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#CinemaJourney
#Casualty
#Casualty
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FunTranscript
00:00I'm so proud of you.
00:02Might be first time I happen to thank you for that.
00:04Talk to Cassie.
00:05That girl needs a push.
00:06She reminds me of you.
00:08Time of death is 1430.
00:10We've seen an increase in fatal overdoses over the last 12 hours.
00:14Dealers are lacing their remaining supply.
00:16Lacing it with what?
00:17My guess would be an endocene.
00:18Pentanol.
00:19All of this is all my fault.
00:21I have something to tell you about the burglary.
00:23The chances there won't be a job here for me when I graduate.
00:26A fresh start is probably best for us all.
00:28Don't like this.
00:29I've just had confirmation.
00:30It is Marburg.
00:31Your breach put three people at risk.
00:34Being part of heart means facing the fallout, not wallowing when things go wrong.
00:38Don't.
00:39There is no point in dragging this out.
00:45Control to 3006.
00:46Update on the suspected domestic violence dispute on 55th Street.
00:50Police units are being dispatched to advise you approach with caution.
00:53Over.
00:543006 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 you at the police unit.
01:00Control to 3-0-0-6.
01:01We will update you at the police unit.
01:02As soon as you have one.
01:03Over.
01:04Hello.
01:05Hello.
01:06Ambulance service.
01:07Go for it.
01:08Go for it.
01:09When,
01:10I said I got the police unit.
01:11Because they don't want me either.
01:12This won't be my last shot.
01:14HELLO!
01:15Oh, my God.
01:16Oh, my God.
01:18I can't...
01:203-0-0-6 to control.
01:21I need an ETA on that police unit.
01:23Control to 3-0-0-6.
01:25We will update you as soon as we have one.
01:26Over.
01:27Hello.
01:28Hello.
01:29Ambulance service.
01:30Go for it.
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, 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.
03:31Who?
03:32They're poisoning my food. They use my things. They stole my medication. I can hear them. Did they let you in?
03:42No. No. I...
03:44Don't lie to me.
03:50Oh!
03:54It's okay. You're okay. It's just... I think it's just my crewmate is a bit worried about me.
04:00I keep the doors locked in case more of them try to get in. Take my things.
04:05Right. Okay.
04:07No.
04:08Don't worry. That's... that's... that's Teddy. That's the crewmate I was talking about.
04:11No.
04:12And I'm Indy, remember? We're both paramedics. We... we just want to help you.
04:17Can you tell me your name?
04:21Grace.
04:22Hi, Grace.
04:23Hi, Grace.
04:25And what medication do you take?
04:28Clospeam.
04:30Okay. And you lost it, did you?
04:32They take my things. They live in the walls. People do that.
04:35People live in your home and they come out at night and they take your things and poison you.
04:39I read it.
04:40Okay. Yeah.
04:41Well, 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.
04:50And my Nan used to...
04:55There we are.
04:56That's a bit better, innit?
04:57Yeah?
04:58Okay.
04:59I'm just gonna... I'll take that.
05:02Yeah?
05:03Cool.
05:04All right.
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.
05:13We're here.
05:14It's time.
05:15Okay.
05:16You're here.
05:17It's time.
05:18We're here.
05:19Hello, good.
05:20Okay?
05:21You know, why are you doing that?
05:22That's right.
05:23Okay?
05:24Yes.
05:25Okay?
05:26You're okay.
05:27We've got you.
05:29Hey, guys.
05:32It's a good day.
05:34How are you just joining us?
05:35Late.
05:37Welcome to your perfect storm.
05:38Now, as we all know, it's the big graduating weekend this weekend,
05:42but as if that wasn't enough of a nightmare,
05:44there's also a new nightclub opening and a music festival in the city tonight.
05:47Yeah.
05:48Meaning us lucky few get to deal with plenty of drunk teen overspill.
05:52Great name for a headliner.
05:53I prefer the early stuff.
05:54What I'm trying to say is let's keep our heads above water tonight, OK?
05:58Thought it was all right you needed.
06:00Right.
06:00Um, have fun.
06:03You heard the man. Back to work.
06:05I can't wait.
06:05Well, look.
06:08Teenage Stevie.
06:10It's all yours, paper.
06:12You all right?
06:13What's your name?
06:15Oh, hello.
06:16Uh, can I get a wheelchair, please?
06:18You all right?
06:18Try and stay up, pray for me, OK?
06:20Sorry, 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.
06:31Yeah, thanks a lot.
06:33Med shortage?
06:33No, it's a jazz night.
06:37What?
06:38I'm supposed to be taking Sonny 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.
06:47Sure.
06:47So, what shall I do?
06:49I promised her.
06:50I said I'd take her.
06:51OK, I do have a couple of spare tickets to Euphoria's opening night tonight, yours for
06:57the taking.
06:58A bunch of us are going.
06:59Oh.
07:00The club.
07:02Oh, babe.
07:03Big dark room, flashy lights, people dance.
