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- 6 weeks ago
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00:08I just died on your homes tonight.
00:13Must have been something you said.
00:17I just died on your homes tonight.
00:24There he goes.
00:26Happy birthday to you.
00:28Happy birthday to you.
00:30Happy birthday dear Dad.
00:33Happy birthday to you.
00:37I'm not the lucky one.
00:38How does it feel to be for the old man?
00:41Old man?
00:42Wow.
00:44I'll have you know I feel no different
00:46to how I felt yesterday, okay?
00:49Did you get out playing it?
00:51I did.
00:52I've been listening to it now.
00:54Hey, you girls ready for pizza later?
00:57Of course.
00:58Don't be late.
01:01Am I ever?
01:02All the time.
01:05Okay.
01:06Alright.
01:07Okay girls, I love you.
01:08Bye, bye, bye, bye, bye.
01:09Mwah.
01:11Come on.
01:13Come on.
01:18Come on.
01:20Come on.
01:22Come on.
01:23Yeah, I'll be out there.
01:24Come on.
01:49Oh, what was it?
01:54I don't know.
02:04A major explosion has been recorded in Central Holby.
02:07Please stay inside and avoid the area.
02:09Keep away from hospitals.
02:11Emergency care only.
02:15Guys, I don't think that's snow.
02:18No, it's ash.
02:19Right, everybody inside.
02:22All staff, come on inside.
02:25Unless you plan and want to go home, do that.
02:27Otherwise, inside.
02:28Please.
02:30It's Carol.
02:31It was so good.
02:32I didn't come out here.
02:34Fips, beds and cubicles.
02:35Rash, let's have people call, friends, family.
02:38I've sent to me.
02:39We'll meet in 5'10".
02:41OK.
02:42They blew up the city.
02:44It's been an explosion.
02:45We're under attack.
02:47What's with a terrorist attack?
02:48Yeah, 100%.
02:49Honestly, we didn't go.
02:51Well, what else is it going to be?
02:52It's just an explosion.
02:53Yeah, but there's no point in panicking.
02:54It says here there was a bomb.
02:56Let's not jump to any conclusion.
02:58Straight to voice them out.
03:00Call me back as soon as you can.
03:01Rita, anything?
03:03No, Mum's not answering.
03:04I'm trying my brothers, but nothing.
03:05Will all patients and visitors exit the building?
03:08The hospital is closed.
03:09What do we know?
03:11Major incident has been declared in the city.
03:14Tactical commander already setting up and 10 to 1 we are heading towards a mass casualty.
03:19Flynn stay off, so I'll give him a call.
03:21No, no, no, I'll do that.
03:22You call your kids.
03:23I'm going to change to it.
03:25OK, I'll have a priest this morning.
03:40What?
03:41Flynn?
03:42Say it again.
03:43I can't hear you.
03:43Flynn, it's Dylan.
03:44I need you to come in.
03:45No, I can't.
03:46Dylan, I can't come in.
03:47Why?
03:48Hey, hold on.
03:50You have to.
03:50Clinical lead.
03:51I'm at the explosion site now.
03:54Where?
03:54In the city.
03:56St. James.
03:58It's St. James Hospital.
04:00Crews are here.
04:01I'm going to help.
04:10The explosion is at St. James.
04:13Which, apart from anything else, means that we're the only ED in the city.
04:17We're only assigned 20 B1s.
04:19Yeah, well, we don't have enough stuff.
04:21OK, right.
04:23So, let's clear this area out.
04:24We'll get 12 or 13 beds in there.
04:26We'll use cubicles as an overflow resource.
04:28Mm-hm.
04:28OK, I'll organize them.
04:35We'll get that turned off.
04:38How are we doing with the surgery?
04:39Yeah, surgeries.
04:41We've got six prepped.
04:42One's been held back for obstetrics and non-traumary urgencies.
04:45We've got surgeons incoming, and Kavanaugh on the way down.
04:50Came as soon as I heard.
04:51Yeah, I do.
04:51It's due to an ongoing incident.
04:53Is it possible?
04:54It's now closed.
04:55Everybody's attention.
04:56Please.
05:00Are we sure it was St James's that got hit?
05:02Was it targeted?
05:03I don't know.
05:04I can't help with that, I'm afraid, at the moment.
05:06Well, we've got friends at St James's.
05:07Are we at risk?
05:09Again, I can't tell you, but I mean, I would say at the moment, let's not concentrate on what's
05:12going on out there.
05:13Let's try and concentrate on what's going on in here, because I think we're going to be flooded.
05:17We've got walking wounded on their way in already.
05:19So we're going to have to operate a very strict treat-move-on policy.
05:23Do everything essential, obviously, but nothing that is, and I'm afraid I have to hold you to that.
05:27Yeah, I'll be controlling flow, so therefore, from now on, I am the board, yeah?
05:31Yeah, all notes will be paper.
05:33They'll be attached to patients.
05:34We're not going to remember everyone's name, so every patient will have a number.
05:37And we're going to use the colour-coding triage system for a major instance.
05:41So, P1 red, that'll be here in recess.
05:44P2, which is yellow, that'll be in reception.
05:46And P3, which is green, cubicle 3.
05:48Thank you very much indeed.
