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Casualty Season 44 Episode 2
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00:00Polly! This is not the time of the...
00:02Oh! What was that?
00:04I think that's drugs.
00:06I lied about what I was talking to the hard guy about.
00:10I asked if I could join him, and he's offered me a second.
00:14Are you joking?
00:16Don't stop, I've got monologues on here.
00:18He isn't working, Indy.
00:19Why isn't it working? It always works.
00:20I don't know!
00:21I'm truly on his side.
00:23We're trying to look after him, but nothing's working.
00:25He's in a really bad way. You need to hurry up. Please hurry up.
00:29Just stay on the line.
00:39I'm excited to get back to work, back to normal.
00:44You've only just finished chemotherapy?
00:47Mm-hmm.
00:48I know the treatment's been successful, but I'd advise more time to rest.
00:53No, I really don't need more time.
00:563-0-0-6, arriving on scene now.
00:59Teddy, can you assess?
01:01Yeah.
01:02The naloxone isn't touching the sides.
01:04All right, set up an infusion.
01:06Can we move this out the way, please, now?
01:09And you're experiencing no other side effects, aside from the neuropathy?
01:14No.
01:15No, and the pain and the numbness, that's pretty much gone.
01:19Hey, mate. I'm Teddy. I'm a paramedic. Can you hear me?
01:29Can you help me drag him down?
01:31Let's watch those needles.
01:33My plan is to take it slow and ease myself back in.
01:37Ready? Three, two, one.
01:39Okay.
01:48Oi!
01:50Stop insulating.
01:51Stop insulating.
01:59I'm ready.
02:21I'm gonna need more than a shot in the A3.
02:26Another picture on my own, but I'm not responsive.
02:28Where are you?
02:29I'm sorry.
02:30I've got another O.P. here now.
02:32Excuse me, mind your back.
02:34Name's level.
02:35Name's level.
02:36Dr. Marson, where do you want her?
02:37Just right here.
02:38Through here, yeah?
02:39I've just discharged the...
02:42...paste of the...
02:43...and...
02:44...and...
02:45...and...
02:46Hey, Clint. I'm here.
02:47Hey.
02:48It's good to see you.
02:49There's chaos in here.
02:51Listen, there's a particularly dangerous strain of heroin in circulation.
02:54Police think it's got something to do with the shipment.
02:56They were seized a couple of weeks ago.
02:57They said dealers are lacing their remaining supply.
02:59Lacing it with what?
03:00I don't know.
03:01My guess would be nidazines, fentanyl.
03:03Patients are needing more naloxone than normal to count on the side effects.
03:06Catch you later, yeah.
03:07We're forming into respiratory arrest.
03:08The second it wears off, we're literally running back-to-back infusions.
03:11It doesn't stop.
03:12I know I'm meant to phase you back in.
03:14No, no, it's fine.
03:15Where do you want me?
03:16In recess with me.
03:17I'll be right by your side, okay?
03:18Great.
03:19Welcome back.
03:20I need ya.
03:21Yeah, what have we got?
03:22Uh...
03:23May of the 40s.
03:24Found in respiratory arrest due to heroin overdose.
03:29Okay, Doc. This is Maggie 66.
03:31Exacerbation of COPD.
03:33Initial stats are 75 on arrival.
03:35Good rest of 30.
03:36She's been given 500 micrograms of ipotropium
03:38and 100 milligrams of IV hydrocortisone.
03:41No salbutamol given due to the shortage.
03:43Uh...
03:44She came in with foster child Cassie Woods, who has a suspected fracture.
03:49You okay?
03:50Nicole?
03:51No.
03:52Yeah, fine.
03:53Um...
03:54Do you want to just shuffle across to me?
03:59What's her GCS?
04:00Uh, GCS 50.
04:01Eight hours we waited. Eight!
04:06Cassie.
04:07Sorry, but we've had a very busy morning with multiple LD patients
04:10and I'm sorry for the wait.
04:12But you need to calm down.
04:15Let's get your wrist seen to you, okay?
04:16Come, could you get me a bluegrass please?
04:22This infusion rate's over 60% of the initial resistance.
04:37Just trust me, Steve.
04:38Yeah?
04:39Fair.
04:40You'll change.
04:41Jodie, can you take her bag in for me?
04:42Right, let's intubate.
04:43Stevie, I'll be right over here, okay?
04:44Okay.
