Original subtitles

Previously on All Saints...

Home, shower, cheeky glass of red.

Dr Hughes, we hardly know each other.

Believe me, it's better that way.

Dan, give it back! Come and get it.

No, I mean it. I want it back!

What have we got here? Oh, 'A Bodice Ripper'?

How hot are those books?

Like, do chicks, like, totally get off on them?

Dan, go away.

Then why haven't you applied for the position in the training program?

It's a big decision.

Four years on a training program.

Why put yourself through all that pain if you're not sure?

Maybe you've got a point.

If push comes to shove, I will stand right behind Charlotte

because she is a bloody good doctor and a member of my team.

Charlotte is a cog in the wheel.

If push comes to shove,

I'll do whatever I need to for the greater good of this hospital.

TERRI: How is Mrs Hunter going?

Not great. She's spiked a nasty PUO.

I've called her oncologist, Dr Giorgio, to come and review her.

We need to find the source of this infection.

She was a recent surgical inpatient, wasn't she?

Yeah. She's had a Whipple's duohepatic cancer.

But there were no perioperative complications

and she was discharged about a week ago.

Shall I page you when Dr Giorgio gets here?

No.

Let the night staff know to inform me of any change in her condition.

Okay. I'll review her in the morning.

You've got a day off tomorrow.

Yes, but I'm bit worried about her.

And I don't have anything better to do.

Really?

Charlotte?

I was surprised to see your name on the application list

for the emergency training position.

Why would you be surprised?

I've been working in emergency for ages

and I've completed all the professional training.

I was wondering if you're up to it, that's all,

after the disappointment of the last training position.

Oh, you mean when you fired me?

I would hate if you were bitter if you didn't get it, that's all.

Remember, there are other areas to consider - Dermatology, ENT.

Good luck, though.

DAN: Even back in 1887,

they let nurses have two nights off a week for courting purposes.

I have the proof right here.

Really? Yes.

So why have you put me on late shift every weekend

for the past two months?

It's just the way the rosters fell.

You're not going to get special treatment, Dan.

Why not? I am special.

The answer's no.

What about that one, Jess, huh? He's pretty cute.

Off you go then.

It wasn't for me. It was for you.

I've got to bail out. I'm sorry. Not yet. It's too early.

I know. I haven't been well. I've got to go.

One more hour.

I'm sorry. I've got to go.

You have a good night.

Oh, no. What?

It's him.

The fantastic Vincent? Don't look!

Well, he is tall, dark and handsome. You going to go talk to him?

No, of course not!

He's all alone. Might be looking for a good time.

He's not like that.

Well, he's not!

Rightio.

If you don't go ever there, I'm going to.

No. Alright, just sit down, okay? I'll go.

Just ask him if he's got a friend.

THEME MUSIC

JESSICA: I'm sorry for the late notice, Nelson,

but I don't think I'm able to come into work today.

I think I've got appendicitis.

No. My parents have left for work and...

No, that's fine.

If you can give me Dan's number,

I might see if he can pick me up on his way into work.

Oh, okay. That would be great. Thanks.

NELSON: Jess isn't coming in. She's sick. Can you let Terri know?

Sure. I hope it's nothing serious.

Appendicitis, she thinks. Oh, no.

Morning. Hi.

Oh, great. You picked today of all days to turn up early.

I can go again, if that makes... That won't be necessary.

Did Terri mention anything about me being on triage today?

She's not in yet, but I'm on triage.

I'm getting rusty, can I triage this shift?

Yeah, yeah, sure. Thanks, mate.

(coughs and gags)

PHONE RINGS

Mrs Hunter's antibiotics aren't even touching the sides.

Right. I'll just move her into Iso.

Yeah, good idea.

Problem?

I hope not.

Jess phoned in sick and now she's not answering the phone.

Sick with what?

Appendicitis, apparently.

Do you want me to take a look at her? I'm heading out now.

That would be great. Okay.

Give me a yell if pathology and swab results come in.

PHONE RINGS Yep.

Beaumont, get your arse into gear.

Rescue chopper's just brought in a hypothermic cardiac arrest.

