make that sound like a bad thing?
46:13No, no, no.
46:15I'm just thinking, if you had come to me about all of this, I know, Harry, I know all of the family, I could have made this a lot easier on everyone.
46:23But, Charlie, I can't come to you about everything.
46:26And what would that look like?
46:27What, two blokes making a decision about the poor, tired mother?
46:30And besides, Harry's on board.
46:31You, you didn't exactly give him much choice, did you?
46:34Zero tolerance doesn't have to mean absolute zero, does it?
46:39Maybe, maybe you'd better just take a step back before you do something that you might regret.
46:43No, the only thing I'll regret is not doing my job, Charlie.
46:45Hey, I hear your test came back clear.
46:56Yeah.
46:56Any sign of your doser?
46:58Well, it takes a couple of buses, you know.
47:00Okay.
47:01Okay, well, I'm here if you need me.
47:03I'm glad I got you.
47:05Oh, Jerry, I've left you sitting for hours.
47:07Well, I'd never really said what was wrong with me, did I?
47:11But you knew you're a good nurse.
47:21Oh, Dad!
47:22Oh, God!
47:23Hey, what are you still doing here?
47:48I thought your shift finished half an hour ago.
47:49Yeah, well, time flies when you don't have days.
47:52Can we talk?
47:52Yeah, of course.
47:55Right, this, uh, this Matt Halliwell thing, I don't, I don't want to do it.
47:59I don't want to press charges.
48:01Why have you changed your mind?
48:03Because you can't be a lawyer if, if he has a criminal record, so...
48:07Well, yeah, I should hope not.
48:08It's TV.
48:09No, look, Faith, um, Max told me everything.
48:11The guy was out of line, and I know it must have been difficult for an addict to treat another addict,
48:16but I'm sure the guy was really convincing.
48:17Whoa, whoa, whoa, no.
48:18See?
48:19I knew it.
48:19You don't trust me, do you?
48:21What?
48:21Look, when I was in active addiction, I was unreliable, manipulative, untrustworthy.
48:27My judgment is fine now.
48:30You know that in the States, when they've done the 12 steps, they put it in their CV.
48:33It's seen as a good thing.
48:35Okay.
48:35Yeah, but what I'm trying to say is my past makes me an asset, not a liability.
48:39I didn't...
48:40No, no.
48:40I've made my decision, Stevie.
48:42Right?
48:42Without my statement, you have nothing on Mr Halliwell, who, by the way, is not an addict.
48:46Hold on a second, Phil.
48:47I don't know what's going on here.
48:48I didn't say you were a liability.
48:49You've worked really hard to get back here.
48:52I know.
48:52I was there.
48:53But the bottom line is, you don't deserve to come to work to get punched in your face.
48:56And he doesn't deserve to lose his whole career over one mistake.
48:59Why is it you can't have my back on this, okay?
49:01Because everything I'm trying to do here, everything, is for you.
49:05It's to keep you guys safe.
49:06It's for all of you.
49:06Now, you know what?
49:07I'm beginning to think this is all about you.
49:36I'm beginning to think this is all about you.