04:46Oh!
04:48Yeah, fair.
04:49You'll change.
04:50Jodie, can you take her bag in for me?
04:52Alright, let's intubate.
05:00Stevie, I'll be right over here, okay?
05:02Okay.
05:04Come on, keep that on.
05:16Hello, Pickle.
05:19I'm so proud of you.
05:25Did all right in the end.
05:28Got me fast on having to thank for that.
05:31Not kicking us out of our horn.
05:32He came close.
05:34Really played the best bleeding spice ladies through the wall.
05:39Come on, put that on.
05:42Take these deep breaths and lie back.
05:48Missed my birthday card this year.
05:52And last, come to think of it.
06:00Miss...
06:01Doctor.
06:02Piper, Pickle.
06:05When you...
06:06When you do get time.
06:08Talk to Cassie.
06:10That girl needs a push.
06:13She reminds me of you.
06:16It's a terrible...
06:17Terrible taste in music and all.
06:21Come on, then.
06:23Come on.
06:24Put that on.
06:25Lie back.
06:26And these deep breaths, let's hear.
06:27Okay, he's been asystolic for ten minutes now.
06:35If you're at agreement, I'll call it.
06:36Okay.
06:37Okay.
06:37Okay.
06:37Okay.
06:37Yeah, time of death is ten-forty-five.
06:50Stevie!
06:50Yeah.
06:52Bay one, please.
06:54All right.
06:55This is Oshan Morris, found in respiratory arrest from a heroin OD.
06:59He's had 2,000 micrograms of naloxone intranasal and intramuscular.
07:03Uh, unable to gain IV access.
07:05Uh, still really flat.
07:07Veins keep collapsing.
07:08On slide.
07:08Ready, steady, slide.
07:10Okay, cheers.
07:10Thanks, guys.
07:11Right, um, just grab an infusion, please.
07:18Yeah.
07:20Yeah, and these are all thrombosed.
07:22Yeah, there's nothing here to cannulate.
07:24Try and use IVs, Stevie.
07:26Yeah, okay, sure.
07:27Grab me an ultrasound, please.
07:28Thanks.
07:33No.
07:40No, nothing.
07:41Okay, um, I'm gonna get IV access.
07:43Yeah.
07:44Can we get a cut?
07:46Yeah.
07:53What?
07:54What is it?
07:55Um, he served in Afghanistan.
08:00Coming up the tubular.
08:03Okay, quick flush.
08:14Uh, Stevie, the naloxone's worn off.
08:16Arrests are dropping.
08:17Yeah, yeah, just give me one second.
08:21Right, Stuart, you're okay to connect?
08:23Okay.
08:27Yeah.
08:28Do you have to get help?
08:30Dr. Byron, uh, sorry, um, chief exec's on the phone.
08:33Says it's urgent.
08:35Okay.
08:37Flint, are...
08:38All right, you're doing great, Stevie.
08:39Keep it up, okay?
08:40You're doing great.
08:40Okay.
08:41I'm going to get help.
08:41Watch out.
08:41I'm going to get help.
08:44I'll get help.
08:46Does anyone else have a deja vu?
08:47Does anyone else have a deja vu?
09:01Not going to miss this when you go to heart.
09:04Well, who's still the naloxone?
09:06Are you joking?
09:10Er, Control, can we request P1 backup, please?
09:14Can you put us on this OD, but we're out of naloxone?
09:16This is Indu, paramedics.
09:17You hear us?
09:18OK, thanks.
09:19You're up, mate.
09:22Puzzle the week.
09:24Yeah.
09:26Jan, it's me.
09:27Listen, we're on our knees out here, mate.
09:30We're getting cold to ODs every two minutes, and we're out in a loxone.
09:33We'll cap when protect you, bring the patient in, and then I'll organise you a break, OK?
09:38So long.
09:40We haven't got enough available ambulances to keep up with demand.
09:45HDU is overflowing.
09:46Bed capacity is a breaking point.
09:48We need to declare an internal major incident.
09:52Agreed.
09:53Oh, hold on.
09:53We're not at that point.
09:55Not at that point yet.
09:56We're miles past that point.
10:00All right, fine.
10:01Just action an internal major incident.
10:03Hope you run it better than you run your office.
10:06Thank you, Siobhan.
10:08I'll do my best.
10:11Jan, have you spoken to Ian about this heart thing?