From where? Ski fields.

What's Telford doing here again?

He's boning up before his interview.

Alison's very taken with him.

Dr Campion, Ben Telford. Good to see...

Move it, move it!

Donald McCarthy, 45 years old, hypothermic cardiac arrest

following extended cold water immersion.

Nil spontaneous respiration or circulation.

Pupils fixed and unreactive.

Temperature? Unobtainable.

CPR commenced on site by his daughter, Phoebe,

who's right behind us.

Patient intubated, size 8ETT.

IV access?

Unable to establish one due to vasoconstriction.

Phoebe, we're going to transfer your dad to the bed.

Give Regina all your details,

then I'll take you to him once he's assessed.

He'll be fine, Phoebe.

Come with me and we'll get a nice hot drink.

IDC, NG, CVC, blood gas if possible.

Someone put the warm touch on him.

Good luck.

Tympanic thermometer won't work.

Try a rectal gauge. I need a core temperature.

I'm getting a line.

Good work.

See if you can get full bloods.

Then we'll need on outline.

Set up for pleural and gastric lavages.

You might think about telling his daughter it's not looking good.

We don't know that yet.

Deep hypothermia increases the brain's tolerance to ischemia,

slows the metabolic process and reduces oxygen consumption.

We cannot determine any sort of outcome until we warm him up.

You've been doing your homework.

You right here? There's no-one in triage.

Yeah, go, go.

Stop CPR.

CONSTANT BEEP

Resume compressions. He's been down a while.

Just keep going, Jack.

You wanted me?

I've ordered an agency nurse to cover for Jess.

Oh, great.

What's the story with the patient in Resus?

Stuck between rocks with frozen water pouring over him for an unknown time?

Yeah, don't see hypothermic cardiac arrest in Australia very often.

Yeah. Listen, Dan's up for appraisal...

Okay. (Clears throat)

He's coming up for appraisal, okay?

What do you think of him?

Good nurse.

Well, his patient skills packages came back.

He scraped through with passes and he didn't even try.

Well, you know, it wouldn't be a first time.

Doesn't he seem glib to you?

I mean, he doesn't take anything seriously.

That's not true. I mean, he takes his sex life very seriously.

That's terrific.

He's a good nurse, you know. He's not lazy...

So you think I'm wrong?

What's that?

This is a list of nurses' duties dating back to 1887

that Dan gave me.

"Number one - daily sweep and mop the floors of your ward,

"dust the patient's furniture and windowsills."

If I made him do that, he'd have something to complain about.

Yes, he would.

See you. Bye-bye.

Why do people come to ED with coughs and colds?

They'd get seen by a GP a thousand times faster.

Don't make assumptions about symptoms, okay?

Just assess the patient, take a full history...

Yeah, yeah, yeah. It'll be fine.

I've worked in triage before.

What? I'd lose the attitude if I was you.

It's not attitude. It's good-natured optimism.

And I've done my triage package, so everything's peachy.

We need attention to detail,

so call me if there's anything you're unsure of.

I know what I'm doing.

Then we won't have any problems? Mm-hm.

Nazi.

You got a problem with being asked to do a job properly?

No. You're coming on a bit strong. Of course I'll do my job properly.

Hi.

Hi.

One agency nurse at your service.

How old are you, Phoebe?

14.15 in February.

Please, I just need to know if my dad's going to be okay.

I wish I could tell you, but the truth is,

we have no idea what the outcome will be.

But I did CPR. Didn't I do it right?

It's amazing you even know how to do CPR,

and you did everything you should have done.

Where's your mother, Phoebe?

She died when I was eight.

Is there an aunt or a grandparent I can call?

I don't get what happened.

We were collecting snow plant life for my school project.

We headed in different directions,

and when he didn't turn up when he said he would...

..I found him.

Phoebe, I need you to understand

exactly what's happening to your father.

We're trying to raise his temperature and restore a heartbeat.

But there is a risk that he may have sustained brain damage.

And a chance that we may not be able to revive him at all.

(cries) Just save him, please.

Please, don't give up. He's all I've got.

