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Casualty Season 44 Episode 5
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Transcript
00:00I'm so proud of you.
00:02Might be faster than I happen to thank for that.
00:04Talk to Cassie.
00:05That girl needs a push.
00:06She reminds me of you.
00:08Time of death is 14.30.
00:11We've seen an increase in fatal overdoses over the last 12 hours.
00:15Dealers are lacing their remaining supply.
00:17Loosen it with what?
00:18My guess would be the disease.
00:19Fentanyl.
00:20All of this is still my fault.
00:21I have something to tell you about the burglary.
00:24Chances there won't be a job here for me when I graduate.
00:27A fresh start is probably best for us all.
00:29Don't lie this.
00:30Confirmation it is Marburg.
00:32Your breach put three people at risk.
00:34Being part of heart means facing the fallout, not wallowing when things go wrong.
00:38I'm done.
00:39There is no point in dragging this out.
00:45Control to 3-0-0-6.
00:47Update on the suspected domestic violence dispute on 55th Street.
00:50Police units are being dispatched.
00:52We advise you approach with caution.
00:53Over.
00:543-0-0-6 to control.
00:55Arriving on scene.
00:563-0-0-6 to control.
00:57I need an ETA on that police unit.
00:58Control to 3-0-0-6.
00:59We will update the police unit.
01:00Control to 3-0-0-6.
01:01We will update you as soon as you have one.
01:02Over.
01:03Hello.
01:04Hello.
01:05Ambulance service.
01:06Go for it.
01:07Go for it.
01:08How do you do?
01:09What?
01:10I am now.
01:11I am now.
01:12I am now.
01:13I am now.
01:14I am now.
01:15What?
01:16No.
01:17They don't want me either.
01:18This won't be my last shot.
01:193-0-0-6 to control.
01:20I am now.
01:213-0-0-6 to control.
01:22I need an ETA on that police unit.
01:23Control to 3-0-0-6.
01:25We will update you as soon as you have one.
01:27Over.
01:28Hello!
01:29Hello, ambulance service.
01:30Do you see this?
01:34Go for it.
01:40Did you okay?
01:46Um, yeah, yeah. Yeah, I'm fine.
02:01What are you doing?
02:02I'm gonna go through here and let you on the other side.
02:04Oh, no.
02:05Right, yeah, yeah, okay, let's do it, let's do it.
02:07Yeah.
02:17Hello, ambulance service.
02:30Oh, hi. My name's Indy, I'm a paramedic. Can you tell me what's going on?
03:00Hey, it's okay. It's okay, you're okay. Just talk to me. Tell me what's happening. Is there anyone else in the house with you?
03:24There's some noises. It's in the walls all the time. Someone is in there.
03:32Who?
03:33They're poisoning my food. They use my things. They stole my medication. I can hear them. Did they let you in?
03:43No, no, I...
03:45Don't lie to me.
03:51Oh!
03:54It's okay. You're okay. It's just, I think it's just my crewmate is a bit worried about me.
04:01We keep the doors locked in case more of them try to get in. Take my things.
04:06Right, okay.
04:08No.
04:09Don't worry. That's, that's, that's Teddy. That's the crewmate I was talking about.
04:12No.
04:13And I'm Indy, remember? We're both paramedics. We, we just want to help you.
04:18Can you tell me your name?
04:22Grace.
04:23Well, hi Grace.
04:24And what medication do you take?
04:29Crosby.
04:30Okay. And you lost it, did you?
04:32They take my things. They live in the walls. People do that.
04:36People live in your home and they come out at night and they take your things and poison you.
04:39I've read it.
04:40Okay. Yeah.
04:41Yeah.
04:42Well, I used to live in an old house like this with my Nan when I was younger and I used to be scared of the noise that the pipes make.
04:51And my Nan used to...
04:55There we are.
04:56There we are.
04:57That's a bit better, innit?
04:58Yeah.
04:59Okay.
05:00I'm just gonna...
05:01I'll take that.
05:02Yeah.
05:03Cool.
05:04Right.
05:05Let's get the kit and the wheelchair and tell the police to stand out.
05:08Okay.
05:09Okay?
05:10It's okay.
05:11You're okay. We've got you.
05:12Hey, guys.
05:13Those of you just joining us. Late.
05:14Welcome to your perfect storm.
05:15Now, as we all know, it's the big graduating week.
05:16It's the big graduating week.
05:17Yeah.
05:18Yeah.
05:19Yeah.
05:20Cool.
05:21Right.
05:22Let's get the kit and the wheelchair and tell the police to stand out.
05:25Okay.
05:26Okay?
05:27It's okay.
05:28You're okay.
05:29We've got you.
05:31Hey, guys.
05:32Those of you just joining us.
05:35Late.
05:36Welcome to your perfect storm.
05:38Now, as we all know, it's the big graduating week.
05:41It's the big graduating weekend this weekend, but as if that wasn't enough of a nightmare,
05:44there's also a new nightclub opening and a music festival in Sydney tonight.
05:48Yeah.
05:49Meaning us lucky few get to deal with plenty of drunk teen overspill.
05:52Great name for a headliner.
05:53I prefer the early stuff.
05:55What I'm trying to say is let's keep our heads above water tonight.
05:58Okay?
05:59That's all right.
06:00You're needed.
06:01Right.
06:02Erm.
06:03Have fun.
06:04You heard the man.