10:14I mean, surely you think this is as mad an idea as I do.
10:18You know I can't discuss this with you.
10:21Yes.
10:23But it's done, and I've approved his request.
10:34Sorry about the wait.
10:35The ED's declared an internal major incident.
10:38How is she?
10:40Max, you all right?
10:42She's fine.
10:44I'm on it, Renna.
10:46Just going to have a look at her.
10:48All right.
10:49Now, you've had the haematoma block, yeah?
10:54Right.
10:55Well, your x-ray does show a fractured distal radius.
10:58She landed on me when I tried to sit her up.
11:03You know, you should have VIP ambulances for people like her.
11:06I'm afraid it doesn't work like that.
11:07You wouldn't say that if you knew her.
11:11Max took me in when no one else did.
11:13OK, I'll be right back with that plaster and one of my colleagues.
11:35Right, guys, review, treat, move the patient on.
11:38We need rapid turnaround, OK?
11:39You're in your own time now.
11:40Let's go, please.
11:43Big boss man wants us all in camouflage.
11:45Yeah, I wouldn't take offence.
11:47He thinks HR is where the stationery's kept.
11:50How are you getting on with your new dose?
11:52Any new headaches or insomnia?
11:54No, no, it's been good.
11:57OK, guys, come on, what are you doing?
11:58Let's go, let's go.
12:00Remind me to talk to you about your CESAR training when this is over, yeah?
12:02Yeah, great.
12:03Yeah?
12:04Check you.
12:10Hi, I'm Dr Massam.
12:12Uh, you've got a pain in your arm, is that right?
12:16Yeah, can I see?
12:23Any nausea, dizziness?
12:25What's wrong with them?
12:32The heroin in circulation at the moment, it's highly dangerous.
12:35Don't listen.
12:37These are the lightweights.
12:41I'll need to take some bloods, check for any marks of infection.
12:44Let's see if this arm's any better.
12:56OK, just try and relax.
12:59No, no, no, I can't, I don't want to...
13:00She don't like needles.
13:02Can I do it?
13:04Her veins are funny.
13:04I...
13:05I...
13:06I...
13:08I don't know.
13:38Do you need another pair of eyes?
13:46Yeah, I would, actually. Thank you. I've dropped my contacts. I can't really see without them.
13:49Oh.
13:52Do you know what? I think it's gone. Don't worry. Thank you, anyway.
13:55No worries.
14:02Since when did you wear glasses?
14:04Why, do they look weird? I've got spare contacts.
14:08Oh, I have to go.
14:12Is that Stevie?
14:13Yeah.
14:13Miss Daffod has been sent to the cath lab.
14:15Okay.
14:18Flynn, can I get your opinion on some results?
14:21Uh, look, we just lost another patient. Can you just give me a minute?
14:26Yeah, sure.
14:27Thanks, guys.
14:32Hey.
14:33Hey.
14:33Uh, this is Harry Rhodes. He only came in a few hours ago, but he's responding well to the naloxone, so the infusion's working.
14:39Okay, good, good. Let's, uh, let's keep it running.
14:45Have you seen this?
14:46Okay. Yeah, let's, uh, let's run ahead to toe for injury. Yeah, you okay to order a CT?
14:53Of course, yes.
14:53Yeah, thank you.
14:56Stevie.
14:57Yeah, I just want to say I'm proud of you.
15:01You just beat cancer. It's your first day back and you've thrown yourself right in.
15:04You're, you're a warrior, woman.
15:06You're a warrior.
15:07Hey, Nicole, we, uh, need to get patients onto the walker. Can you mind if I assess with you?
15:25Yeah, um, Miss Finley's too unstable to move.
15:28I'd have given her salbutamol, but without it, I've administered intravenous aminophilin to bronchodilator.
15:33Okay, good. It's a good call.
15:35Right, what have we got?
15:35A lot of omitted doctor.
15:37Flynn.
15:44Yeah?
15:44She's in acute anaphylaxis.
15:46Uh, with me, please.
15:47There was nothing to say. She was allergic.
15:48Okay, stop the aminophilin. Let's get her laid down as flat as possible.
15:51I need 0.5 milligrams of adrenaline, please.
15:56She's in cardiac arrest, getting on the chest.
16:03Bad to be.
16:04Let's get the gun down.
16:17Let's get the gun down.
16:17Okay, right, we'll get to you as soon as we can, yeah?