05:50So, the red zone, I will take with Stevie, with Faith, with Dr. Chi, and Dr. Masum,
05:57who is on his first day as a consultant.
05:58I'm sorry, it's about to have a fire, isn't it?
06:01There it is.
06:02Okay, in the yellow zone, Nicole, please, can you play that with Raj?
06:07And green, Dr. Wilson-Cam, can you help out up there as well, please?
06:12Triage.
06:12Matty, go with Dr. Phelps.
06:14Thank you very much.
06:14Here's the cavalry.
06:16Now, we all know, I think, Miss Kavanagh.
06:18You all know me.
06:20You know how I earn a living.
06:22Yeah, okay.
06:22So, if you need anything, I'm here, Siobhan's here.
06:25Flynn is at the site that he will be making his way in time.
06:29So, any questions?
06:30No?
06:32Good.
06:32Good luck.
06:35See you in the trenches.
06:39She's the best.
06:41And you know it.
06:43Here, drink.
06:46You've got this.
06:47Mm-hmm.
06:58Watch your head, okay?
06:59This could go in a second.
07:01You okay?
07:02Yeah.
07:03Yeah.
07:04We've got 20 in here alone, okay?
07:07Uh, crush, heavy patients, ferrets, blast injuries.
07:10Nine, uh, ten P4s.
07:13Flynn?
07:14Yeah?
07:14You can stand now.
07:15We've got enough resources on site.
07:17Yeah, come on.
07:18I'm a gun anyway.
07:19Where's the clearing site?
07:30Hey.
07:31Hey.
07:32Are you okay?
07:33No.
07:34Okay, alright.
07:35I've got you.
07:36Okay, I've got you.
07:38Okay, I've got you.
07:39Okay.
07:40It's alright.
07:41It's alright.
07:41I've got you.
07:44Matti.
07:45You haven't done one of these before?
07:46No.
07:47No.
07:48Listen up.
07:49Um, everybody listen up.
07:50Please don't, don't stop what you're doing, but we're going to be using the mass casualty
07:53triage tool.
07:54For those of you that don't know, that means those who are unconscious but breathing, bleeding
08:00heavily, a weak or thready pulse, responsive to no stimulus other than pain, that is P1, okay?
08:05P3 is walking wounded.
08:08P2, anything in between.
08:09Yeah, so maybe injured, but they'll live.
08:13Alright?
08:14For those patients, not breathing, dead.
08:17It's P4, okay?
08:19Um, it's 30 seconds per patient.
08:23It's not personal.
08:23It can't be personal.
08:24Alright?
08:25Um, can we make sure there's only patients in here now?
08:28No next to kick.
08:29Alright, we don't need them.
08:30Right.
08:33And I'm ready for this.
08:35Well, we have to be, don't we?
08:37Okay, okay, okay, okay, okay, just here, just here.
08:39I've got two from the explosion here.
08:40Are you hurt yourself?
08:41No, no, I'm fine.
08:42The other guy's in the back.
08:43Okay, hello there.
08:44Can you hear me?
08:45Yeah?
08:48There's a weak pulse there.
08:51Hello?
08:52Oh, okay.
08:52You've got to be watching.
08:53You've got to be watching.
08:54You've got to be watching.
08:55You say there were two in here?
08:56Others in the back.
08:57Oh, no.
08:57You've got him, Ian.
08:58Make your way through, please.
08:59No?
09:00Okay.
09:01We're at WB City Hospital, okay?
09:02He doesn't need a minute, yeah?
09:0399.
09:04Flake.
09:05What, no, come on.
09:05Let's get you out of here.
09:06Here we go.
09:07I've got you.
09:09What's your name, mate?
09:14What are we doing?
09:16What are we doing?
09:16Don't worry, mate.
09:17We should go to the ball.
09:18P3, please.
09:19I know.
09:20It's okay.
09:20Come on.
09:21We've got P3, yeah?
09:23Hi, do you take a seat?
09:24Here.
09:31You hurt?
09:32Yeah, I can't hit me.
09:33It's okay.
09:33Okay, we need to look you over there, please.
09:35No, not me.
09:36There's two in the back.
09:37Take care of them.
09:37Them.
09:39What's your name?
09:39What's your name?
09:39What's your name?
09:40Cheryl.
09:41Good job.
09:42Okay, Cheryl.
09:42My name's Dylan.
09:43This is Sue.
09:45Okay, Cheryl.
09:46Sue, can you open your eyes?
09:47I won't go home.
09:49I won't go home.
09:49You're on.
09:49Okay, let's get you out, please, as we can.
09:51Here we go.
09:52What, what, what, what, what was that?
09:54Was that a mum?
09:54Yeah, thank you.
09:55She told me her name.
09:57Okay.
09:58Okay.
10:00I'm just gonna put one of these on your wrist, okay?
10:02And somebody will come and see to you.
10:03I need to, well, I need to find my son.
10:05Okay.
10:06The nurse will talk to you about that.
10:07Alfie.
10:09Alfie, quick.
10:09Short.
10:11Oh.
10:12How are you doing, lad?
10:13I can't feel the pulse.
10:20No, no, no, she's gone.
10:21She's gone.
10:22You sure?
10:23Yeah.