07:06You wouldn't get it.
07:06Yeah, yeah, thanks.
07:07I still remember what a club is.
07:08It's just, I...
07:09Just, are you scared to show Sonny?
07:10You're actually fun to be around.
07:17Hello, Opa.
07:18Can you tell me your name?
07:20OK, well, you are very hot.
07:22And your heart's beating very, very fast.
07:24So I need to put a little needle in your arm, OK?
07:26So we can get some fluids in, all right?
07:28You feel a sharp scratch?
07:31Is that good, lass?
07:33All right, yes.
07:34Let's get that head up.
07:35We'll try and keep that jaw on her tinges as well, eh?
07:41Cassie?
07:44She's my friend.
07:46I was getting her some water.
07:47She wandered off.
07:48You bring her in?
07:50We were getting ready to go out.
07:53Drinking.
07:53It's Maggie's funeral tomorrow.
07:56Sorry, I'm not judging.
07:58She was just being really weird.
08:01Sick.
08:04What else were you doing?
08:07Nothing.
08:08You're not in any trouble.
08:09I just need to know so I can help her.
08:10Steph?
08:12Can I get some help, please?
08:16Help us get her on our side.
08:21OK, monitor is vital.
08:22I suppose let's run a second ECG and VBG and when blood's come back I'll check troponin levels, OK?
08:27OK.
08:29Hey, this is Grace from the last 32.
08:31She's experiencing a mental health crisis.
08:33She's prescribed cause of being, but she's not been taking it.
08:36She's got lacerations to her feet.
08:38Can you clear her bed, please?
08:40Right, can you take her to recess too, please?
08:42Faith, you're going to have to lean in there and be flying solo.
08:44Are you OK with that?
08:45Yeah.
08:46OK, good, thank you.
08:48How long's she been seizing?
08:49About two minutes.
08:50Her temperature's 30.1.
08:51OK, let's maintain the airway, please.
08:53Did somebody take a BM?
08:54Yeah, er, 8.4.
08:568.4.
08:57We'll monitor the seizure.
08:58If it doesn't self-limit, then we'll start with a milligram of lorazepam.
09:01Let's get her core temperature down quickly, please.
09:03Is she going to be OK?
09:05Does she look OK?
09:06What's she taking?
09:07Hey, um, listen, you're not in any trouble, OK?
09:10We just need to know what she's taking so we know how best to treat her.
09:12A pill.
09:14It was just a pill.
09:17Ecstasy.
09:18Ecstasy!
09:18See, hey, Nicole, take your knees.
09:21It's all right.
09:24Hey, Grace, do you want to scoot her over here?
09:26Yep, yep, in your own time.
09:28Has she had any pain relief?
09:29Er, yeah, 1 gram of IV paracetamon, 15 minibars of morphine.
09:3415?
09:34Really?
09:35Yeah, it just doesn't really seem to have touched the sides.
09:38No, it doesn't, does it?
09:39OK, well, we'll send her for an x-ray, make sure nothing's in too deep,
09:42and then we'll get the wounds cleaned up, OK?
09:44OK, hear that?
09:46That's Faith, and she's going to make sure you get everything you need, OK?
09:51You OK?
09:52Yeah, um, just a bit run down at the minute.
09:55Right, I mean, Ian's got his results back.
09:57He's been cleared from Arborvirus.
09:58You're OK, right?
10:00Yeah, all good.
10:01OK.
10:01India, ready?
10:02Yep.
10:03Are you sure you're not dying of a plague?
10:09Can you just leave it?
10:10Yeah, I was at my mate's party, tried to do the worm, and my face went down when I should've gone up.
10:30Might I hazard a guess alcohol was involved?
10:32No, well, yeah, a bit.
10:37Look, that's all right.
10:38I get nervous about talking to people.
10:41How old are you, Kian?
10:43Fifteen.
10:44No, eighteen.
10:46Damn it.
10:47You're fifteen?
10:48What were you doing, drinking with a bunch of students?
10:51I've been in special programmes since I was eight.
10:53Go to the uni here.
10:55Oh, do you, then?
10:57Well, I would like to bet that your parents don't want you drinking away your brain cells.
11:02Please don't tell them.
11:03I'll be in so much trouble.
11:04My lad is out tonight, and he's not that much older than you.
11:09And if I found out that he'd been hurt, and somebody was keeping that from me, well, I'd have the guts for garters.
11:17So, I'm going to get that x-rayed, get it stitched up, but I'm not letting you out of here till I speak to a legal guardian.
11:23And you can recite the alphabet backwards.
11:28Z-Y-X-W-U-T-S-
11:30Okay, yes, well, I'm impressed.
11:32Now, drink your water.
11:33Shh.
11:34You all right?
11:37I'm fine.
11:38I'm just officially unemployed, aren't I?
11:40You've only just graduated.
11:42No one wants me.
11:44Is that you done for the night?
11:45Yeah.
11:46Yeah, it is.