16:26Okay, how are we doing?
16:40Okay, yeah, um, so I'm Dr. Nash.
16:43Uh, we think you injected heroin laced with a synthetic opioid. That sent you into respiratory arrest, which means that you weren't breathing for a length of time.
16:52I want to send you up to HDU, but I still need to wait for bed to become available.
16:56Laura, when can I go home? I need to go home.
17:00Okay, okay, okay, just keep this on. It doesn't count for me. What's your name again?
17:05Oh, Sian.
17:05Oh, Sian. Okay, oh, Sian. Look, uh, you go home. You come back. Even if I revive you, there's a chance you go into cardiac arrest, okay?
17:15Your brain can only survive for, what, three to four minutes, and a heart that's not beating, and that could give you some serious long-term brain damage.
17:22Already wrong in the head.
17:25Look, um, we did see your tattoos, and we have links with services who help veterans who've fallen into addiction.
17:34Look, with PTSD.
17:35I don't have PTSD.
17:38I got a brain injury.
17:40Okay, okay, okay. Keep this on for me. Okay. Stay accountable for me. Tell me about this brain injury. Open your eyes.
17:47I had a bad stretch.
17:51Good as a sit-in duck, I was.
17:56Rocket after rocket. Something happened to my brain.
18:01What were your symptoms?
18:02I got the shakes.
18:05I'd wake up.
18:08The pain.
18:10I'd wish I was dead.
18:21Judy, just lay him flat. Can you actually get such a thing?
18:25Look, he must have a stomach also when he's doing an endoscopy.
18:27Can somebody get Dr. Byron for me?
18:34Patient's been down for over an hour.
18:35Dr. Byron.
18:39Dr. Pipe.
18:43Nicole.
18:57Time of death is 1413.
18:58Listen, Nicole, I want you to know that this is on me.
19:07I failed to secure sub-usamol for the hospital.
19:09If your dad sub-usamol would have been different.
19:11I want you to know that this is my responsibility.
19:14Nicole.
19:15Nicole.
19:15Is something wrong?
19:26Is it Mags?
19:30I'm really sorry.
19:31Your foster mother, Ms. Finlay.
19:40We tried to resuscitate her, but we weren't successful.
19:44I'm so sorry.
19:47I mean, could...
19:49There may be a slight delay with your blood results, so while you're waiting, would you like to hear about some of the support on offer?
20:15We always said we would stop one day.
20:21Yeah.
20:21One day.
20:22Not today.
20:24Don't you think I'll look out for you?
20:26We've seen an increase in fatal overdoses over the last 12 hours.
20:31We're leaving.
20:32You coming?
20:38Maya.
20:38Maya, no, no, don't.
20:39Please.
20:40I really, I really advise you wait.
20:42Maya, please.
20:42Maya.
20:45Maya, please.
20:51It's a bit of C.
20:53When you dissolve it in, it, it touches you and stuff.
20:57This.
20:58This won't help.
20:59I ain't thick.
21:01Maya, please, come back.
21:03You're at risk.
21:04Please.
21:06Monday.
21:10Not today.
21:12I'm going to go to the hospital.
21:13I'm going to go to the hospital.
21:13I'm going to go to the hospital.
21:14I'm going to go to the hospital.
21:14I'm going to go to the hospital.
21:15I'm going to go to the hospital.
21:15I'm going to go to the hospital.
21:16I'm going to go to the hospital.
21:16I'm going to go to the hospital.
21:17I'm going to go to the hospital.
21:17I'm going to go to the hospital.
21:18I'm going to go to the hospital.
21:18I'm going to go to the hospital.
21:19I'm going to go to the hospital.
21:19I'm going to go to the hospital.
21:20I'm going to go to the hospital.
21:21I'm going to go to the hospital.
21:22I'm going to go to the hospital.
21:23I'm going to go to the hospital.
21:24I'm going to go to the hospital.
21:25Doctor, Max, I know she's dead.
21:55But I think of her in one of those bags, and I worry she's cold.
22:05She hated the cold.
22:09She kept her heating on in June.
22:11Oh no, it's dumb.
22:15She won't be, will she?
22:18Cold.
22:19No.
22:20No, she won't be cold.
22:25Why don't I see if I can find someone and we can get you discharged?
22:32And go where?
22:34Stevie?
22:35Jodie.
22:36These are Mr Nedry's I-Now results from the patient who redecorated resources in his
22:41elevator.