DOORBELL RINGS

It's about time you showed up, Dan.

Am I late?

Vincent, what are you doing here?

I'm making a house call. I heard there was a damsel in distress.

Do you mind if I come in?

Nice slippers. Oh, God!

So, what's going on?

Look, nothing. I'm actually feeling heaps better.

You don't have to be here. I'm fine.

Nelson said it might be appendicitis.

Oh!

I'm taking a look at you. Where's your bedroom?

How long have you been feeling unwell?

A couple of days.

Not as... Oh!

Not as bad as this, though. It got worse through the night.

Do you have a thermometer here?

I'm febrile. I took it earlier.

Okay. Off to the hospital for you, young lady.

Really?

Mm-hm, really.

Who are you calling?

Reg, it's Vincent.

Okay, then.

That was Vincent. He's bringing Jessica in.

She has acute appendicitis.

What's Hughes doing at Jessica's place? Or shouldn't I ask?

I asked him to check on her.

You shouldn't make assumptions like that, Frank.

Frank.

Yeah. What do you think?

About what?

About placing Don McCarthy on percutaneous cardiopulmonary bypass?

You really want to mobilise a bypass unit for this?

Yes, I do!

It's been done successfully in the States and Canada

with good outcomes and little or no neurological deficit.

I've never heard of it being done here, ever.

It's not cold enough.

Tell that to Donald. Better still, tell his daughter.

It costs a bloody fortune! Why is that a factor?

It's always a factor!

If that was the kid in Resus, not the father,

we wouldn't be having this conversation, you know that.

Yes, we would, because, regardless of the age, the prognosis would be poor.

Alright, alright! Hurry up and give it a go.

But not in there. I want Resus cleared.

Now you've got an interview this afternoon. You got a time?

1:30.

Cardiac unit contact details. Thanks.

Newell suggested that maybe I should do dermatology.

(laughs) I hope you told her to kiss your backside.

Hey, what have you got there? What?

You can't write with two at once. Why do you need two pens?

No wonder our bloody budget's being blown!

When you want a new pen, show me the old one first!

Do you really think that'll make a difference to the budget?

Every little bit makes a difference.

Well, in that case,

we won't need any refill cartridges for your fancy French pen!

Oui, oui.

TERRI: Frank!

Phoebe, this is Dr Frank Campion. He's the director of emergency.

There you go.

So, you're the boss, right?

That's me.

I'm gonna go get some more fluids.

What's the story, Jack?

No change.

You won't give up, will you?

I mean, you can still do other things.

We'll do everything we can.

I told Dad it'd be okay.

SOMBRE MUSIC

Phoebe?

Did Dr Beaumont tell you exactly what's going on?

She said his temperature's really low and we need to warm him up.

Alright.

Phoebe, the truth is,

the chances of anyone coming through something like this are very slim.

And in your dad's case,

I'm afraid because of his age and his temperature being so low,

the chances are much less.

Don't say that! He'll be alright!

Won't you, Dad?

How'd you go?

The cardiac team will consider it if I find an ICU bed. So far no luck.

What does that mean?

We're trying to organise a faster way to warm your dad,

but it's complicated, sweetie.

I don't care if it's complicated! He's my dad!

Phoebe, why don't you and I go for a walk?

Just fix him, okay? Make him better!

Yep. Come on, come on.

Sorry for losing it before.

Dad would freak if heard me talking to you like that.

I've had patients and families behave much worse than that.

At least you didn't spit at me. I had that once.

Gross. Yeah.

Look, Phoebe...

..you need to understand that,

even if we do manage to revive your father,

there could be long-term complications.

I don't care about any of that.

You need to care about it,

because it's going to affect the rest of your life.

Your father could suffer permanent brain damage.

Then I'll look after him.

Yeah, I don't think you quite understand.

He looked after me when my mum died.

Everybody said he couldn't do it, with work and everything,

but he did.

I'm sure he did. But this is very different.

Why? We're a team, you know. That's what he says, anyway.

It's kind of lame, I know, but it's the truth.

I'm sure it is. I'm sure it is.

We've got to be realistic about this.

If he dies, I'll be on my own.