11:47Me and a few of the nurses are going to go to the club opening.
11:48Not before you tell me why you were calling for police backup.
11:54You know that we always go as a pair.
11:57We never leave someone by themselves.
11:59Um, it was my fault.
12:00I didn't assess the situation properly.
12:02Yeah, well, there's not much point to me disciplining you, though, is there?
12:07Whereas you, on the other hand...
12:09I mean it.
12:10Ted was amazing.
12:11He had my back the whole time.
12:12He didn't do anything wrong.
12:14All right, well...
12:16Sorry.
12:17Oh.
12:17Mindy.
12:18Sorry.
12:19Yeah, not now.
12:20It's Sheffield.
12:24Um, I got the job.
12:27So, I guess that's goodbye.
12:30Yeah, well, that was going to happen either way, wasn't it?
12:33Um, but good on you.
12:36I'm sure they'll appreciate you there.
12:38You behave yourself tonight,
12:40and I'll be seeing you first thing in the morning for your exit interview.
12:44Don't be late.
12:44You didn't have to cover for me like that, you know?
12:52I meant it.
12:56Right, the seizure's subsiding, so let's get another line in, give her some more fluid,
13:00keep her on a monitor and temperature check every 15 minutes.
13:03You still need to get this core temperature down, okay?
13:06Is she going to be okay?
13:07Well, the ecstasy's given Steph a very high temperature.
13:10It's also reduced her threshold for seizures.
13:13That'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.
13:23Two probes come off, right?
13:27Can you get that oxygen mask back on her?
13:29Her lips are blue.
13:31Sat on coming up.
13:32What does that mean?
13:33It means she's not getting enough oxygen.
13:35Pupils are pinpoint.
13:37That's not ecstasy.
13:38Has your friend taken anything else?
13:39No.
13:41No, I swear.
13:42Listen, Cassie, you're not in trouble, but you need to tell me the truth.
13:45Do you think this could be heroin?
13:47I don't know.
13:48It's an opioid ID.
13:49We need to get on top of it fast.
13:50What?
13:51No.
13:52No, it was just a pill.
13:54Here.
13:56This is what she took.
13:59Dammit, she's in respiratory arrest.
14:01Right, need an OPA and a BVM.
14:03Let's get an IV bolus dose on the logs on 400 micrograms.
14:07Let's get it now, please.
14:10Okay, this is Arlong.
14:11Fell down six concrete steps after losing his footing.
14:14Complaining of pain over his lower thoracic spine.
14:17He won't tolerate being laid flat.
14:19Distant sensation intact and OVs in normal range.
14:21Initially refused pain relief, but he's now had ten of morphine and one gram of agri-paracetamol.
14:26Although he claims it's not helping.
14:28Is it in my bag?
14:31It's on fire.
14:33I'm potentially drug-seeking behaviour.
14:35I actually dealt with him about a month ago, so I'm a bit aware of his history.
14:40Yeah?
14:41Controlled three bills here.
14:42Thanks.
14:43You have expected over there for the house party.
14:45Over.
14:45Freezer is there to control.
14:47Available and ready to go.
14:48Thanks.
14:49Copy that.
14:49Okay, right.
14:49I'll run a primary survey.
14:52We'll get on monitors in a second.
14:54We need to discuss how we're going to move him, okay?
14:56All right.
14:57Bye.
15:01Hey.
15:02Hey.
15:03You look nice.
15:04Thanks.
15:04So, a slight change of plan.
15:10I thought we could go clubbing.
15:13What happened to the jazz night?
15:16A wine bar.
15:17I just thought it was a bit boring, right?
15:20Boring?
15:21You know what?
15:23I think I'm good.
15:27Has anyone got a spare ticket for Indy for tonight?
15:29Yeah.
15:29She can have mine.
15:31Have a fun night.
15:34Hey.
15:35Hey.
15:35Hey, right?
15:35Yeah.
15:36Sunny.
15:38Sunny.
15:38Sunny.
15:38Wait, wait.
15:39I'm used to guys panicking.
15:41Things are getting too serious, but they usually wait until at least date three.
15:44Okay.
15:44I wasn't panicking, okay?
15:46I messed up with the tickets.
15:49The venue messed up with the tickets, and I didn't know what to do.
15:51I'm sorry.
15:53I like you.
15:57I didn't want to let you down.
15:58You know, I have Nina Simone on vinyl at my place, and a lovely bottle of Sauvignon.
16:13Teddy?
16:14Yeah?
16:14How are yours?
16:17Thank you, Mum.
16:17You're welcome.
16:20So, what are you two celebrating?
16:22Oh, I've got this new job in Sheffield.
16:25Yay!
16:26Yay!
16:27Yes!
16:27Yes!
16:28First round on me.
16:29Woo!
16:30Okay, Mr Teddy!
16:34Hey, you guys.
16:35Hey, Cam.
16:36You all right?
16:36Hey.
16:36Hey, um, we've got a spare ticket for this Euphoria Club thing.