10:24Hey, hey, hey, hey.
10:25Hey, hey, hey, hey.
10:25Where are you going?
10:26What are you doing?
10:26Well, I need to go back.
10:27There are so many.
10:28No, no, no, no, no, no.
10:29Okay, you're a patient too.
10:30But there are so many.
10:31No, please, please.
10:34Okay.
10:42Okay.
10:50Okay.
10:51I'm going to go zero six.
10:52Hi, Indy.
10:53It's me acting up as tactical.
10:55I confirm that you've arrived at custody, please.
10:58Over.
10:59Hey, Jan.
10:59Yeah, we've arrived.
11:00Over.
11:01Leave the ambulance to the parking officer and make contact with the operational commander.
11:06They will tell you where to go, okay?
11:10Understood.
11:11Over.
11:24Hey.
11:25Hi.
11:26Where are we?
11:28I'm at the clearing station.
11:30Why are we here?
11:31Well, the police haven't given permission to leave the cordon, so Doug will be held here until we've got it
11:36all clear.
11:37He needs a hospital. He's lost his leg.
11:39Yeah, yeah, this kind of is a hospital. Ready?
11:43Yep.
12:08Sorry about that. No name. Transient response to resuscitation. Presumed hemorrhage with, I think, sepsis.
12:15One for theatre, I think. Yeah. Sorry. No room in theatre. Join the queue.
12:20OK, OK. That smells dreadful, is it? Is that pus? Yeah, I think so.
12:24Got a tag here. Tag? I'm sorry, I should have seen that.
12:29Let's find out why Harry Wiseman was with St James, yeah? Then get on surgery, let him know that we've
12:35got an intra-abdominal bleed with, with sepsis.
12:38OK, well done. Ready? Yeah.
12:47I'll be with you in a second.
12:49Er, no, I can't intubate. She's got multiple head and neck injuries and she's bitten off her tongue, there's lots
12:54of blood.
12:54OK, I'll have a go. Is that the tongue now? Wow, that's clean.
12:56OK.
12:59Um, right. Have you got the food you're standing by, yeah?
13:01Er, Dylan.
13:06Right, let's have a little bit of suction.
13:10Now, when I say I want you to press down on the chest, OK?
13:13OK. Is she crashing?
13:15No, no, I'm chasing the bubble.
13:16What about Max Fox?
13:17Fifteen minutes out, she'll be dead by then. Let's go.
13:20That could make it worse.
13:21Yeah, as I said, she's dying. Now?
13:24I'm in. That's good.
13:25That's it.
13:31OK. Keep it coming, keep it coming, keep it coming.
13:34Amazing.
13:40OK.
13:41Good, I've got it, thank you.
13:52Yeah.
13:53Good, good, my lateral air entry.
13:55Good end tidal CO2.
13:57Now she can go into Max Fox.
13:58Yeah, look, er, they've put a call out for a hems doctor, so...
14:02Yeah, but not you, Stevie.
14:03Yeah, look, I know it's less than ideal, but...
14:05Less than ideal? No, I'm sorry, I can't spare you.
14:07You need to stay here.
14:08Look, I'm sure Flynn's on his way, and so you won't be short of a pair of hands.
14:12What? I spoke to Flynn earlier on.
14:14Yeah, look, Dylan, I, er, I don't have a choice.
14:16Stevie, you need to stay here, I'm sorry, I...
14:18I'm really sorry, thank you.
14:36What are you doing to me?
14:39What are you doing to me?
14:39What are you doing to me?
14:40You need to try and relax, OK?
14:42This is going to help you, it's going to help.
14:43Look at me, trust me, trust me.
14:47Yeah, well done, well done.
14:48Right, to keep Hazel's right through.
14:50Yep, Katherine, Richard, ready?
14:52Yeah.
14:52Right, let's go.
14:53Let's go.
14:54Right, three, two, one.
14:56There we go.
14:57Well done, deep breaths to me.
14:59You guys?
14:59You guys OK?
15:00Yeah, they're OK.
15:02Flynn, where do you want us?
15:03Hey, er, just over here, please.
15:07Who have we got?
15:07Right, this is Doug Keane, P1.
15:09Right leg traumatic amputation and push injury to his left leg.
15:12Tony K's, all right, three minutes ago.
15:15So he's got an hour and seven minutes left or we're just losing his other leg.
15:18So the gram of TXA, gram of paracetamol, total 40 milligrams of ketamine, four milligrams
15:23of one.
15:24Uh, sorry, you what?
15:27Hazel.
15:27Hazel.
15:28That's my husband.
15:29OK, er, Hazel, I'm sorry, I know this is really difficult but I can't have you in here,
15:33OK?
15:33Can we get Hazel into P3?
15:35Yeah, Hazel, come with us, we'll show you where to go, love.
15:36No, look, we've been married for 30 years, we've never been apart.
15:41I'm not starting now.
15:43Please.
15:46Please.
15:47OK, all right, Hazel, it's OK, er, yeah, it's all right.
15:50Oh, jeez, thank you.
15:53Now, get on.
15:54Yeah, and it's just, it's just a lot, isn't it?
15:59You got her, man, you got her.
16:04The cause of this explosion is still unbearable at this stage.