06:05Back to work.
06:06I can't wait.
06:08Hold it.
06:09Cleaning Stevie.
06:10Yep.
06:11Which is all yours, Piper.
06:13You all right?
06:14What's your name?
06:15Oh, hello.
06:16Er, can we get a wheelchair, please?
06:18You all right?
06:19Try and still pray for me, okay?
06:20S-s-sorry.
06:21I-no, I-I don't understand.
06:22I placed the order.
06:23I placed the order two days ago.
06:25No, I didn't get a confirmation email because I placed the order on the phone.
06:30Great.
06:31Great.
06:32Yeah.
06:33Thanks a lot.
06:34Med shortage?
06:35No, it's a jazz night.
06:37What?
06:38I'm supposed to be taking Sunny on our second date tonight, but the wine bar has sold the
06:43tickets I reserved.
06:44Oh.
06:45Well, broken nose in three, please.
06:46Sure.
06:47So, what shall I do?
06:48I-I promised her.
06:49I said I'd take her.
06:50Okay.
06:51I do have a couple of spare tickets to you for his opening night tonight.
06:53Yours for the taking.
06:54A bunch of us are going.
06:55Oh.
06:56The club?
06:57Oh, babe.
06:58Big dark room, flashy lights, people dance.
06:59You wouldn't get it.
07:00Yeah.
07:01Yeah, thanks.
07:02I still remember what a club is.
07:03It's just, I-
07:04Just, are you scared to show Sunny?
07:05You're actually fun to be around.
07:06Hello, Perk.
07:07Can you tell me your name?
07:08Okay.
07:09Well, you are very hot.
07:10And your heart's beating very, very fast.
07:11So, I need to put a little needle in your arm.
07:13Okay.
07:14Okay.
07:15Okay.
07:16Okay.
07:17Well, you are very hot.
07:18And your heart's beating very, very fast.
07:20So, I need to put a little needle in your arm.
07:21Okay.
07:22Okay.
07:23Okay.
07:24Okay.
07:25So, I need to put a little needle in your arm, okay?
07:27So we can get some fluids in, all right?
07:29You feel a sharp scratch?
07:31It's a good lass.
07:33All right, yes.
07:34Let's get that head up.
07:36And try and keep that jaw on her tinges as well, eh?
07:42Cassie?
07:45She's my friend.
07:46I was getting her some water.
07:47She wandered off.
07:48Did you bring her in?
07:50We were getting ready to go out.
07:53Drinking.
07:55It's Maggie's funeral tomorrow.
07:57Sorry, I'm not judging her.
07:59She was just being really weird.
08:01Sick.
08:05What else were you doing?
08:07Nothing.
08:08You're not in any trouble.
08:09I just need to know so I can help her.
08:11Steph!
08:13Can I get some help, please?
08:16Help us get her on her side.
08:21Okay.
08:22Monitor is vital.
08:23Let's run a second ECG and VBG.
08:25And when blood's come back, I'll check troponin levels, okay?
08:28Okay.
08:29This is Grace Miller, 32.
08:31She's experiencing a mental health crisis.
08:33She's prescribed cause of B, but she's not been taking it.
08:36She's got lacerations to her feet.
08:38Can you clear her bed, please?
08:40Right.
08:41Can you take her to recess, too, please?
08:43Faith, you're gonna have to lean in there and be flying solo.
08:45Are you okay with that?
08:46Yeah.
08:47Okay, good.
08:49How much have you been seasoned?
08:50About two minutes.
08:51At temperature, 30.1.
08:52Okay.
08:53Let's maintain the airway, please.
08:54Did somebody take a BM?
08:55Yeah.
08:568.4.
08:578.4.
08:58We'll monitor the seizure.
08:59If it doesn't self-limit, then we'll start with a milligram of lorazepam.
09:02Let's get her core temperature down quickly, please.
09:04Is she gonna be okay?
09:05Does she look okay?
09:07What's she taking?
09:08Hey.
09:09Listen, you're not in any trouble, okay?
09:10We just need to know what she's taking so we know how best to treat her.
09:13A pill.
09:14It was just a pill.
09:17Ecstasy.
09:18Hey, Nicole.
09:19Take it easy.
09:20It's all right.
09:21Hey, Grace, do you want to scoot her over here?
09:22Yep.
09:23Yep.
09:24In your own time.
09:25Has she had any pain relief?
09:26Uh, yeah.
09:271 gram of IV paracetamon.
09:2815 millibals of morphine.
09:2915?
09:30Really?
09:31Yeah, it just doesn't really seem to have touched the sides.
09:33No, it doesn't, does it?
09:34Okay, but we'll send her for an x-ray, make sure nothing's in too deep, and then we'll get
09:35the wounds cleaned up, okay?
09:36Hear that?
09:37There's Faith and Sheila.
09:38I'm sorry.
09:39I'm sorry.
09:40I'm sorry.
09:41I'm sorry.
09:42I'm sorry.
09:43I'm sorry.
09:44I'm sorry.
09:45I'm sorry.
09:46Hear that?
09:47That's Faith, and she's going to make sure you get everything you need, okay?
09:51Are you okay?
09:52Yeah.
09:53Um, just a bit run down at the minute.
09:56Right, I mean, Ian's got his results back.
09:58He's been cleared for a margaret virus.
09:59You're okay, right?
10:00Yeah, all good.