16:40Do you want to come?
16:42Do you know what?
16:43Honestly, I'd love to, but India, I'm absolutely knackered him on the first shift in the morning,
16:46so...
16:47Yep.
16:49Yeah, no worries.
16:50No, it's...
16:51It's whatever.
16:52Have fun.
16:55Cam!
16:55A girl asks you out, and you say no, because you're knackered.
16:59Come on, she wasn't asking me out.
17:03Was she?
17:08All right.
17:08See you later, Cam.
17:10Have a good night.
17:13Yeah, I feel it, you know.
17:14I actually do.
17:15I like that, mate.
17:17Yes, yes, yes, yes.
17:19I do.
17:19For sure.
17:19Oh, my God.
17:35Oh, my God.
17:36No, my God.
17:41How does it feel
17:53When you treat me like you do
17:57And you laid your hands upon me
18:01And told me who you are
18:04I thought my words were sinking
18:08And I thought I'd hurt you once
18:12But tell me how do I feel
18:15But tell me now how do I feel
18:19Good news is no permanent damage
18:24Bad news is I still have one drunk child to deal with
18:31Come on then sleeping beauty
18:34Wake up
18:35Kian
18:37Kian
18:42Kian
18:43Alright love
18:45Kian can you hear me
18:46Stevie
18:51Okay Kian
18:52Okay love
18:53You alright love
18:54How long have you been fit for
18:56Just start
18:57Okay let's try and keep it nice and still
18:58Yep
18:59Okay love it's alright
19:00Okay you want to tell me again how this happened
19:05I've already said
19:07I fell
19:08Okay
19:10Right I'm going to put some pressure on your back right
19:13And you tell me where it hurts
19:14Okay
19:14At the bottom
19:17Feels like some fire
19:20Being crushed
19:22I need something for the pain
19:24Arlo I said you're already maxed out on that for now okay
19:28I'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
19:38I know
19:38But they don't give me anything
19:40I'm not lying
19:41Good lass
19:45The respiratory effort's improving
19:48But we need to keep an eye on her sats
19:50So she's going to be okay
19:51Well then naloxone's working
19:52What does that mean?
19:53It means you weren't telling the truth
19:55Because naloxone only works on opiates
19:56It 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 three please
20:06Siobhan if you stay on airway
20:08And let's get monitoring on as soon as possible thanks
20:10It was just a bump on the chin
20:12No headache
20:12No history of epilepsy?
20:14No not that I know of
20:15Stephen you doing okay over there?
20:17Yeah yeah all good
20:18Okay let's do four millidramazole orazepam
20:20Just in case this thing doesn't self limit
20:22It wasn't his chest
20:23Stuart 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 stabilized thanks
20:32Hold on a second
20:35I think I've found the culprit
20:36That looks like ecstasy to me
20:38Hey what is that?
20:39Is that what he's taking?
20:40Yeah 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
20:46Pupils are pinpoint
20:52Yeah I think they're cutting these pills with a synthetic opioid
20:55Your friend was telling the truth
20:56That's why naloxone worked
20:57What do you think they're cutting it with naloxone?
20:59Let's get another 400 naloxone
21:01If his breathing doesn't improve after that
21:02We need to be prepared to intervene
21:03We're barely out of the woods with the heroin stuff
21:05Flynn two pre-alerts en route from the festival
21:09Both in cardiac arrest
21:11Suspected ODs
21:13Okay Stevie I need you to hold down the fork
21:15Can you give me that pill?
21:15I'm going to get it fast-tracked through the lab
21:17He's going into respiratory arrest
21:19Right okay
21:20Siobhan start bagging
21:21Let's get the naloxone going through please
21:23Stevie starts breathing
21:24If not we're heading towards RSI in ventilation
21:26We're the naloxone by C0
21:29We're still here
21:31Are them friends so hot
21:35To say
21:37What I need to say
21:38Why I'd let you let you tell me
21:41It's just the right shit today
21:44Oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh.
22:04Chops!
22:05All right.
22:06We're celebrating.
22:07Isn't it?
22:08Isn't it?
22:10Isn't it?
22:12No!
22:14Oh my God.
22:16Hey, how are you?
22:18Everyone at this is Badger.
22:19Hi, Badger.
22:20We went to school together.
22:21Hey, I wonder why they call him Badger.
22:22Hang on.
22:23I mean, he looks like he's got TV.
22:25I'm going to go get water.
22:27Water?
22:28What you got celebrating then?
22:30Um, I just graduated.
22:32I've got a new job at Sheffield.
22:34Oh, what?
22:35So you're running off like that?
22:36Yeah, mate, yeah.
22:37Hey, well in that case,
22:41we celebrate with a bang, right?
22:43Hey.
22:44I can't, man.
22:45I've got this.
22:46I'm exiting and moving tomorrow.
22:48I can't.
22:49Oh, you've changed, mate.
22:54Yeah, but what about your mates, though?
22:56Yeah.
22:58You can't follow me in here.