16:08But to confirm sight of the explosion, St. James' Hospital has been destroyed.
16:14As our live company shows, it's a heart-breaking scene of chaos and devastation.
16:18No, I just, just a mad headache.
16:21OK, well, um, look, you are in the queue for CT, they just keep bumping you,
16:26but we'll be with you shortly, all right?
16:28Er, Dr. Wilkes, thank you.
16:30We do know there's been electricity cut in some districts of the city because of the huge blast.
16:36You tell I'm a bloody gaddon.
16:38Are you not seeing this?
16:40Tone it down, please, Mr. Sanders.
16:41Look at it.
16:43We're at war.
16:46If this was some kind of attack on Malby, that will become clear in the hours ahead.
16:51Initial...
16:52Yeah, we're just checking the legs.
16:55I'm gonna go down the next one.
17:01That's how beautiful is not really touching the sides, is it?
17:05I think we're gonna have to try something else. Let's pop it off, darling.
17:07Don't touch me!
17:08My mum says I've got to keep away from your lot.
17:15Well, I haven't really got to speak to my mum because I've been here treating your lot.
17:21Do you wanna breathe or not?
17:23It's that simple.
17:23And it's my lot that are gonna help you do that.
17:26So, the choice is yours because I'm easy either way.
17:40He just passed his driving test.
17:43He was supposed to...
17:45I really hope he did not come to pick me up.
17:51Alfie.
17:53Alfie Pritchard.
17:55Alfie Pritchard.
17:57I haven't seen him, Cheryl, but I'll keep my eyes peeled.
18:00Um, I believe you've got a degloving for me, has it?
18:02Right.
18:03Yep, Cheryl Pritchard.
18:06Canteen worker caught up in the blast.
18:08Hi, Cheryl. It's nice to meet you.
18:09Sorry about the circumstances.
18:11Oh, we good?
18:12Yeah, we out the taxi.
18:14I'm sorry. I'm sorry. Do tell me, yeah.
18:16Erm, I've removed some shrapnel and some bone fragments, but our ulna and our radius are intact.
18:21Yeah, they appear to be, don't they?
18:23Erm, any other broken bones?
18:28No.
18:32Then I do think that's her bone.
18:34Oh.
18:35I think it's somebody else's.
18:36Oh, God.
18:38We'll confirm it with an x-ray, though, obviously.
18:40Let's clean and pack that.
18:41Oh, God.
18:42Let's have a broad-spectrum antibiotic in the usual place.
18:45I'll get her moved down to P3 and I'll speak to plastics.
18:49What are they doing, eh?
18:53They're looking for a bomber.
18:55What, in here?
18:56There's always another bomb.
18:57I'm getting out.
18:58Hey, hey, hey.
18:59I've got to talk to them.
19:01Can you just try and keep everybody calm?
19:02Rita, would you mind finding Siobhan for me, please?
19:04Yeah. Hey, stay here. I'll be right back.
19:06No, find somebody else. Thank you.
19:10Sir, help me.
19:12Sir, help me.
19:12Has said emergency, sir,
19:14will work around the clock to rescue...
19:16...and find victims...
19:18Oh, right.
19:19Let's find somewhere for you to sit down.
19:23Erm...
19:23Actually, sir, would you mind moving that box for me?
19:25Of course.
19:27Police have urged the public to be weary...
19:30What's a name, love?
19:31Annika Rice.
19:32OK, Mrs Rice, you take a seat.
19:34Someone will be with you shortly, all right?
19:36Oh, you've a lovely face, Martin.
19:38But bog off, I want to go home!
19:41You and me both, love.
19:42Am I right?
19:45They say now there was more than one explosion.
19:47A flash followed by multiple secondary blasts on me.
19:50Can't recognise this country, can you?
19:53Hey.
19:54You all right, mate?
19:56You all right?
19:56Hey, hey, oh, hey!
19:57Can we get some outfit, please?
19:59Hey, hey.
20:00Doctor, please.
20:01Yep.
20:01All right.
20:02It's OK, everyone.
20:04Er, Doctor Wilkes.
20:09I've got three separate groups claim responsibility already.
20:11Nothing's verified, and until council terrorism can confirm otherwise,
20:14I'm going to assume Holby's on the list.
20:16What?
20:17OK, so we're going to do a full sweep of the hospital, make sure it's safe.
20:19We'll use your staff to see if there's anything out of place.
20:22I haven't got any staff to lend here.
20:24Sweep...
20:24No, sir.
20:25No good debating it.
20:26I'm not debating it with you.
20:28You're debating it with me?
20:28We need to get done.
20:29As far as I knew, I was in charge.
20:30Well, I'm in charge now, because we need to get done.
20:32OK.
20:33OK.
20:33Well, we...
20:34We need to keep this area, please.
20:35We won't get patients in.
20:36There's a hospital.
20:37I need some help.
20:38We need some help.
20:38We need some help.
20:39And we have a clear lane for blue lights here.
20:41Sorry.
20:41Can I get through?
20:42Sorry.
20:42I need some help.
20:44I have people.
20:44You should have driven.
20:45I have people.
20:46What about you, then?
20:47I'm fine.
20:49OK, hello?
20:51We're glassy then.
20:52Matthew, I need you back.
20:52Right.