If he doesn't die, he could be a lifelong burden to you.

He could never be a burden.

I know that's how you feel now,

but in 10 or 20 years

when you're still looking after him around-the-clock,

you may feel differently.

Please, please believe me.

You'll realise that what seems to be me being cruel today

is actually the reverse.

You're only 14. You've got your whole life ahead of you.

What does that mean with no family to share it with?

How long have you been feeling unwell?

Ah, a day or so.

I had the flu a couple of weeks ago, but I thought I was over that.

Okay, any other medical history?

I probably should've just gone to my local doctor,

but to tell you the truth, he thinks I'm a hypochondriac.

I guess I am a bit.

Any other symptoms?

Not really.

I just don't feel... right.

I get this tingling in my hands and feet. It drives me nuts.

Breathe for me.

When you go to your local doctor

and tell him your legs are aching and you feel off,

and they look at you like,

"What do you want me to do about it?"

You're probably thinking that right now.

Hey! Only doctors are allowed to be that arrogant.

Tell you what, you stay here, I'll be right back.

I'm probably just imagining it. It's no big deal.

Won't be long.

Don't give me that crap.

We've got a man here doing a good impersonation of an ice sculpture,

and we need him up there now, so get your act together!

Nelson, you got a second?

I have to relieve in Resus. What?

I've got a guy out there with no specific symptoms.

Triage him accordingly.

I've just got a gut feeling he's got something else going on with him.

Reassess him regularly.

If in doubt, or he deteriorates, push him up a category.

Sorry, I have to do this. Let me know if there's any changes.

Hey, what's going on? It's sweet.

What's going on...

I'm just being paranoid because Nelson gave me a serve earlier.

I'm not sure of the status of a triage patient.

Do you want me to have a look? No.

That's what triage responsibility is all about. It's my decision to make.

What is your instinct telling you?

That he should be a higher priority than category five.

Make him a high priority.

Charlotte, I've got your bed in ICU.

They can provide the profusionist but not much else.

You'll need someone to go with him.

Thank you. Can I have a word?

This better not come back and bite us on the bum.

If this man comes through this a vegetable,

he'll drain on the system for the rest of his miserable life.

(groans in pain)

Are you getting worse?

I think I'm gonna be sick.

Okay. Hold on. I'll pull over.

(gags)

Oh! I'm so sorry.

It's okay. Don't worry about it.

Oh, God!

It's okay, it's alright. (pants)

You okay, Jessie?

I didn't think it was this bad.

What's the story?

Acute appendicitis. It looks like its perforated.

Let Peter know, Dan.

Frank...? Busy.

Interview's in half an hour.

I can tell the time!

Is he ready to go to ICU? Yeah.

Listen, you can't all go. Okay, I'll stay.

Nelson, want me to take over? I'm fine.

You sure? You must be exhausted.

Won't need to work out tonight.

Where are you taking him?

Cardiac are waiting upstairs to warm your dad up more effectively.

Really?

Still no guarantees, but this is the best chance.

We'll put your dad on cardiac bypass, warm his blood up

and pump it back through his system.

We have to go. I'll watch her.

Thanks.

Is this going to work?

I have no idea.

How's she doing?

Much better since the pain relief kicked in.

Emergency Department. Cate speaking.

Yes. Yes, she's ready.

Okay, I'll send her up.

That was theatre. They're ready for Jess. I'll page an orderly.

Okay.

Who's the surgeon on today? Abbot.

He's a dinosaur. He'll give her an old-fashioned scar.

Well, he's rostered on.

I'm gonna do it.

You're not working today.

I can fix that.

Terri, has Loretta Giorgio been in to review Mrs Hunter?

Maybe you might give her another call and hurry her up.

No, that's okay. I'm sure she'll come when she's ready.

Hi. How are you going?

A culture shock. I'm used to coming and going.

Forgot what it's like being here all day.

So what's next?

A break for you.

I usually eat on the run. Take yours first.

No, it's okay, I'm busy. You go. Alright.

Hey, Jess.

Look at you. You alright?

I made a fool of myself.

I was in my pyjamas.