10:02Okay.
10:03Indy, ready?
10:04Yep.
10:08Are you sure you're not dying of the plague?
10:10Can you just leave it?
10:11I'm sorry.
10:14Thank you, my friend.
10:15What is the thing about?
10:17Know?
10:18I don't know.
10:19Yeah.
10:20I was-
10:21I was at my mates' party, tried to do the worm and my face went down, went…
10:27I should've gone up.
10:30Might have hazard a guess alcohol was involved.
10:32alcohol was involved? No. Well, yeah, a bit. I get nervous about talking to people. How
10:42old are you, Kian? 15. No, 18. Damn it. You're 15. What were you doing drinking with a bunch
10:50of students? I've been in special programmes since I was eight. Go to the uni here. Do
10:56you then? Well, I would like to bet that your parents don't want you drinking away your
11:01brain cells. Please don't tell them. I'll be in so much trouble. My lad is out tonight
11:07and he's not that much older than you. And if I found out that he'd been hurt and somebody
11:12was keeping that from me, well, I'd have the guts for garters. So, I'm going to get that
11:19x-rayed, get it stitched up, but I'm not letting you out of here till I speak to a legal guardian
11:24and you can recite the alphabet backwards. Z-Y-X-W-U-T-S...
11:30Yes, well, I'm impressed. Now drink your water. Z-Y-X-W-U-T-S...
11:35You all right?
11:37I'm fine. I'm just officially unemployed, aren't I?
11:41You've only just graduated. No one wants me. Is that you done for the night?
11:46Yeah. Yeah, it is. Me and a few of the nurses are going to go to the club opening.
11:49Uh, not before you tell me why you were calling for police back-up. You know that we always
11:56go as a pair. We never leave someone by themselves...
11:59Um, it was my fault, I didn't assess the situation properly.
12:02Er, well, there's...not much point in me disciplining you, though, is there? Whereas
12:08you, on the other hand...
12:10I mean it. Ted. Ted. He had my back the whole time. He didn't do anything wrong.
12:14All right, well...
12:16Sorry.
12:17Oh, sorry.
12:19Yeah, not now.
12:20It's Sheffield.
12:24Erm, I got the job.
12:26So, I guess that's goodbye.
12:29Yeah, well, that was going to happen either way, wasn't it?
12:33But good on you.
12:35I'm sure they'll appreciate you there.
12:38You behave yourself tonight,
12:40and I'll be seeing you first thing in the morning
12:42for your exit interview. Don't be late.
12:50You didn't have to cover for me like that, you know?
12:52I meant it.
12:56Right, the seizure's subsiding,
12:58so let's get another line in, give her some more fluid,
13:00keep her on a monitor and temperature check every 15 minutes.
13:03We still need to get this cool temperature down, OK?
13:06She's going to be OK?
13:07Well, the ecstasy's given Steph a very high temperature.
13:10It's also reduced her threshold for seizures.
13:12That's why she started fitting.
13:14Sorry.
13:16It was only a pill.
13:18Hey, listen.
13:19Anybody can have an adverse reaction to a pill.
13:21You did entirely the right thing by bringing her in.
13:23No two probes come off right.
13:27Can you get that oxygen mask back on her?
13:29Her lips are blue.
13:30Sat on coming up.
13:32What does that mean?
13:33It means just not getting enough oxygen.
13:35Pupils are pinpoint.
13:36That's not ecstasy.
13:37Has your friend taken anything else?
13:39No.
13:40No, I swear.
13:41Listen.
13:42Cassie, you're not in trouble, but you need to tell me the truth.
13:45Do you think this could be heroin?
13:46I don't know.
13:47It's an opioid ID.
13:48We need to get on top of it fast.
13:50What?
13:51No.
13:52No, it was just a pill.
13:54Here.
13:55This is what she took.
13:57Dammit.
13:58She's in respiratory arrest.
14:00Right.
14:01Need an OPA and a BVM.
14:03Let's get an IV bolus dose of naloxone 400 micrograms.
14:06Let's get it now, please.
14:07Okay.
14:08This is Arlong.
14:09Fell down six concrete steps after losing his footing.
14:13Complaining of pain over his low thoracic spine.
14:16He won't tolerate being laid flat.
14:18Just a sensation intact and obvs in normal range.
14:21Initially refused pain relief, but he's now had 10 of morphine and one gram of agriparacetamol.
14:25Although he claims it's not helping.
14:27What's in my bag?
14:29It's on fire.
14:32Okay.
14:33Potentially drug-seeking behaviour.
14:35I actually dealt with him about a month ago, so I'm a bit aware of his history.
14:40Yeah?
14:41Control to 3006.
14:42Thanks.
14:43You have a suspected overdose for the house party.
14:45Over.
14:463006 to control.
14:47Available and ready to go.
14:48Okay.
14:49Right.
14:50I'll run a primary survey.
14:52We'll get on monitors in a second.
14:54We need to discuss how we're gonna move him, okay?
14:56All right.
14:57Bye.
14:59Hi.
15:00Hey.
15:01You look nice.
15:02Thanks.
15:03So, a slight change of plan.
15:04I thought we could go clubbing.
15:05What happened to the jazz night?
15:06A wine bar.
15:07I just thought it was a bit boring, right?
15:08Boring?
15:09Boring?
15:10Um...
15:11You know what?
15:12I think I'm good.