20:53Yeah, yeah.
20:54They were pulled from the rubble 42 minutes ago.
20:56They've got crush injuries to the abdomen and pelvis.
20:58Dispected hemorrhage as well.
20:59OK, with me.
21:00We've got two starts.
21:01Research one.
21:04I've got a pulse here, but...
21:07OK, yeah.
21:07P1.
21:07We've got some soot in the airway, Dan.
21:09How are you doing, Matty?
21:10Pulse is weak.
21:12They're breathing shallow.
21:13This is not survivable.
21:14OK, well, you've got to back yourself.
21:15We've got a P1 here.
21:16Can we have some assistance, please?
21:17You've got to back yourself with this or something.
21:19Oh, my...
21:19Sophia.
21:23Did you know?
21:26Yeah.
21:28Yeah.
21:29She's P1.
21:30P1 here.
21:31Some assistance, please.
21:37OK, yeah, yeah, yeah.
21:40I need to try and get to Imogen.
21:41OK.
21:41And then this lady here.
21:43OK, watch your back, please.
21:44We're coming through.
21:45Let's get some oxygen on.
21:46Happy.
21:47We need resus.
21:48Sorry.
21:48I'm totally falling there.
21:49I'm sorry.
21:50It's Sophia.
21:51Yeah.
21:51Oh, no.
21:52I'm so sorry.
21:53Cubicles?
21:54No, they're full as well.
21:56No visible catastrophic hemorrhage.
21:59Audible strider.
22:01Look, we can treat her here.
22:02Yeah, here.
22:03Here.
22:03Sorry.
22:05So, there are burns in the airway, so pending airway obstruction.
22:09Let's have the crash trolley, please.
22:11We need to stand by with the RSI drugs.
22:13Yeah?
22:14Quickly.
22:15OK, so it's 100 milligrams of rock uranium and 1 milligram per kilo catamint, so a bit
22:21I don't know, 55.
22:22Yeah.
22:22Let's pre-oxidate, please.
22:24Can we get monitoring on it, if we can?
22:25Yeah.
22:28She's asking for you.
22:29Very good.
22:29She's asking for you.
22:34Yeah, I'm here.
22:35Come here.
22:36Oh.
22:37Oh.
22:40Oh.
22:41Oh.
22:41Oh.
22:42Oh.
22:42I'm glad it's here.
22:48I'm going to be here when you wake up, OK?
22:51A bit of space, please.
22:52Yeah.
22:57Can I have the larynx go there, please?
23:06She had that.
23:15Um, okay, let's prep for a surgical crank then, please.
23:19Yeah.
23:20And can you, oh, can you get cabinet?
23:22Now, please.
23:24Shhh.
23:26Shhh.
23:26Shhh.
23:29Shhh.
23:31Uh, right, yeah, let's get a pelvic binder on him, we'll bind his feet, we'll do, um,
23:35another unit of old paws, and let's give him 10 milligrams of ketamine.
23:38Thanks, guys, and let's get him out of here.
23:41Hey, Lynn.
23:42Hey.
23:42What are you doing here?
23:44Same as you, Stevie.
23:45Have you seen the monitors, please?
23:46Right, let's get another unit of old paws in.
23:48That's not how I thought I'd be spending my birthday.
23:50Yeah, what Dylan's expecting you, Bob.
23:51Well, Dylan's gonna have to stand on his own two feet, okay?
23:54Uh, I'm needed here.
23:55Let's get fluids up and a unit of live, guys.
23:57I'm sorry, it is what it is.
24:03Come on, let's get plate the cup, please, Dreddy.
24:06Dylan?
24:07Um, patient four, one of the footballers, proximal femur fracture with neurovascular injury.
24:11Shall I pull it or wait for imaging?
24:14Can you back faster there?
24:15She'll recover.
24:15Rush, I don't know.
24:16You've seen the cube CT.
24:17It's a mile long.
24:18Could you make a decision and stick to it?
24:19I can't hold your hand the whole time.
24:26Is that what you called me down for?
24:28It's his ex, so go easy, man.
24:30Uh, Kavanagh, Kavanagh, thank you, thank you.
24:32This is Sophia.
24:34Um...
24:35Um...
24:3580% burns, but, but, but she's stable for time being.
24:39She needs theatre.
24:40I think, uh, heart rate's...
24:4360, 50 maybe.
24:50Nearer 40.
24:52She's never gonna make it, Dylan, you know that.
24:54I'm sorry.
24:55Come on, she's, she's young, she's strong, she needs a chance.
24:56Yeah, they all do.
24:57Pick your battles.
24:58I have.
24:59She's it.
25:05If she's breathing in an hour, I'll get burns and neurosurgeons.
25:07Thank you, thank you, thank you.
25:08She will be.
25:11Let me take her over there.
25:18Come through me.
25:24Ready?
25:25Ready, please.
25:26Yeah, I'm coming.
25:28Ian, you coming?
25:30Yeah, yeah, I'm coming.
25:32Hang on, slow down.
25:34You all right here?
25:35Yeah, yeah, fine.
25:37Go, go, go.
25:37Go?
25:38Yeah.
25:39Yeah, keep coming, come on.
25:40Keep coming through.
25:41That's it, mate.