22:42Oh yeah, how can I forget?
22:43Uh, yeah, these are elevated.
22:44Didn't show up on his earlier tests.
22:45Um, yeah, that seems strange.
22:46Yeah.
22:47Yeah, you sure he's not on blood thinners?
22:52Okay, thanks.
22:53Yeah, if he's asking you about the colour of your eyes, I suggest you run.
22:59I'd like run right now.
23:00Sorry.
23:01I'll see you in a bit.
23:06Thanks.
23:07Thanks.
23:08Thank you, Steve.
23:09You're welcome.
23:10I can't believe you're still pulling the same routine 20 years after uni.
23:14University?
23:15What were you talking about?
23:16Really?
23:17Let me remind you.
23:18What colour are your eyes?
23:19I've never seen eyes that blue before.
23:20Is that me?
23:21Yeah.
23:22That's supposed to be me?
23:23Yeah.
23:24Uncanny, Stevie.
23:25Really, you're a talent.
23:26What's wrong with reliving our youth a little bit?
23:27I mean, seriously, come on, cheap pints, Oasis, back to a time when you were less...
23:31A time when you were less...
23:32A time when you were less...
23:33Oh, no.
23:34No, no.
23:35No, no.
23:36No, no.
23:37No, no.
23:38No, no.
23:39No, no.
23:40No, no.
23:41No, no.
23:42No, no, no.
23:43No, no, no.
23:44No, no, no.
23:45A time when I was less what?
23:47Go on.
23:48How dare you?
23:49Uptight, Stevie.
23:50Come on.
23:51I mean, off of everything you've been through, you can't just loosen up a little bit.
23:54You're actually getting worse.
23:55Don't you dare, okay?
23:56It's my first day back at work.
23:58There's a major incident going on, and you left me completely on my own.
24:01Thanks.
24:02I didn't leave you on your own.
24:03Stevie, I was watching you the whole time.
24:05You are absolutely fine.
24:06You don't need stabilisers.
24:08Come on.
24:09Yeah?
24:10We need your resource.
24:12Great.
24:13He's tachy and hypotensive.
24:20Earlier CT confirmed and encapsulated hematoma around the spleen.
24:24Yeah, okay.
24:25That's rigid.
24:26Yeah, I think he's bleeding.
24:27Okay, can we get...
24:28Let's activate the major haemorrhage protocol, please.
24:30And let's get some Oneg.
24:32I'm going to get a large IV in.
24:33Can someone get me some TXA, please?
24:35You know, what if we're missing something, okay?
24:38What if there's something else in the heroin that's causing some of the OD patients to bleed internally?
24:43Like our man who vomited earlier.
24:44His INR results show that there was something stopping his blood from clotting, so...
24:48Ah, come on.
24:49I think it's over-analysis.
24:50I don't see anything to link these patients.
24:52The surgeries could just as easily be caused by an unhealthy lifestyle.
24:55These are not hardly known for their love of green juice, are they?
24:57Yeah.
24:58Well, he's bleeding internally, so he's going to need surgery.
25:00He's lost pulses in PEA.
25:01Let's secure the airway.
25:02Sorry, can you bag him, please?
25:03Come on, Steve.
25:05Stevie, come on.
25:06Give me a second.
25:07Don't let me just...
25:08Continue bagging, please.
25:09Stevie, get to me.
25:10Get to me.
25:11Oh.
25:12Oh.
25:13Oh.
25:14Oh.
25:15Oh.
25:16Oh.
25:17Oh.
25:18Oh.
25:19Oh.
25:20Oh.
25:21Oh.
25:22Oh.
25:23Oh.
25:24Oh.
25:25Oh.
25:26Oh.
25:27Oh.
25:32Oh.
25:33Oh.
25:34Hey.
25:35Hey.
25:36Yeah, I sent a toxicology or drug sample just to put your mind at ease.
25:44If the heroin is cut with something other than the suspected synthetics, then it'll show.
25:50Is he thinking wrong?
25:53I mean, I don't think it's... I don't think this kind of show is anything unusual, but...
25:58Listen, why didn't you tell me about your hands?
26:03Because I'm terrified.
26:06And I thought that coming back to work would make me less terrified.
26:10But the truth is, I'm scared.
26:12I'm scared all the time.
26:16And Faith said to me earlier, she said,
26:18Oh, Stevie, you're a warrior, and I hate that badge because I'm not a warrior.