23:08Where'd you get the pills, Cassie?
23:11I saw your face when that lad came in.
23:13The one with the same pill.
23:14You know him, don't you?
23:17Cassie, please.
23:18If Steph and that lad have tainted them.
23:21Look, people are in danger, okay?
23:24And I need you to help me.
23:29Who did they get them from?
23:31Me?
23:32Cassie.
23:33I think I saw him.
23:34We were dropping off at a party.
23:35Are you dealing?
23:36If there's something wrong with the pills, then I need to take them back.
23:38Tell them.
23:39Them?
23:40Who's them?
23:41Who are you doing this for?
23:42It doesn't matter.
23:43I can just tell them the pills are bad.
23:44Don't be so naive.
23:45There's going to be other dealers out there shifting them tonight.
23:46We'll have to tell the police.
23:47Just let me work it out.
23:48I can work it out.
23:49Give me the pills, Cassie.
23:50It's protocol.
23:51I've got to hand them in.
23:52I'm sorry.
23:53I've got to hand them in there.
23:54I'm sorry.
23:55No, I'm sorry.
23:56I'm sorry.
23:57I can't tell them.
23:58I'm sorry.
23:59I'm sorry.
24:00I'm sorry.
24:01I can't tell you.
24:02I'm sorry.
24:03You were dropping off at a party.
24:06You're dealing?
24:07If there's something wrong with the pills, then I need to take them back.
24:09Tell them?
24:10Them?
24:11Who's them?
24:12Who are you doing this for?
24:13protocol. I've got to hand them in. I'm sorry. You've put me in a hell of a position. You've gone.
24:20Please. Okay. Okay, fine. I won't hand them over. But until I can work out how to get you out of this,
24:31they stay with me. They stay with me, Cassie, or I'm handing you in with them.
24:43I've got another one coming in. Student night. ETA 10 minutes. Guys. Guys, I'm, uh,
25:13sorry to break this to you, but I've just spoken to the lab and poison control, and they've confirmed
25:18the pills are cut with nidazines. Oh, God. Yeah, I know. Listen, I'm going to call the police, okay?
25:24I'm going to start getting the word out. Get them to check how much naloxone they've got, because if
25:29this goes badly, I won't have enough paramedics. They'll have to administer it. Right, yeah,
25:33that's a good shout, Jan. Thank you. Ah, Siobhan, can you call ITU? Get your hands on as many portable
25:37vents as you can, please. So we're looking at a critical incident? Truth is, I don't know.
25:42At this stage, I don't know. But I do know that no two pills have the same dose. No two patients
25:47are exhibiting the same response, and we don't know how many there are in circulation. I'm going to
25:51go speak to the execs. Some of our staff are out tonight. I'll give them a call.
26:03Locked that up.
26:04Feels like we're doing in circles
26:06We just meter it up. We're like, we're looking out at, we go shake our time. Keep it in right to the
26:13fight. You're looking out at no тебе. Title's drops the target, right?
26:15You got taken it away All you need to come in and see myолетies.
26:17You're thinking that it's worth keeping your airlerie, right?
26:21You're thinking useless not as sama, I mean, WHAT Wow!
26:25Look at this nov dial area!
26:27This new button's outfit address is yours!
26:33You don't want a little something?
26:48No, I'm good.
26:53How about we dish the doctors then?
26:55It's not that they're going to know it is.
27:00Yeah, yeah, yeah, right.
27:03Oh, Stevie, Stevie, have you got a minute?
27:19Yeah, but literally just a minute.
27:20OK, well, I have a heroin addict.
27:22It says he's clean, but he's got a small stable fracture of T4.
27:27The paramedics said they gave him tenomorphine,
27:28but he's saying he never got any, and I can't get him to calm down.
27:31Have 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.
27:37It's horrible.
27:38OK, yeah, yeah, no worries.
27:40OK, hiya.
27:41My name is Dr. Nash.
27:43My colleague wants to give you a quick look.
27:47Can you just open your eyes for me if you can?
27:53OK.
27:54Yeah, pupils aren't constricted,
27:56but that's not necessarily a reliable indicator.
27:58How much more thing did you say?
28:00I can't just check.
28:00I'm not just faking it, then.
28:02My spinal injuries don't lie,
28:03but they do hurt like a mother.
28:05Stevie, Stevie, I need you in recess now.
28:07Sir, yes, sir.
28:08Space, all non-emergency patients straight into cubicles.
28:11I need the capacity.
28:12You do know that the execs have called
28:14an internal critical incident, right?
28:15I could really do without you wasting
28:16one of my consultant's time
28:18on a non-critical patient.
28:22Right, space.
28:23Space.
28:24OK, just bugging it.
28:25Right, and goes,
28:26we need Naloxone for him.
28:27If it doesn't bring his rest rate up,
28:28let's be ready with an RSI.
28:30Stevie?
28:31Yeah?
28:31I need you to take the lead in here.
28:32I've got to get to recess three, OK?