25:41Keep going.
25:47Hey, mate.
25:47My name's Indy.
25:48I'm a paramedic.
25:49I'm just gonna have a little look at that, okay?
25:51When I said wait, you wait.
25:53Don't rush off on your own.
25:54I'm not on my own.
25:55I'm with Ahmed.
25:56Don't do it again.
25:59Right.
26:00Ahmed, who have we got here then?
26:02Dr. Michaels.
26:03He's obviously divine.
26:05I stop bleed and make tight.
26:07But his pulse is fast, weak.
26:10Badum, badum.
26:10He's, um, I don't know a word, um...
26:13Hypervolemic.
26:14Yes, yes.
26:14Hypervolemic.
26:15This tourniquet's holding really well.
26:16I'll just put a glass bandage on it, wrap it up.
26:18You can let go, mate.
26:19It's all good.
26:20She is very good, this one.
26:22You're lucky.
26:26You heard the man?
26:44I've seen these guys.
26:47I thought I missed them.
26:5116 dead so far.
26:55How severe?
26:57Uh, critical.
26:59I don't think I can make another decision.
27:02Dylan.
27:04Ari Wiseman?
27:05Yeah.
27:06He had peritonitis and he made it to theatre because you're good at making decisions.
27:13Here, take that.
27:15Take a break, yeah.
27:17It's okay, sorry.
27:18It's an accident.
27:19It's an accident.
27:19It's an accident.
27:19Okay, everyone remain calm.
27:20Nothing to worry about.
27:21Can somebody just move those, please?
27:23Please?
27:23Come on.
27:25People are jumpy.
27:26They're right to be.
27:31Is this one of ashes?
27:32Yeah.
27:33We couldn't save this one.
27:36Could you just wait a minute, please?
27:42Did he?
27:42Take a break.
27:43Yeah, yeah.
28:05I'm just real.
28:13How?
28:33You got to save the land.
28:41You got to save the land.
28:483-0-0-6, from incident to land, report clearing for appending transfer, over.
28:533-0-0-6, heading out, over.
29:10Come on, mate. Let's get back, yeah?
29:16Ahmed?
29:19My foot.
29:21Ahmed, mate? Can you hear me? You okay?
29:25Alright, buddy. Back, eh?
30:00Just hours after an unprecedented explosion at St. James' Hospital, we are seeing dramatic scenes of violence and looting break
30:08out across the city.
30:10Police are urging people to stay at home.
30:13Annika? Where have you been?
30:15Oh, I needed the toilet.
30:18Oh, okay. People have been looking for you.
30:20Oh, I'm sorry.
30:21Oh, no, don't be sorry. It's okay. You just can't keep wandering off.
30:23Oh, you're a good boy, Martin. And a lot better looking than you, Brother Gary.
30:29Thank you. Um, but my name's Cam. Alright, let's get you seated, okay?
30:33Uh, why don't we pop you there?
30:35Be much more comfortable there.
30:40Sorry to ask, would you mind keeping an eye on Mrs Rice for me, just to make sure she doesn't
30:43wander off?
30:45Sorry, would you keep an eye on Annika for me, just to make sure she doesn't keep wandering off? Is
30:47that alright?
30:48Hey, did we hear any more on Skater Lab?
30:51Uh, well, he's in recess. He's being looked after. Alright, I'll see you to your arms soon.
30:59Oh, is that true?
31:07Oh, that's a shame, isn't it?
31:12It's a lovely photo of you, though.
31:14What are you talking about?
31:15What are you talking about? Where are you talking about? Where are you talking about?
31:24Can we get some alcohol over here, please?
31:27Uh, yeah, hey.
31:28Hey, this is Ahmed, just sudden collapse. Initially mobile and talking, he's cyanosed and technocardic.
31:34He's responding to pain, respirate 30, sac 76.
31:38Right, okay. Um, Ahmed, my name's Dr. Nash. Just try and stay nice and calm for me, okay?
31:45Okay, yeah, uh, bilateral crests and reduced air entries, TAC 8150.
31:50Last one?
31:51Uh, yeah, okay, let's, uh, let's titrate O2 to sass, but don't waste it.
31:55Get access, but be careful with fluid replacement. Just don't want to worsen the pulmonary oedema.
31:59But basically, he needs the ED.
32:00Well, we could take him.
32:01No, you can't. Your vehicle's assigned. It's gonna be 30 minutes at least.
32:04But he'll be dead by then.
32:05Yeah.
32:09All right. I'll make a call. Let me see what I can do.
32:11How bad is it out there?
32:14You don't want to know.
32:27Oh, what? I'm saying sorry. I'm saying sorry.
32:30Dylan.
32:31Skater boy's crashing.
32:32Yeah, where's Cavana? She's late.
32:34Um, I'll check.
32:36Uh, I've got a, a VBG.
32:37I don't know.
32:38Jodie's just going to get it. Jodie?
32:39His glucose is 0.5.
32:41Actually, it's hypoglycemic.
32:42Okay.
32:43Let's go.
32:45Oh.
32:46Oh, look.
32:47Yeah.
32:47He's diabetic.
32:48That driver's broken, so.
32:49Right.
32:50Let's give him 250 mils, uh, 10% glucose, please, Jodie.