26:22I didn't fight cancer. I didn't beat cancer. I just survived it.
26:27And there are other women, loads of other women, who didn't win.
26:31And did that mean that they didn't fight it? Does that make them not warriors?
26:36Honestly, Finn, seriously?
26:40I don't know who I am anymore.
26:52Come on.
27:12Come on, Stevie.
27:13An unprecedented amount of people have been admitted to hospital after taking a suspected
27:33bad batch of drugs. Holby police said up to 40 patients are currently in a life-threatening
27:38condition. The individuals are believed to have taken laced heroin.
27:44Come on mate. Hiya. He's upstairs.
27:49Okay, what's his name? Emmett.
27:53Okay, just be aware of other needles guys. How are we, another oldie? Emmett. Emmett,
27:59it's the ambulance service. Can you hear me? All right, let's get monitoring on, get her
28:06a respirator, and get her respirator and secure his airway please. Look at that.
28:24Yeah, it's been, um, it's been hell, to be honest. Um, the mortuary stopped accepting
28:44bodies about two o'clock this morning. And we've escalated it, but what can you do? They
28:49can't build more space overnight. Anyway, all yours. Good luck.
29:10How come she's still here? Cassie. Oh, she can't be discharged. There's no available placement for her.
29:17She turns 18 tomorrow, so until then, she's ours. And then what?
29:23Er, her PA's found her a room in a hostel. She was due to stay with her foster mum, Maggie,
29:30part of the staying put policy, but, do you know, when I look at my kids, they're 18, they're still just babies, aren't they?
29:47Hmm, yes. Well, a little bird's told me that you're running a racket. I've also lost his lunch.
29:57No, my four people don't know the rules. Maggie taught me how.
30:03Do you want to play? I do.
30:11Find the Queen.
30:28You lose.
30:29Uh, I'm sorry. Security should have stopped you. You're not allowed to be in here.
30:36Oh, I work here. Upstairs. Of course.
30:39Inpatient services. I heard he was here. My husband.
30:45Yeah, hey. I'm, uh, I'm Dr. Nash. We've been looking after your husband.
30:48Rest assured, we're doing everything we can for him.
30:53Everything is never enough for him.
30:54I wasn't enough to make him stop.
30:58No. You weren't.
31:03You weren't enough.
31:03Yeah, stay calm. Keep this on for me.
31:05Nothing. And no one is.
31:10I want her to look at my head.
31:12Look at this excuse again. All the scandal will show is that you have rot for brain.
31:18Okay. Look, I appreciate you're upset, but he really is to rest. Can we just, yeah, thank you.
31:22I only came down to see if it was my ocean.
31:25I don't know. But I don't know where he is. Come on, I'll get you a cup of tea.
31:37Loire?
31:41Excuse me. Can you keep your voice down, please? And be careful.
31:45Loire, where are you?
31:45I'm excited when you contact me.
31:47They're waiting for a day to get a third.
31:49Hold it.
31:49Hey, come back here. Please, Jake.
31:51Hey, hey.
31:55Where's security?
31:56I don't know.
31:57I don't know.
32:25Hey, hey. You can't be in here.
32:28It's a excuse for me.
32:35Come on, you can't be in here.
32:42What?
32:42Come with me, dear. Come on.
32:54With me, come on.
32:55Come on, come on.
32:58Okay, okay, I got you to touch.
32:59I'm sorry, my love.
33:19Hi, Flynn.
33:21Um, O'Shawn Morris, our ex-Vorters guy, I want to send him for a CT to check for a historic brain injury.
33:27So basically, he's no history of seizures, so I'd need you to call radiology and maybe just get him bumped up.
33:33Stevie, today's not a day for favors.
33:35Bodies are quite literally piling up.
33:37Yeah, yeah, I know, but this shouldn't interfere.
33:40Stevie, no.
33:47Hi.
33:48How's the rest?
33:53Go on, deal us a hand.
34:01Find the Queen, you win.
34:05Watch carefully.
34:05No-one's found her yet.
34:24I guess I win.
34:26How did you...?
34:28Nicole.
34:29Two minutes.
34:29Phoebe, more neroxone.
34:37Thanks, Julie, let's get that rolling.
34:38Phoebe!
34:39Uh, right, two's about to pop to CT, so let's jump in there, thanks.