15:13Boring?
15:14Boring?
15:15Oh, no, no, no, no, no, no, no, no.
15:16How's anyone got a spastic ticket for Indy for tonight?
15:17Yup.
15:18She can have mine.
15:19Have a fun night.
15:20Boring, erm, you know what, I think I'm good.
15:25Has anyone got a spare ticket for Indy for tonight?
15:29Yep, she can have mine.
15:31Have a fun night.
15:34Hi, are you ready?
15:36Sonny, Sonny, wait, wait.
15:39I'm used to guys panicking.
15:41Things are getting too serious, but they usually wait until at least 8.3.
15:44OK, I wasn't panicking, OK?
15:47I messed up with the tickets.
15:49When you messed up with the tickets and I didn't know what to do, I'm sorry.
15:53I like you.
15:57I didn't want to let you down.
16:03You know, I have Nina Simone on vinyl at my place.
16:08And a lovely bottle of Sauvignon.
16:13Teddy?
16:14Yeah?
16:15What are yours?
16:17Thank you, Emma.
16:18You are coming.
16:19So, what are you two celebrating?
16:22Oh, I've got this new job in Sheffield.
16:25Yay!
16:26Yay!
16:27Yes!
16:28First round on me.
16:29Yay!
16:30OK, Mr Teddy!
16:32Hey, you guys.
16:33Hey, Cam.
16:34You all right?
16:35Hey.
16:36Hey.
16:37We've got a spare ticket for this euphoria club thing.
16:40Do you want to come?
16:41Do you know what?
16:43Honestly, I'd love to, but Indy, I'm absolutely knackered them on the first shift in the morning,
16:46so...
16:47Yeah.
16:48Yeah, no worries.
16:49No, it's whatever.
16:50Have fun.
16:51Cam.
16:52A girl asks you out and you say no, cos you're knackered.
16:56Come on, she wasn't asking me out.
16:58Was she?
16:59All right.
17:00All right.
17:01See you later, Ken.
17:02Have a good night.
17:03Yeah, I feel it, you know, I actually do.
17:04I like that, mate.
17:05Yes, yes, yes, yes, yes.
17:08I can see you later.
17:09Cheers.
17:10Cheers.
17:12Cheers.
17:13Cheers.
17:14Cheers.
17:15Cheers.
17:16Cheers.
17:17Cheers.
17:18Cheers.
17:19Cheers.
17:20Cheers.
17:21Cheers.
17:22Cheers.
17:23Cheers.
17:24Cheers.
17:25Cheers.
17:26Cheers!
17:27Cheers.
17:28How does it feel
17:53When you treat me like you do
17:57And you've laid your hands upon me
18:01It's only who you are
18:05I thought I was a-saken
18:08And I thought I had your words
18:12Tell me how do I feel
18:15Tell me now how do I feel
18:22Good news is no permanent damage.
18:25Bad news is
18:27I still have one drunk child to deal with
18:32Come on then sleeping beauty
18:34Wake up
18:36Cian
18:37Cian
18:42Cian
18:43All right love Cian can you hear me?
18:51Stevie
18:52Okay Cian
18:53Okay love
18:54You're all right love
18:55How long have you been bitten for?
18:57Just start
18:57Okay let's try and keep it nice and still
18:59Yep
18:59Okay love it's all right
19:01Okay you want to tell me again how this happened?
19:05I've already said
19:07I fell
19:08Okay
19:10Right I'm gonna put some pressure on your back right
19:13And you tell me where it hurts
19:14Okay
19:15Yeah
19:15At the bottom
19:18Feels like some fire
19:20Being crushed
19:22I need something for the pain
19:25Arlo I said you're already maxed out on that for now okay
19:29I'm not doing what you think I'm doing okay
19:31I've been clean for a month
19:33I only agreed to the morphine because of the pain
19:36Sorry sorry I know I know
19:39But they don't give me anything
19:40I'm not lying
19:42Good lass
19:46The respiratory effort's improving
19:49We need to keep an eye on her sex
19:50So she's gonna be okay?
19:51Well then naloxone's working
19:52What does that mean?
19:54It means you weren't telling the truth
19:55Because naloxone only works on opioids
19:57It was just a pill I swear
19:58You're hanging around with people who are doing heroin
20:00And then you're lying about it
20:02I'm not lying
20:03Okay let's get him into Bay 3 please
20:06Siobhan if you stay on airway
20:08And let's get monitoring all as soon as possible
20:10Thanks
20:10It was just a bump on the chin
20:12No headache
20:13No history of epilepsy?
20:15No not that I know of
20:16Stephen you doing okay over there?
20:17Yeah yeah all good
20:18Okay let's do 4mg of a razepam
20:21Just in case this thing doesn't self limit
20:22Listen to his chest
20:24Stuart can you book a head CT for me please
20:26Just in case you've missed something
20:27And let's get a VBG and check his blood glucose level
20:30And we'll get him into a gown as soon as he's stabilised
20:32Thanks
20:32Hold on a second
20:35I think I've found the culprit
20:37That looks like ecstasy to me
20:39Hey what is that?
20:40Is that what he's taking?
20:41Yeah it looks like he's taking about half
20:42Flynn that's the same pill isn't it?
20:45I mean it looks the same yeah
20:46Yeah
20:47Pupils are pinpoint
20:52Yeah I think they're cutting these pills with a synthetic opioid
20:55Your friend was telling the truth that's why naloxone worked
20:57What do you think they're cutting it with naloxone?