32:54Dylan.
32:55Go.
32:56Go.
32:56It's fine.
32:57I've got it, please.
33:04Okay, Doug.
33:05I'm gonna get you to the hospital and get that leg treated, okay?
33:07Hey.
33:08Hold on a second, guys.
33:09What's up?
33:10It's a change of plan.
33:11CCP wants to prioritise this patient.
33:14Yeah, I know.
33:14I might need to, um, RSI en route, so I'm gonna come with him.
33:17Yeah, I'm going to.
33:18Oh, you guys are going to take the next one.
33:19I'm okay, sorry.
33:20No, no, no, you can't.
33:21Look, I...
33:22Sorry.
33:22We have been waiting hours.
33:24You can't do this.
33:25This isn't right.
33:26I'm sorry.
33:26You said he didn't lose his other leg if you got to get the hospital quickly.
33:29Why is he more important?
33:30No, no, look, it's all about more important.
33:32It's just about prioritising threats of life, yeah.
33:37I know, I know.
33:38It's from them things.
33:39There'll be another one soon.
33:40Come on.
33:40Come on.
33:41Come on.
33:42Come on.
33:58Okay, that's two minutes.
33:59If you're posting.
34:05Look, there's no cost.
34:11Let's prepare another round of adrenaline, please.
34:15Dylan, she had one milligram last round.
34:20Yeah, let's prepare another, please.
34:25Okay.
34:36Come on, come on, come on, come on.
34:39Just keep this on for me, okay?
34:40Breathe, try to talk, okay?
34:4492 systolic, his heart rate's 138, his reps are 30, and he's 93%, 15 litres.
34:51Okay, if he sat below 80, hold back him.
34:54Okay, Indy, we're good to go.
34:57Right, this one's for you, okay?
34:59Told you it won't be long.
35:00Right, this is Jacob and Teddy.
35:02I'll leave you in there.
35:04It's okay.
35:05All right, let's get it sorted.
35:08All right, get your stuff off.
35:10You're not coming?
35:12No, I'm going to see you.
35:13What about awkward?
35:15I've got two consultants in the back.
35:17You don't need me.
35:18Yeah, I know I don't need you.
35:19I don't need you.
35:23Let's go, come on.
35:39How long is that?
35:42Can you just do a pulse check for me, please?
35:46Can you do a pulse check, please?
35:47If you won't do it, I'll do it.
35:48I'll do it.
35:53Is that Rosk?
35:54That's Rosk.
35:55Broad complex.
35:56That's Rosk, so let's have an adrenaline infusion.
35:58Let's keep bagging.
35:59I've got a week of carotid for a very short time.
36:00It's because of the adrenaline.
36:01Okay, where we at?
36:02Yeah, we've got an output where we had an output.
36:04Well, you were doing CPR.
36:05Okay, end tidal.
36:06It's coming up.
36:17I've got nothing.
36:18We had a pulse.
36:19We had a pulse.
36:21Would you CPR?
36:24Dr. Keogh,
36:26this wasn't your battle.
36:32It wasn't anyone's.
36:40It wasn't anyone else that we've got.
36:41That's what we've got.
36:45Dr. Massam?
36:47I forgot.
36:50Dr. Massam?
36:52Yeah, yeah, I'm here.
36:53I'm here.
36:54Okay, can I get more pressure band?
37:04I'm so sorry.
37:05I'm so sorry.
37:18It's not my fault.
37:20I don't know where she's gone.
37:25But I did ask if you could keep an arm, Mrs. Rice, for me.
37:29Yeah.
37:29Well, I had other things to worry about.
37:31And for your information, she is not Annika Rice, any more than you or Martin Kemp.
37:41Annika Rice?
37:44She presented Treasure Hunt.
37:45Keeper Rear of the Year in 1986.
37:48And Martin Kemp were the bass player in Spandau Ballet.
37:51My sister have a picture of him on her bedroom door.
37:53Well, you, you wouldn't even make the fridge door.
37:58I just needed help.
38:00Yeah.
38:00Yeah, well, we all need help.
38:02Hey, can't you see?
38:04We could be next.
38:07We're just sitting around here, waiting.
38:10You're pulling bits of glass out of my arm.
38:12None of this makes any sense.
38:13And I don't want to be here.
38:14Okay, well, look, Ralph, if you don't want to be here, you don't have to be.
38:17Okay, you can go.
38:19I don't want to go.
38:22I don't want to be on my own.
39:00You've got a golden ticket, kid, eh?
39:05I don't want to be on my own.
39:35The update, I don't know.
39:51OK. Oh, right, so you keep the pressure on there.
39:54I'm just going to get some bits, OK?
40:06Siobhan?
40:07Yeah, you OK?
40:09That bag wasn't there before, was it?
40:11Really?
40:16Is that bag anyone's?
40:18Anyone?
40:24What do you think?
40:26OK, you better call security and find that Sergeant Arknar.
40:30Keep it quiet.
40:33I'll just be two minutes, OK?
40:59Silent chest. He's tensioning.
41:02Indy, how far out are we?
41:03About 20 minutes, about to come the long way round.
41:06How far?
41:0620 minutes.
41:13How long's it been there?
41:15We don't know.
41:17ARV21 to Sierra Control.