28:34OK, but we're at capacity, so...
28:36OK, yeah, let's do a reshuffle.
28:38Nicole, your patient looks like
28:39she's through the worst of it.
28:40Can we send her to HDU?
28:42Yeah, on it.
28:42OK, great.
28:43Listen, from now on,
28:43all non-emergency patients
28:44straight into the NQ overdose area.
28:46No exception.
28:47Stevie!
28:47He's got no pulse.
28:49OK, sorry.
28:49Go.
28:50It's all right, OK.
28:51Let's start CPR.
28:52Can you get on airway, please?
28:54Start chest.
28:55OK, let's do 800 micrograms
28:58of Naloxone, please.
28:59We'll do that every minute,
29:00and then we'll reassess
29:01the pulse check.
29:02Come on, Kian.
29:08He's aspirating.
29:09Swirl him.
29:10Let's get suction.
29:12I'm going to be ready to interpeak.
29:14OK, rhythm check.
29:16Still the PEA.
29:17Get back on chest.
29:19Right, let's get some screens
29:20around this bed.
29:22Look straight into our eyes.
29:26I'll stand your back
29:27so I'm the best night of your life.
29:31Switch.
29:36I'll stand your back
29:38so I'm the best night of your life.
29:40Switch.
29:46Yeah.
29:46Yeah, yeah, yeah.
29:47Oh, my.
29:47Yeah.
29:48Yeah, yeah, yeah.
29:48Fuck.
29:48Yeah, yeah.
29:48Fuck.
29:49Yeah.
29:49Yeah, yeah.
29:50Yeah.
29:50Yeah, yeah, yeah.
29:51It's about it.
29:53Okay.
29:53But right now I'm off and I think I'll do my best
29:56Shout and leave to arguing from arguing to sex
29:59I like to party, I hardly think that it's disrespect
30:01She said yeah, I said yeah, I'll care
30:04She said yeah, I said yeah
30:05I said yeah, I think I made it clear than we said
30:07Looked straight into our eyes
30:10I said you're part of the best night of your life
30:12Switch
30:15Ready? Ready? Ready? Ready? All right?
30:20Yeah! Yeah!
30:23Oh! Everything else!
30:25Awesome!
30:43Okay, we'll keep you on a lock zone infusion for 24 hours
30:47And then we'll move you up to an observation ward
30:50And all being well, we'll have you out here in a couple of days
30:52A couple of days
30:53I thought you said I nearly died
30:56Well, you did
30:58Well, can't you keep me in longer then?
31:01What's home like for you, Steph?
31:04Fine
31:04If there's anything worrying you about being dischallenged
31:08No, I just...
31:09I just don't want to go back to work
31:12Do you work for the same people that Cassie does?
31:16It's okay, she won't tell anyone
31:19Will you?
31:25So are you dealing as well?
31:27She doesn't deal
31:28They just make a party
31:31With their people
31:33Is that true?
31:37I have to go to parties with them
31:39They give me to the dealers who make the most profit
31:44No, you said...
31:47You said it was just flirting
31:50Drinking
31:52That's why I took the pill
31:53I didn't want to feel it
31:54Okay
31:55I can arrange a sexual health screening for you
31:59If you're comfortable
31:59Does this mean I have to talk to the police?
32:03You can
32:03If you want
32:04You both can
32:07Nicole, they need you back in recess
32:09I'll be back
32:11You need to give me the gear back
32:19Now
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
32:25While I worked out what to do
32:26Do you know what would happen if someone found out?
32:31You shouldn't be protecting these people
32:33Nicole
32:34I'll be back
32:36And sort it
32:37Right?
32:43Careful
32:44Watch the lady
32:45What are we doing?
32:46I didn't want to go
32:47I'm looking for Teddy
32:48Teddy
32:50You know, I love you so much
32:53No, listen to me
32:55I do
32:55You're my best friend
32:56Yes, sorry
32:57You're my best friend
32:58And I don't know what I'd do without you
32:59Right, well, let's do it for Teddy, okay?
33:00Our friend as well
33:01Just keep moving
33:02You don't need to hang on for me
33:04Teddy
33:06Teddy
33:07Teddy, move, move, move, move
33:08Reader
33:12Jody
33:13Come and help me put him in recovery
33:15Hey, come on
33:17What's happened?
33:19Barely breathing
33:19Course is ready
33:21Don't just stare at me
33:22Go and get security
33:23I'm gonna call
33:24An ambulance
33:26What?
33:30Reading what?
33:32ED's in crisis mode
33:34Nitazines are not just in heroin
33:35They're in pills
33:37Yeah, ambulance please
33:49Euphoria Club
33:50Help my friend
33:54Please help my friend
33:55Is she gonna die?
34:03Okay, let's up the dose
34:05Two milligrams and niloxone, please
34:06Come on
34:07I'm not responding adequately to niloxone, Stevie
34:09Early intubation's the way to go
34:12I'm gonna call her to Utah
34:13And they've got another one coming up
34:15I'll get a second man in
34:16And I'll get the muscle relaxants ready
34:18I don't think we need secondary sedation
34:19Right
34:20Nicole, can you take up your intubating over here for me, please?