21:00Let's get another 400 naloxone
21:01If his breathing doesn't improve after that we need to be prepared to intervene
21:04We're barely out of the woods with the heroin stuff
21:06Flynn, two pre-alerts en route from the festival
21:10Both in cardiac arrest
21:11Suspected ODs
21:13Okay Stevie I need you to hold down the fork
21:15Can you give me that pill I'm going to get in?
21:16Before I try it through the lab
21:17He's going into respiratory arrest
21:19Right okay
21:19Err
21:20Siobhan starts bagging
21:21Let's get the naloxone going through
21:23Please
21:23Stevie starts breathing
21:24And if not we're heading towards RSI in ventilation
21:54This is badger
22:05Hey Badger
22:08We went to school together
22:16I wonder why they call him Badger
22:20Hey I wonder why they call him Badger
22:23I don't know. I mean he looks like he's got TB.
22:26I'm going to go get water. Water.
22:29What are you lot celebrating then?
22:31I just graduated. I've got a new job at Sheffield.
22:34A what? So you're running off like that?
22:36Yeah, man, yeah.
22:38Hey, well in that case, we celebrate with a bang, right?
22:44I can't, man. I've got this. I'm exiting a meeting tomorrow. I can't.
22:50You've changed, mate.
22:53Yeah, but what about your mates, though?
22:57Yeah.
23:06You can't follow me in here.
23:08Where'd you get the pills, Cassie?
23:11I saw your face when that lad came in, the one with the same pill.
23:14You know him, don't you?
23:17Cassie, please, if Steph and that lad have taken them.
23:21Look, people are in danger, OK? And I need you to help me.
23:29Who did they get them from?
23:31Me?
23:41Cassie.
23:42I think I saw him. We were dropping off at a party.
23:47What are you dealing?
23:48If there's something wrong with the pills, then I need to take them back. Tell them.
23:53Them? Who's them? Who are you doing this for?
23:55It doesn't matter. I can just tell them the pills are bad.
23:59Don't be so naive.
24:00There's going to be other dealers out there shifting them tonight.
24:03We'll have to tell the police.
24:05Just let me work it out. I can work it out.
24:10Give me the pills, Cassie.
24:13It's protocol. I've got to hand them in. I'm sorry.
24:16You've put me in a hell of a position.
24:18You can't.
24:20Please.
24:22OK.
24:24OK, fine.
24:26I won't hand them over.
24:28But until I can work out how to get you out of this,
24:31they'll stay with me.
24:34They'll stay with me, Cassie, or I'm handing you in with them.
24:37I'll do this again.
24:38I'll do this again next morning.
24:40They'll find you, Cassie.
24:41I'll do this again next morning.
24:42You'll find me next morning.
24:43I said, I don't mind if you're in the mood,
24:44but I can't do it.
24:45I'll do anything when I quit.
24:46You're in the mood.
24:47I'm not going to do it.
24:48I'm not going to do anything.
24:49I'm going to leave.
24:51But I just want to take charge of something,
24:53you're in the fridge.
24:54I'm not going to do it.
24:55They're going to leave all your meals.
24:57You're in the fridge.
24:59I'm not going to leave.
25:00Got another one coming in, student night, ETA 10 minutes.
25:11Guys, guys, I'm sorry to break this to you,
25:15but I've just spoken to the lab and poison control,
25:17and they've confirmed the pills are cut with nidazines.
25:21Oh, God.
25:22Yeah, I know.
25:23Listen, I'm going to call the police, OK?
25:25I'm going to start getting the word out.
25:26Get them to check how much naloxone they've got,
25:28because if this goes badly, I won't have enough paramedics.
25:31They'll have to administer it.
25:33Right, yeah, that's a good shout, Jan. Thank you.
25:34Siobhan, can you call ITU?
25:36Get your hands on as many portable vents as you can, please.
25:38So we're looking at a critical incident?
25:41Truth is, I don't know.
25:43At this stage, I don't know.
25:44But I do know that no two pills have the same dose.
25:47No two patients are exhibiting the same response,
25:49and we don't know how many there are in circulation.
25:51I'm going to go speed to the execs.
25:54Some of our staff are out tonight.
25:56I'll give them a call.
25:58I'll give them a call.
26:28You don't want a little something?
26:48No, I'm good.
26:49How about with these two doctors, then?
26:56It's not that they're going to know it is.
26:57Oh, Stevie, Stevie, have you got a minute?
27:20Yeah, but literally just a minute.
27:20OK, well, I have a heroin addict.
27:23He says he's clean, but he's got a small stable fracture of T4.
27:27The paramedic said they gave him tenomorphine,
27:29but he's saying he never got any,
27:30and I can't get him to calm down.
27:32Have you tried some red wine and Marvin Gaye?
27:34Stevie, I'm serious.
27:35Come on, I think he's in real pain,
27:36and I don't want to watch him suffer.
27:38It's horrible.
27:38OK, yeah, yeah, no worries.
27:39OK, hiya.
27:42My name is Dr. Nash.
27:44My colleague wants to give you a quick look over.
27:47Can you just open your eyes for me if you can?
27:54OK.
27:55Yeah, pupils aren't constricted,
27:56but that's not necessarily a reliable indicator.