41:18Possible IED.
41:20Whoa, whoa, whoa, whoa, whoa.
41:21Keep me voice down, please.
41:23Keep me voice down, please.
41:25ARV21 to leave that over.
41:27Copy.
41:28Right, we need to establish an inner cord and we need everyone moving out of this area immediately.
41:31Sorry, but where do you want us to be?
41:33We just need everyone clearing from this area.
41:34Where?
41:34I can't leave.
41:35Where?
41:35Excuse me.
41:36Sorry, guys.
41:39Sorry, you just can't come in here.
41:41What do you mean?
41:41As of now, the hospital's on lockdown.
41:43No patients in or out.
41:45Sorry, guys, sorry.
41:45We've got a time to get information here.
41:46I can't allow him.
41:47I mean, I've got to lock this place down here now.
41:48He's P1.
41:49We need to get him in here.
41:50He needs immediate treatment.
41:51You have to think of something else.
41:53Please, you too.
41:54Read her.
41:55We'll come out as soon as we can.
41:56I promise.
41:57We'll wait an hour.
41:59Look, I can't allow you in.
42:00All right, I've just got to find one.
42:04There we go.
42:06Keep your mouth open.
42:07There we are.
42:10Well done.
42:11Come here.
42:12Let's get your new glasses back on, yeah?
42:14Hey, have you seen Dylan?
42:16Yeah, he's just over there.
42:18Matty, what is going on out there?
42:20They found a bag.
42:21A bag?
42:26Dylan, Shabon will need you.
42:28They found a bag at reception.
42:29We've got patients stacking outside.
42:31They need treatments, but they're shutting us down.
42:34Dylan, we need you.
42:36Sorry.
42:42Yeah, no breadcrumbs.
42:43Get in the Santa droppies.
42:45We'll make it.
42:45Indeed.
42:46I'm going as fast as I can.
42:50I'm trying to do my job.
42:52You're obviously trying to do yours.
42:53Look, I'm juggling a lot here.
42:55I've got a lot of critical patients.
42:56We've cleared these two beds.
42:57I mean, please, okay?
42:58You can't expect me to...
42:59Dylan, please, please have a word.
43:01I'm trying to explain politely.
43:03We can't evacuate the entire hospital.
43:06Listen to it for this.
43:07People will die.
43:08ARV21 to Sierra Central.
43:10We've got an EOD en route.
43:11The ETA's 25 minutes.
43:13I'm currently establishing...
43:14Just pick it up and take an essay.
43:15It might not even be a boat.
43:16We're doing as we've been instructed,
43:18and I'm asking you to clear the area.
43:20We can't do our job.
43:22We can go.
43:22We can't administer any medicine.
43:24Nobody's going to the bag.
43:25Dylan, I've got a support team en route to assess the bag.
43:28Do not touch the bag.
43:29Dylan, I need you back down this side to clear the area with me.
43:33Dylan just keep it as mine.
43:34Oh, thank you.
43:39Dylan!
43:57Dylan!
43:58Dylan!
43:59Dylan!
44:03What is that?
44:04Sats attack him with decompressing his chest.
44:06Do you want me to pull over?
44:08No.
44:08You're fine.
44:08Keep going.
44:17Don't stop that man.
44:19Dylan!
44:19Hold this man.
44:20Dylan!
44:21Put the bike down.
44:23Put the bike down.
44:25Dylan!
44:25Put the bike down.
44:27Please, let's hide off.
44:28Please, let's get off the bike.
44:30Let's get off the bike.
44:31Let's get off the bike.
44:48Yeah, I'm pretty.
44:49Okay, nice.
44:50I want to get one for two grams.
44:52Cut off the car from the chest.
44:53See you on that.
44:54Let's get the hell out of here.
44:55You good?
44:56Yeah, we good?
44:57Yeah, yeah, we good.
44:58Okay, sats move.
45:08Put the bike on the floor by your feet and step away!
45:12You're gonna look at me?
45:13Don't put all these people at risk.
45:21No!
45:22Do not open the floor!
45:22Don't come to the floor!
45:24Put it on the floor now!
45:26Don't come to the floor!
45:27Don't put it!
45:27Put it on the floor now!
45:29Put it on the floor now!
45:29Don't move on!
45:48The incident of St. James' hospital has been confirmed accidental.
45:52Repeat, confirmed accidental.
45:54I repeat, non-terror, no device found.
45:58The cause has now been identified as an accidental gas explosion within medical storage.
46:03I, I just died on your arms tonight.
46:09Must have been something you said.
46:12I just died on your arms tonight.
46:29I'm sorry.
46:30I'm sorry.
46:30You all right, Stevie?
46:32Yeah, yeah, I'm okay.
46:34Ahmed?
46:35Ahmed, are you okay?
46:36Indy?
46:37Yeah.
46:39Ahmed?
46:40I'm okay.
46:43I'll have to go.
46:44I'll have to go.
46:45I'm okay.
46:45Come on.
46:45I'll be at the door.
46:46I'm okay.
46:47I'm okay.
46:48No, you're dead.
46:49You're dead?
46:50I'veennine.
46:57I know, I'm okay.
47:00I know.
47:00I'm okay, but...
47:06Bye, first.