34:23Excuse me
34:24Please, excuse me
34:25Let me get us another respiratory arrest
34:28Can I get a laryngus call?
34:38That's too big
34:38Can I get a three, please?
34:40Flynn?
34:42Yeah
34:42We've got two police outside
34:44Giving CPR
34:45Where do you want them?
34:48Put them in recess three, would you?
34:50Hey, Jan
34:50Would you do me a favour?
34:51Would you call
34:52See at any OPDs
34:53Inicent cysts
34:54Profusionists
34:55Anyone who can operate a BBM
34:56Get them down here to help
34:57Please
34:57Onic
34:58Flynn
34:59It's like a circus in here, man
35:01Ngozi
35:01I really need you on families
35:02Yeah, go
35:03Can you take over
35:04Airway monitoring for me, please?
35:06Okay, friends and family
35:07I need to take you to the relative room, please
35:08We will update you
35:10As and when we can
35:11But for now
35:12This area has to remain priority
35:13For the patients, please
35:14Thank you
35:15Thank you
35:17No, he's not coming back, guys
35:28Please, Stevie
35:29He's 15
35:30I know
35:31If you're okay, I'll call it, yeah
35:33Time of death, 2347
35:37Time of death, 2347
35:37No, no, no
35:50No, no, no
35:52No
35:53AIRANDIING
36:03Oh, no
36:05Facebook, all non-cretical patients
36:07Our patients have to stay in cubicles, so cubicle one, please.
36:11OK, this is Hannah Edmondson, 42.
36:13Tripped over a dog whilst out walking.
36:15She has a fracture dislocation to a right ankle with critical skin of lateral malleolus.
36:20Distal sensation intact, weak pit of pulse and skin becoming dusky.
36:24She's had 10 of morphine, 1 gram of IV paracetamol.
36:27We tried to manipulate, but the pain was a bit too much.
36:29A bit?
36:30OK, screw it across.
36:31Let me give you a hand.
36:32My mum was shaming me for not having kids.
36:45I thought a dog might be easier.
36:46I was wrong.
36:49I want to pick up the pace a bit.
36:52Dusky with a weak pedal pulse.
36:54And I don't want to throw half my shoes away.
36:58So you're a medic?
36:59Yeah, a doctor.
37:00Which is how I know that that fit paramedic with the back like a rugby league player
37:05definitely didn't give me any morphine.
37:08And you are not touching that ankle unless I've had something to send me doolally tap.
37:13OK, er, I'm sorry you're in so much pain, Hannah.
37:17I'll be back in a second, OK?
37:22Jacob, you said you gave her morphine, right?
37:2610 millimetres.
37:26Are you sure?
37:27Yeah.
37:28I 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.
37:34See now.
37:44Excuse me.
37:44Mind you back.
37:45Mind you back.
37:46Who?
37:47Who?
37:47The guy from the pub.
37:48Phone collapsed.
37:49Yeah, yeah, it's a good job we were there.
37:52Yeah, yeah, it was.
37:55Not one of you could even acknowledge my messages.
37:59Sorry, we were off shift.
38:00Off shift, off shift.
38:02And now you're stupid enough to rock up here.
38:04Off your faces.
38:05No, no, we, we, we didn't, we didn't do anything.
38:07We didn't take anything.
38:08You're suspended.
38:10What?
38:10You heard me.
38:11You are lying to me, miss.
38:12And you are suspended.
38:14You too.
38:14Hold, hold on.
38:15You cannot just suspend them, Siobhan.
38:17Yeah, I can't.
38:18You can't suspend me.
38:19Oh, God, I know.
38:20Well, we'll talk to Jan, shall we?
38:21And then we'll decide, hmm?
38:23Siobhan, what about me?
38:26You.
38:27Yeah.
38:29You're going to assume I didn't take a pill?
38:33You're going to lose three staff and you can barely find anyone to run the ED.
38:38What now?
38:40Fine, fine, fine.
38:42You can all go and sit in the recovery room till I am certain that you're not going to end up like the others.
38:51The others.
38:54The others.
39:08Oh, my God, I'm here to show you.
39:09You're going to be all right, guys.
39:13No, no, no, no, no, no, no, no, no, no, no, no, no, no.
39:21Ben, where are you?
39:37Oh.
39:38Oh, George.
39:39I'm sorry.
39:40I think this was just a mix up.
39:42We'll find out if my heart stops.
39:44High risk, high reward.