27:59How much morphine did you say?
28:00I can't just check.
28:01I'm not just faking it, then.
28:02Spinal injuries don't lie,
28:04but they do hurt like a mother.
28:05Stevie, Stevie, I need you in recess now.
28:08Sir, yes, sir.
28:09Spase, all non-emergency patients straight into cubicles.
28:12I need the capacity.
28:12You do know that the execs have called
28:14an internal critical incident, right?
28:16I could really do without you wasting
28:17one of my consultants' time on a non-critical patient.
28:22All right, this is a space.
28:23Spase?
28:24OK, just mug him up.
28:26Right, and go to me.
28:26We need the log zone for him.
28:27If it doesn't bring his rest rate up,
28:29let's be ready with an RSI.
28:30Stevie?
28:31Yeah?
28:31I need you to take the lead in here.
28:33I've got to get to recess three, OK?
28:34Uh, OK, but we're at capacity, so...
28:37Um, OK, yeah, let's do a reshuffle.
28:39Nicole, your patient looks like she's through the worst of it.
28:41Can we send her to HDU?
28:42Yeah, I'm on it.
28:42OK, great.
28:43Listen, from now on,
28:44all non-emergency patients straight into the acute overdose area.
28:47No exception.
28:47Stevie, it's got no pulse.
28:49OK, sorry.
28:50Go.
28:50It's right, OK.
28:51Let's start CPR.
28:52Can you get on airway, please?
28:54Start chest.
28:56OK, let's do 800 micrograms of naloxone, please.
28:59We'll do that every minute,
29:00and then we'll reassess the pulse check.
29:02Come on, Cian.
29:04He's aspirating.
29:10Swirling.
29:11Suction.
29:12We'll be ready to read to bed.
29:15OK, rhythm check.
29:17Still a PEA.
29:18Back on chest.
29:20Right, let's get some screens around this bed.
29:22Switch.
29:32Switch.
29:32Switch.
29:32Hey! Look!
30:02Can she stand there?
30:04Can she stand there?
30:06Can she stand there?
30:08I'll make it clear.
30:10I'm not playing through her eyes.
30:12I'll spend your time on your best night of your life.
30:14Switch.
30:16Pony!
30:18Pony, Pony alright?
30:20Yeah.
30:22Yeah.
30:24All right.
30:26Oh!
30:28Whoa!
30:30She said I'm not a keepin'
30:31I just tell my truth
30:32I did you call it when I'm wrong
30:34To see my lips
30:35Link her to stick her ass at the brilliant lips
30:38Right now I'm mine
30:39And I think I feel my...
30:40OK.
30:44We'll keep you on a loxone infusion for about 24 hours.
30:47And then we'll move you up to an observation ward.
30:50And all being well.
30:52We'll have you out here in a couple of days.
30:53Couple of days?
30:55I thought you said I nearly died.
30:57Well, you did.
30:58Well, can't you keep me in longer, then?
31:00What's home like for you, Steph?
31:04Fine.
31:06If there's anything worrying you about being discharging...
31:09No, I just...
31:10I just don't want to go back to work.
31:15Do you work for the same people that Cassie does?
31:18It's OK she won't tell anyone.
31:21Will you?
31:26So you're dealing as well?
31:28She doesn't deal.
31:30They just make a party.
31:32With their people.
31:34Is that true?
31:37I have to go to parties with them.
31:42They give me to the dealers who make the most profit.
31:45I can arrange a sexual health screening for you if you're comfortable.
32:00Does this mean I have to talk to the police?
32:02You can, if you want.
32:06You both can.
32:08Nicole, they need you back in recess.
32:11I'll be back.
32:18You need to give me the gear back.
32:20Now.
32:20I think I'll leave that for the police to handle.
32:22You said it.
32:23I said I would hold on to it while I worked out what to do.
32:28Do you know what would happen if someone found out?
32:30You shouldn't be protecting these people.
32:34Nicole.
32:36I'll be back.
32:37I'll sort it.
32:38Right?
32:44Careful.
32:45Watch the lady.
32:46What are we doing?
32:46I didn't want to go.
32:47I'm looking for Teddy.
32:50Teddy.
32:50You know, I love you so much.
32:54No, listen to me.
32:55I do.
32:56You're my best friend.
32:57Yes, thank you.
32:57You're my best friend and I don't know what I do down there.
32:59Right, well, let's do it for Teddy, okay?
33:01Our friend as well.
33:02Just keep moving.
33:03You don't need to hang on to me.
33:06Teddy.
33:07Teddy, move, move, move, move.
33:12Rita.
33:13Jodie.
33:14Come and help me put him in recovery.
33:16Hey, come.
33:18What's happened?
33:19Barely breathing.
33:20Of course it's ready.
33:22Don't just stare at me.
33:23Go and get security.
33:24I'm going to call an ambulance.
33:30What?
33:32Really what?
33:33Edie's in crisis mode.
33:35Litizines are not just in heroin.
33:36They're in pills.
33:46Emergency, which service do you require?
33:48Yeah, ambulance, please.
33:50It's the euphoria club.
33:53Help my friend.
33:55Please help my friend.
33:56Is she going to die?
34:04Okay, let's up the dose.
34:05Two milligrams and naloxone, please.
34:07Come on.
34:07They're not responding adequately to naloxone, Stevie.
34:10Early intubation's the way to go.