You're sick. You're not supposed to look beautiful. No-one cares.

My fluffy slippers.

I threw up all over his car.

Whose car?

It wasn't supposed to happen that way. I've ruined everything.

Okay.

Cate? Take your break.

Terri, who brought Jess in?

Vincent.

How are you doing?

Alright, I guess.

Are you in any pain?

No, not pain.

Let's have a doctor look at you. Can you stand?

Yeah.

Take it easy. Up.

Sorry to be such a nuisance.

No nuisance, no nuisance.

Jack?

Have you got a sec?

Not really, mate.

I need you to have a look at someone for me.

A 34-year-old male,

shortness of breath, back and leg pain

following flu-like symptoms a couple of weeks ago,

and he's having trouble weight-bearing.

Where is he now? I put him in triage.

Okay. Now this weakness in your legs, that started today?

I've been a bit weird for a few days, actually - pins and needles.

Sort of like they're asleep.

Dan's been in and out checking on him all morning.

He's not right, is he? I couldn't put my finger on it.

He didn't say he was getting worse or give me all the information.

Okay, listen, I want bloods taken. MRI and ECG, thanks.

Neurology consult? Yeah.

Um, what's going on? What's happening to me?

I don't know, but I'll find out.

I need you to just relax, okay?

Let's get you to a bed.

Nelson, he should have been triaged higher than a category four.

Yeah, that was my fault. Right.

It's alright, Jess, you're on you way to theatre now.

I've got permission to do the operation myself,

so I'll make sure there is no scar, okay?

Shouldn't he be responding by now?

It takes a lot longer than this

to kick-start a frozen circulatory system.

How warm does he need to get before defib is effective?

Around 32 degrees.

I remember reading this Canadian case

about a boy who fell into an ice fishing hole -

he was under water for a lot longer than this guy.

Come on, Donald. You've got a daughter to look after.

She's waiting for you to wake up.

TAPPING

Do you mind?

TAPPING STOPS

What I mind is that I don't have a candidate sitting in that chair

being interviewed.

Dr Beaumont... THAT is what I mind.

Dr Beaumont is working on a particularly difficult case, Alison.

We're all working, Frank.

Right, pushing paper can really take it out of you, can't it?

She's not here.

And that is precisely my concern with her as a candidate.

She has trouble working within the system, always has.

Garbage.

Meanwhile, there are other candidates

who are taking this seriously.

At least give her until 2:00.

No.

Cross Beaumont off the list.

Mr Swaine, you know, you really should've told someone

that this was getting worse.

I didn't want to bother anyone.

I know how busy you all are.

I wasn't going to come in at all.

You're lucky Dan was on the ball.

Here, just squeeze both my hands.

Uh-huh. Okay, thanks.

Quick deficit both sides.

Is that neurology registrar on the way?

He said he'd come as soon as possible.

Who is it? Ben Telford.

Oh! Well, good.

Judging by past experience, he's not gonna be much help.

Excellent, Dr Telford.

Thanks very much. I appreciate your time.

And we appreciate the effort you've obviously put into your application.

My pleasure. Thank you.

He's a talented boy.

He's a knob.

Now it's decision time.

Well, we can lose Beaumont immediately.

So that leaves four possibles.

Lewis?

Moron. Just into prestige and the letters after his name.

Yeah, I agree.

So do I.

Micaleff seemed motivated, good clinical knowledge and judgment.

(sneers)

Frank, if you're gonna block every one of these applicants,

then we'll have problems...

Then we'll have problems, Alison.

I know you. You want Telford to have the position.

Stop wasting time and get down to it.

Ben Telford has an impeccable record.

Frank, he was impressive.

He's been vegetating in Neurology since the time he graduated.

He wouldn't know a trauma if it bit him on the balls.

He demonstrates the knowledge, skills and commitment

demanded of a program...

I don't care.

I cannot have a doctor in ED

who'll turn to water at the first sight of blood.

He is pretty, though, I'll give you that.

He's the best candidate we've interviewed, and you know it.

But not necessarily the best man for the job, Alison.

Charged. Clear!

VF. Again, 360.