34:42Okay, this is Jessie, uh, 15-year-old female, found in respiratory distress at home, ingested heroin,
34:49required baggage for eight minutes, her left lung has reduced ear entry, suspected pneumothorax.
34:54Resource.
34:56Right, yeah, okay, I'll pass it on, thanks.
34:57Okay, well, I'll do primary survey.
34:59Jodie, can we get another naloxone infusion and let's get an INR as well?
35:03The, uh, blood labs messed up the patient numbers.
35:05What do you mean they've messed up patient numbers?
35:06We're gonna have to repeat everyone's blood, so that looks massive.
35:09What, so no tox report and no INR?
35:11Like, how are we supposed to treat our patients?
35:12I'm calling pathology, just keep doing the same procedure, naloxone, please.
35:16Thank you, Julie.
35:17Yeah.
35:23Yeah, we've got bleeding gums over here, so we're seriously running out of time.
35:29I'm sorry, Miss.
35:30Can you come with me, please?
35:41Just say the word and I'll retract your secondment.
35:44Have Faith been on to you, has she?
35:50She might have, but I don't want to lose you either.
35:55We would have gone under today without you.
35:58Well, I'm sorry, mate, but my ma's made up.
36:01I am going.
36:03So you can either support me, or...
36:07Kettle's just boiled if you want one.
36:09Yeah.
36:10You did well today, you two.
36:14I want to go with Ian.
36:16I want to try out for heart.
36:18Do you know how many ODs we went to today?
36:21Just today.
36:2323.
36:24It was basically the same patient again, and again, and again.
36:28And I need to get out of this.
36:31I need to do something else.
36:34It's not like there's much of a team to stick round for anyway.
36:39No.
36:42No.
36:42Telling me, Ian.
36:51Might do him good.
36:56Change might be good for everybody.
36:57Yeah, that's right.
37:19The toxicology report for Holby ED.
37:21That's the one, yeah.
37:26Great.
37:27Thanks.
37:33PP's falling.
37:36She's still bleeding.
37:39You want to see if you can go find her mum?
37:41She might want to be in here.
37:42Hey, shooting's vitamin K and four-factor PCC.
37:51Thanks, Jody.
37:52Hi, Stevie.
37:53Hi.
37:53So, I got the tox report, and it confirms nitrosines, but it also confirms warfarin.
37:58Our good old-fashioned rap poison.
38:00They ingest the warfarin, thins the blood, and that's why they're bleeding internally.
38:03Okay.
38:05Yeah.
38:06Hopefully, this should reverse the effects.
38:09Okay.
38:09Do you mind actually stepping in?
38:10Yeah.
38:11I'll tell you.
38:23Go on, then.
38:24I know you're dying to say it.
38:25Get off your chest.
38:27I was wrong, and you were right.
38:28I was right.
38:29I was right.
38:31Yeah.
38:35Okay, guys, let's get some vitamin K and four-factor PCC draw.
38:41Well done, Stevie.
38:57Moshan Morris CT results.
39:02How'd you get him a slot?
39:04I asked the radiologist the colour of her eyes.
39:21Okay, Moshan.
39:22So, um, I have your CT results, and yeah, there is evidence of a traumatic brain injury.
39:32TBI.
39:36Look, um, I can't be specific as to the date, but it is historic, so it's fair to assume that
39:41you attained it during your time at the army.
39:44The good news is all those symptoms from the TBI, the shakes, the mood swings, all of that we can now
39:49start to address. But my strong advice, you need to stop using heroin. You need to stop self-medicating.
40:02Can you let, can you let Carys know?
40:07Yeah, of course.
40:09Good man.
40:20Yeah, that looks good.
40:22Ask her for a drink.
40:24Who?
40:25Sonny.
40:29Does it look okay?
40:30Fit.
40:31Ask her out.
40:33Go on.
40:34Yeah, guys, I'll be going out tonight, because I was going to ask Indy to come, but she's been a bit weird.
40:38Now, Rash is going to ask Sonny out.
40:41Are you sure she likes you? She might say no.
40:42Can't, no, you go get a tiger.
40:47Yeah, thanks, sorry.
40:48Oh, there she is, there she is, come watch.
40:53Hey.
40:54Hey.
40:58You lost your tongue?
41:01Um, okay, you're what do you mean now? What are the symptoms of a stroke?
41:06Um, I, I was just wondering if you, er, er, have, er, if, if you've got a parking permit for your car.