34:12I'm going to call her to you and tell them they've got another one coming up.
34:15I'll get a second man in and I'll get the muscle relaxants ready.
34:18I don't think we need secondary sedation.
34:20Right.
34:20Uh, Nicole, can you, uh, take up her intubating over here for me, please?
34:24Excuse me, please.
34:25Excuse me.
34:26Let me get us another respiratory arrest.
34:28Can I get a laryngus call?
34:29Is he okay?
34:38Excuse me.
34:39Uh, can I get a three, please?
34:41Flynn?
34:42Yeah?
34:43We've got two police outside giving CPR.
34:46Where do you want them?
34:47Uh, put them in recess three, would you?
34:50Hey, uh, Jan, uh, would you do me a favour?
34:52Would you call, see it, uh, any OPDs, anaesthetists, perfusionists, anyone who can operate a BBM.
34:56Get them down here to help, please.
34:58Onyx!
34:59Flynn, it's like a circus in here, man.
35:01Ngozi, I really need you on families.
35:03Yeah, go.
35:04Can you take over airway monitoring for me, please?
35:06Okay, friends and family, I need to take you to the relative's room, please.
35:09We will update you as and when we can.
35:11But if you're not, this area has to remain priority for the patients, please.
35:27No, he's not coming back, guys.
35:29Please, Stevie, he's 15!
35:31I know.
35:33If you're okay, I'll call it, yeah?
35:36Uh, time of death, 23.47.
35:41You know, I've got all non-critical patients to stay in cubicles.
36:09So, cubicle one, please.
36:11OK, this is Hannah Edmondson, 42.
36:14Tripped over a dog whilst out walking.
36:16She has a fracture dislocation to a right ankle
36:18with critical skin of lateral malleolus.
36:20Distal sensation intact, weak pedal pulse,
36:23and skin becoming dusky.
36:24She's had 10 of morphine, one gram of IV paracetamol.
36:28We tried to manipulate, but the pain was a bit too much.
36:30A bit?
36:31OK, scoot across the wall.
36:32Let me give you a hand.
36:37Let me sit the back up.
36:39Ah, my mum was shaming me for not having kids.
36:45I thought a dog might be easier.
36:46I was wrong.
36:50I want to pick up the pace a bit.
36:52Dusky with a weak pedal pulse.
36:55And I don't want to throw half my shoes away.
36:58So you're a medic?
36:59Yeah, a doctor.
37:02Just how I know that that fit paramedic with the back
37:05like a rugby league player definitely
37:06didn't give me any morphine.
37:09I bet you are not touching that ankle unless I've
37:11had something to send me do-lally tap.
37:14OK, uh, I'm sorry you're in so much pain, Hannah.
37:17I'll be back in a second.
37:19OK?
37:22Jacob, you said you gave her morphine, right?
37:2610 milligram.
37:27Are you sure?
37:28Yeah.
37:29I mean, she's in a lot of pain.
37:31I mean, I don't know what to tell you, but I know what I gave her.
37:34I'll see you later.
37:36Excuse me.
37:37Mind you're back.
37:38Mind you're back.
37:39Mind you're back.
37:41Who?
37:42Who?
37:43The guy from the pub.
37:44Fan collapsed.
37:45Yeah, yeah, yeah.
37:46It's a good job we were there.
37:47Yeah, yeah, it was.
37:48Not one of you could even acknowledge my messages.
37:50Sorry, we were off shift.
37:51Off shift.
37:52Off shift.
37:53Off shift.
37:54And now you're stupid enough to rock up here.
37:55Off your faces.
37:56No, no, we didn't do anything.
37:57We didn't take anything.
37:58You're suspended.
37:59What?
38:00You heard me.
38:01You are lying to me, miss, and you are suspended.
38:02You two.
38:03Hold on.
38:04You cannot just suspend them, Siobhan.
38:05Yeah, I can't.
38:06You can't suspend me.
38:07Oh, God, I know.
38:08Well, I can't.
38:09Well, I can't.
38:10I can't.
38:11I can't.
38:12I can't.
38:13I can't.
38:14I can't.
38:15I can't.
38:16I can't.
38:17I can't.
38:18I can't.
38:19Oh, God, I know.
38:20Well, we'll talk to Jan, shall we?
38:21And then we'll decide, hmm?
38:23Siobhan.
38:24What about me?
38:26You.
38:27Yeah.
38:28You're going to assume I didn't take a pill?
38:32You're going to lose three staff and you can barely find anyone to run the ED.
38:37What now?
38:39I'm fine.
38:40Fine.
38:41Fine.
38:42You can all go and sit in the recovery room till I am certain that you're not going to
38:47end up like the others.
38:48The others.
38:49I need to see you.
38:50I need to see you.
38:51I need to see you.
38:52I need to see you.
38:53I need to see you.
38:54I need to see you.
38:55I need to see them.
38:56I need to see you.
39:05I need to see you.
39:07No way.
39:09We're going outside, have your theories.
39:11Don't worry, do you leave a study with me?
39:12You're going to be all right.
39:13buddies!
39:14You're going to be all right, guys, don't worry.
39:15Don't worry.
39:16Come on, man.
39:17Ben, where are you?
39:39I'm sorry, I think that was just a mix-up.
39:42We'll find out if my heart stops.
39:44High risk, high reward.
39:47Now that's morphine.
39:56Like I said, it's just a mix-up, sorry.