BEEPING INTENSIFIES

Charged. Clear!

STEADY BEEPING

That looks like sinus rhythm to me. Me too.

Welcome back, Donald.

Oh, sh...! Charlotte?

Just something I was supposed to do. It's too late now.

If you're okay here, I'd like to speak to Donald's daughter.

That's fine. Thank you.

Afternoon.

(groans in pain)

No, don't do that. You've just had an operation.

Perforated appendix.

Come on, go back to sleep.

TERRI: Hey.

How did it go?

Like clockwork. What are you doing up here?

Came to see how Jess was. These are Mrs Hunter's pathology results.

MRAB? Yeah.

No wonder nothing we've been doing has been working.

I just hope I'm not the source of the infection,

because if I'm carrying it, I just operated on Jessica.

None of your other post-op patients have signs of infection, do they?

No, but I'll get the infection control team onto this,

and if you could take a swab of Mrs Hunter's incision site.

Okay. Dr Giorgio is aware of the results.

Would you like me to page you when she arrives?

(snores)

Not unless you have to.

What's going on?

You seem to be avoiding her, and I'd like to know why.

Okay, Terri, I called her yesterday to ask for some advice on Mrs Hunter.

She suggested that we catch up to talk about it,

and then she turned the whole consult into a date.

(laughs) I'm sorry.

You're the only man in the hospital who'd have a problem with that.

Yeah.

I'll tell her how busy you are, shall I?

Thank you. (laughs)

(snores)

Anyway, we're just going to start by reviewing her antibiotics, okay.

Hello, there.

I'll get you Mrs Hunter's file.

No need. I'm sure Vincent can run me through developments.

Nurse mentioned MRAB.

You forgot to give me your phone number last night.

No, I didn't forget.

Shy?

I'm just not interested, actually, I'm sorry.

I'm disappointed.

Vincent, I'm sorry to interrupt. Um...

Excuse me.

Wow, that looked like you just turned down Loretta Giorgio.

Are you nuts?

Did you want something, Dan?

Yeah, um... Jess, how is she?

She's doing fine. Good.

I'll go and see her in my lunch break.

Don't do that. She's just had an operation. She needs rest.

Okay. I'll make it quick.

No, Dan! Did you hear what I said?

When the staff are in the hospital they never get any rest.

DAN: What happened?

I think it's Guillain Barre Syndrome -

you can get it after a virus.

The immune system attacks the nervous system.

It can be really life threatening.

I didn't even think of that. I've never come across it before.

Neither have I. Not something that walks through the door every day.

Anyway, patients his age recover pretty well.

Hopefully he'll improve in a couple of weeks.

Okay, that was the bed manager.

We've got a bed in ICU in 10 minutes.

Great.

If I'd triaged him at a higher level...

Wouldn't have made a difference. You did well picking it up.

You were right to trust your instincts, Dan.

So what happened to the neurology registrar?

You were lucky to diagnose him with GBS.

Well, let's hope Ben Telford doesn't get the training position.

He won't. The job's Charlotte's.

I really am very careful, Frank. I hate wasting anything.

Except my time, perhaps.

Well, that's not very funny.

If we don't get the requisition forms signed,

then we have no supplies.

We'll have to make do then, and when we're scratching things on the...

Where have you been? With Donald McCarthy.

He's continuing to improve, his daughter's by his side.

That's all that matters. Good.

I'd hate to think you missed your interview without good cause.

Don't start. I know I stuffed up. Damn right, you did.

I couldn't leave my patient, Frank.

If that means I don't get the traineeship, then too bad.

Charlotte!

You wanna start on hospital resources I've used,

go ahead, 'cause right now I couldn't care less,

and neither should you.

Well, I don't have the luxury of not caring

because I have to balance the budget,

I have to answer the board's stupid, bloody questions

about whether or not I really needed to use so many sutures,

and I have to explain to them

why my candidate for the traineeship was too busy to attend her interview.

The fun just never stops for me.

Frank, I am sorry.

But Alison was never gonna give me that position,

so what difference does it make?

Get yourself ready in half an hour.