41:21Um, it's just, I, I saw the, er, ticket inspector. I, I wouldn't want you to get a ticket.
41:26I take the bus.
41:28Bus.
41:31Better for the environment.
41:31Oh, God.
41:34Yeah.
42:01Oh, God.
42:20Damn it.
42:22Don't worry about you.
42:24Such a sore loser.
42:26You've always been a sore loser.
42:31You know, it's the first morning I woke up without peeing.
42:36It's good, Stevie.
42:40I wanted to say thank you for having my back the last few days.
42:44Yeah, of course.
42:47No.
42:48Seriously, I don't say it enough and I really felt it, I suppose.
42:51What the hell are you doing?
43:03Stevie.
43:03No, no, don't you dare pull that stuff with me.
43:05Oh, come on.
43:05It's not that tiny other now, isn't it?
43:07Your body count when you were 19 years old.
43:09Yeah, and you weren't one of them.
43:11So don't use me for comfort.
43:12I'm not one of your nurses.
43:13My eyes are blue.
43:14I'm really well aware of that.
43:16Stevie, come on.
43:16No, we're supposed to be friends, Flynn, and that means something.
43:19What does to me?
43:31The medications for your own use?
43:33And how many hours since you last had unprotected sex?
43:36Within 72?
43:43Yes.
43:49This place is like a prison.
43:53Escorted to and from my daily exercise.
43:55You're not the only one who thinks that.
43:58Happy birthday to you.
44:01Happy birthday to you.
44:04Happy birthday, dear Cassie.
44:07Happy birthday to you.
44:12There's nothing to blow out?
44:13Ah, yeah, less health and safety.
44:15Yeah, but the wishes still work, though.
44:17So go on quick, blow.
44:18We're hungry.
44:23Yay!
44:23Yay!
44:24Speech!
44:26I don't know.
44:32I guess I wish Mags was here.
44:37Mags loved to party.
44:38But she would have nagged about recycling all this.
44:46Okay, come on, back to work.
44:48Go.
44:57I got you these.
45:00I've got the receipt if you don't like them.
45:03I love them.
45:04Thanks, Shiv.
45:09Well, take your time packing and, yeah, we'll order you a taxi.
45:15Come here, Lon.
45:20You're going to be fine.
45:34Hey.
45:39Call this number.
45:40Tell them you think you might be pregnant.
45:42They'll move you at that unit.
45:44It's nicer.
45:45It's more central.
45:47Don't actually get pregnant.
45:49But they won't boot you out when there's no baby.
45:57That's where I know you from.
46:00Maggie has a picture of you on her fridge.
46:02You're Dr. Pickle.
46:06You knew where the Queen was because Maggie taught you too.
46:09Stop.
46:10I can live with you, right?
46:10For a while.
46:11Quiet.
46:12Why quiet?
46:13I'm easy to live with.
46:14Close as either of us has to my sister.
46:16Shh, Kathy.
46:18I can't.
46:21I escaped the chaos and I won't open my door to it again.
46:28Not my problem.
46:32Hey, Stevie, um, we should probably, do you want to talk about this morning?
46:47We should probably talk about it, shouldn't we?
46:48Yeah, I'd love to talk about it.
46:49Go on.
46:51Well, um, I'm sorry, okay?
46:56I don't know what I was thinking.
46:57I don't know why I did that.
46:58I think this past week has just been crazy.
47:01I didn't have breakfast before I got in the pool.
47:03Ugh, this is uncomfortable.
47:05Okay, um, so let me sum up.
47:09You're sorry.
47:10And you should be.
47:12And you will never ask but the colour of my eyes again.
47:14Okay, I'm good.
47:15Um, it should be a quieter day today, so that's good.
47:18Come on, why would you say it out loud?
47:20I'm trying to jinx it.
47:22Hey, morning.
47:23Uh, Chief, he says I'm going to call about 10 o'clock.
47:25He wants to know what the plan is.
47:27Female 20 is a respiratory arrest.
47:28Yeah, okay.
47:29Uh, but we're definitely down on patients overnight
47:31and fewer deaths as well, so well done, you two.
47:33Well, thanks, Stevie.
47:34Cassie?
47:46Cassie?
47:48Where are you calling?
47:51Who's that?
47:52What do you care?
48:04What do you care?
48:22What do you care?
48:26What do you care?
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