40:02We're not in a field with a margin for error.
40:05No.
40:07I mean, you know, sometimes it's hard to figure out exactly how much pain somebody's actually in.
40:12But that's the job.
40:15Yeah, yeah, it's...
40:17Yeah.
40:18Okay, right.
40:19Well, should we get this book back in play?
40:22Everybody ready?
40:23Yeah?
40:24One, two, three.
40:34Okay.
40:34How are we doing, Stevie?
40:40Yeah, I've ordered up some more naloxone and the income has seemed to have slowed down, so...
40:45I mean, how are you doing?
40:48Oh, yeah, great.
40:49I've got to go and tell another mother that she's not bringing her kid home, so...
40:53You?
40:53Um, yeah.
40:56Yeah, I'm fine.
40:57I just had a phone call with a dealer who wanted to know if his client base was still going to be here when all this is over.
41:04Seriously?
41:05Yeah.
41:06I mean, they're just a bunch of teenagers.
41:09Like, one daft decision and it's game over.
41:13Well, at least the police are getting the word out, right?
41:15Yeah.
41:16Not much good for the kids in the morgue, though, is it?
41:18I don't know.
41:48I don't believe you were given any morphine errors.
41:58Okay.
42:01I will find you an alternative.
42:05I'm really sorry I didn't trust you.
42:08I just keep thinking.
42:10If I'd done this earlier, I wouldn't be doing it alone.
42:14Well, the important thing is, you're doing it now, isn't it?
42:22Yeah.
42:23I reckon I should keep her that way.
42:33Steph?
42:37Where's Cassie?
42:37She's gone back to them.
42:52Cassie?
42:55Cassie?
42:56So that's it then?
42:57Just running back to them?
42:58Leave it, Nicole.
42:59No, I won't leave it.
43:01Did you hear what Steph said?
43:02What kind of people they are?
43:03I spoke to them.
43:04They explained.
43:04Explained what?
43:06That they're literally pimping out your friend?
43:08And what are they going to do to you?
43:09When you've got no pills and no cash got them?
43:11I already told them.
43:13I told them the pills were bad.
43:15And what did they do?
43:15Invite you round for a cup of tea, little biscuit, just talk it all through?
43:18What do you expect me to do, Nicole?
43:20You screwed me over.
43:21I'm trying to help you.
43:23Oh, admit it.
43:24You were more worried about covering your own arse than saving mine.
43:28We both know that's not true.
43:31Look, come and stay at mine.
43:34Until I've worked something out.
43:37Yeah, I reckon I'm done with your help.
43:40Thanks.
43:44Don't think about showing your face tomorrow.
43:47Mags wouldn't want you anywhere near.
43:51It's a rough night all round, eh?
44:08Yeah.
44:12You OK?
44:14I don't know.
44:15I don't think so.
44:21Something's off.
44:24I had patients come in today, and I was told that they'd been given morphine, but they were
44:27still in pain, like a lot of pain.
44:31So I don't think they were given any morphine at all.
44:35Who was the paramedic?
44:37There was different ones.
44:39Indy, Teddy, Jacob, and that was just my patients.
44:44What if somebody's pocketing the meds?
44:49What, like on the rub?
44:50Yeah, stealing the morphine, telling the patients that they're giving them pain relief and giving
44:54them something else, and maybe nothing at all.
44:57Nah, come on.
44:58Ian, I know how it sounds, but I can't think of any other explanation.
45:04Like, one patient, maybe, yeah, but three separate patients?
45:09How do you explain that?
45:11Can you not just say something?
45:18What more do you want me to say, Jodie?
45:20Well, you didn't need to throw yourself under the bus like that.
45:23I've got responsibility here.
45:25I was respected.
45:28Siobhan was so disappointed in me.
45:32You all right, Teddy?
45:34Yeah.
45:34I'm fine.
45:39Okay.
45:40Consider your suspensions lifted.
45:43All three of you.
45:44Really?
45:45Look, you know something?
45:47Seeing as you're all closing ranks, I'm going to say this to you.
45:50Okay, irrespective of the fact that there's two nurses currently on gardening leave from
45:55St James' because of doing exactly the same thing as you, tonight, tonight, there are several
46:02young people like yourselves lying down in the morgue, okay?
46:09And you're lucky that you're not lying down there with them.
46:14And frankly, as angry as I am at your lack of personal responsibility, I...
46:19I'm just glad that you're still breathing.
46:25Sorry.
46:26Yeah, I'm sorry.
46:28Right, well, you still need to stay here till they discharge you.
46:42Reader.
46:43No, this isn't on Reader.
46:45It was Indy's mate.
46:48And where is Indy now?
46:49I don't know if I believe you, actually.
47:03I swear.
47:04Really?
47:05That's interesting.
47:06No, no, no.
47:07I mean, I always thought you were pretty great.
47:12Oh, really?
47:13Mm-hmm.
47:14Right.
47:14Uh, that's Ted.
47:19I should probably get this.
47:21Why?
47:21What, uh, is he a boyfriend or something?
47:24No.
47:25Well, good.
47:34And, um, like, are you sure you don't want to do something to keep you up?
47:41Oh, no, no, no, no, no, no.
47:42Oh, no, no, no, no, no, no.
47:43No, no, no, no, no, no, no.
47:44No, no, no, no, no, no, no, no, no, no, no, no.