39:45now that's morphine like I said it's just a mix-up sorry we're not in a field with a margin for
40:04error no and you know sometimes it's it's hard to figure out exactly how much pain somebody's
40:11actually in but that's the job yeah yeah it's yeah okay right well should we get this book back in
40:21play everybody ready yeah one two three okay how are we doing Stevie yeah
40:41I've ordered up some more naloxone and the income and seem to have slowed down so how are you doing
40:46oh yeah great I've got to go and tell another mother that she's not bringing her kid home so
40:51you um yeah yeah I'm fine I just had a phone call with a dealer I wanted to know if his client base
41:01was still going to be here when all this is over seriously yeah
41:05they're just a bunch of teenagers like one daft decision and it's game over
41:11well at least the police are getting the word out right yeah not much good for the kids in the morgue
41:17they're just starting to think about forgotten about me just for fun
41:33yeah no I brought your pain relief at everything working suffered enough have I
41:38I've been clean since the day I left here without Mya.
41:43And I wasn't lying to you.
41:45I know. I think there was a mistake.
41:47I don't believe you were given any morphine errors.
41:58Okay.
42:01I will find you an alternative.
42:04I'm really sorry I didn't trust you.
42:07I just keep thinking, if I'd done this earlier, I wouldn't be doing it alone.
42:17Well, the important thing is, you're doing it now, isn't it?
42:21Yeah. I reckon I should keep her that way.
42:33Steph?
42:34Where's Cassie?
42:38She's gone back to them.
42:40Cassie!
42:41Cassie!
42:42Oh, so that's it, then?
42:43Just running back to them?
42:44Leave it, Nicole!
42:45No, I won't leave it.
42:46Did you hear what Steph said? What kind of people they are?
42:50I spoke to them, they explained.
42:51Explained what?
42:52That they're literally pimping out your friend?
42:53And what are they going to do to you?
42:54When you've got no pills and no cash, what they're...
42:55I already told them.
42:56I told them the pills were bad.
42:57And what did they do?
42:58Invite you round for a cup of tea, a little biscuit, just talk it all through.
43:00What do you expect me to do, Nicole?
43:01You screwed me over.
43:02I'm trying to help you.
43:03Oh, admit it.
43:04You're more worried about covering your own arse than saving mine.
43:05You both know that's not true.
43:07Come and stay at mine.
43:10Have you seen him again?
43:12It's a little over time.
43:13Oh, thank you.
43:14That's not me.
43:15It took me to me.
43:16What you've said to her.
43:17Let's try this, Kate and the victim.
43:18You've tried to help me all.
43:19I'm trying to help you.
43:20Oh, admit it.
43:21You are more worried about covering your own arse than saving mine.
43:23Admit it! You were more worried about covering your own arse than saving mine!
43:27We 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.
43:53PHONE RINGS
44:06Rough night all round, eh?
44:08Yeah.
44:12You OK?
44:14I don't know, erm...
44:19I don't think so.
44:20Something, something's off.
44:23I had patients come in today, and I was told that they'd been given morphine, but they were still in pain.
44:28Like, like a lot of pain.
44:31So I don't think they were given any morphine at all.
44:33Who was the paramedic?
44:35Er, there was different ones. Indy, Teddy, Jacob, and that was just my patients.
44:44What if somebody's pocketing the meds?
44:47What, like on the Rob?
44:48What, like on the Rob?
44:49Yeah, stealing the morphine, telling the patients that they're giving them pain relief and giving them 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. Like, one patient, maybe, yeah, but three separate patients? How do you explain that?
45:10Can you not just say something?
45:16What more do you want me to say, Jodie?
45:20Well, you didn't need to throw yourself under the bus like that.
45:22I've got responsibility here. I was respected.
45:25Siobhan was so disappointed in me.
45:32You all right, Teddy?
45:34Yeah. I'm fine.
45:38Okay, consider your suspensions lifted. All three of you.
45:43Really?
45:45Look, you know something? Seeing as you're all closing ranks, I'm going to say this to you.
45:49Okay, irrespective of the fact that there's two nurses currently on gardening leave from St. James', because we're doing exactly the same thing as you.
45:59Tonight, tonight, there are several young people, like yourselves, lying down in the morgue.
46:08Okay?
46:10And 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...
46:22I'm just glad that you're still breathing.
46:25Sorry.
46:27Yeah. I'm sorry.
46:32I'm sorry.
46:36Right. Well, you still need to stay here till they discharge you.
46:41No, this isn't on Reader.
46:45It was Indy's mate.
46:48And where is Indy now?
47:00I don't know if I believe you, actually.
47:03I swear.
47:04Really? That's interesting.
47:06No, no, no, no.
47:07I mean, I always thought you were pretty.
47:10Great.
47:12Oh, really?
47:13Mm-hmm.
47:14Fine.
47:16Er...
47:17That's Ted.
47:19I should probably get this.
47:20Why?
47:21What, then?
47:22Is he a boyfriend or something?
47:24No.
47:25Well, good.
47:26And, erm, like, are you sure you don't want a little sign to keep you up?
47:41Oh, okay.
47:54Details of organisations offering support and information with addiction are available on the Action Line pages of the BBC website.
48:00Or you can call for free at any time to hear recorded information on 08000 155947.
48:07.
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