At that time the board will be reconvening to hear your application.

What?

I have been tap dancing for the last hour to get you another shot,

so don't disappoint me.

And I expect the bypass to be chalked up to ICU's budget

since it was done up there.

(winces in pain)

You can always call a nurse to help, you know?

Wanna get up?

(pants)

Hey.

What are you doing here?

I brought you a present.

Emergency procedures manual. Gee, thanks. (Laughs)

How are you feeling?

Not very good.

Well, don't expect too many visitors.

Vincent has appointed himself your personal watchdog.

What are you talking about?

He doesn't want any of us plebs bothering you.

Really?

Really.

So I'd better go.

No, you stay.

You always leave 'em wanting more, Jess.

No, seriously, I've got to go.

I've got my own personal watchdog... Who?

Nelson.

Oh, he's not still being a pain, is he?

Not really. Enjoy your reading.

(whispers) No-one will ever know.

(laughs) Ouch!

Come on in. Sit down.

Am I in trouble?

Why do you say that? Nelson thinks you're doing a great job.

I know that look.

I used to get it from teachers

who used to put "Daniel's attitude is disappointing" on my report cards.

Am I right?

Well, you're self-reflective skills are fabulous.

Ah, anyway, can I go?

Nope.

Here you go. Next month's rosters. You've only got one weekend shift.

No way! That's fantastic.

Yeah, well, I checked back

you were given a bit of a rough trot, so I thought you deserved it.

Just another thing -

interesting little list you gave me here.

It says here each nurse can have two evenings off a week

for courting purposes, as long as they attend church regularly.

Oh, great. I'll see you there Sunday.

Charlotte, you know what they'll ask you.

You went through it on the physician's traineeship.

But I didn't have the director of medicine gunning for me then.

Come on.

(Groans) Okay.

So tell me, Dr Beaumont, why do you want this position?

To stick it up Newell.

Okay, okay.

Because my time in the ED has demonstrated to me

what a valuable area emergency medicine is...

What? Is that a wank?

It's not a complete one, no.

I'm going to blow this, I know I am.

Charlotte, you're gonna be fine. It's okay. It was a little thin.

Just say something like

you want to develop skills to work at the highest clinical level

and then have the capacity to use those skills to teach others,

blah, blah, blah, blah, blah, blah.

That's what I hate about you. You're so perfect.

I'm far from perfect.

What's up?

I don't know I just... I feel poisonous at the moment.

You know that's rubbish.

Come on, mate. You're gonna be late. Off you go.

Thank you.

And if I screw this up, then consider yourself poisonous.

Oh, Vincent.

It's Mrs Hunter's pathology results.

Ah.

Is that for me? Thanks.

Good news?

Yeah, her surgical wound was negative for MRAB.

It means it didn't come from me. That's good.

I'm surprised to see you in the ED this afternoon.

I needed extra cash. I'm going overseas at Christmas.

How's Jess?

I'm heading there now. She was fine last time I checked.

You'd better be nice to her. She's got a massive crush on you.

Hi.

How you feeling?

Much better, thanks.

Vincent, um...

thanks so much, you know, for everything.

No problems.

Is there something wrong?

No, not at all.

You've had an appendicectomy, but you'll barely notice the scar.

But you'll need to stay nil by mouth until you've passed wind.

Yeah, I know all that.

Okay, any questions?

No.

Right, we've left a drain in which we'll remove in a couple of days.

Ah, get some rest.

Hot, isn't it?

Is this yours? Mm-hm.

Nice, Dr Giorgio.

I had a poster of one on my wall when I was a teenager.

It wasn't this model, of course.

Let me guess, it had a naked woman drapped over the bonnet?

It had two of them, now you mention it.

You want a ride?

Oh...

ENGINE REVS Suit yourself.

No, wait, wait.

ENGINE REVS

TYRES SCREECH

CHARLOTTE: Sorry.

Thank you.

(sighs)

Oh, thank you for joining us.

Finally.

I am sorry. I did have an emergency to attend to.

Well, let's get started, shall we?

Why do you want this position?

Well, as you're aware, I have been working in the ED for a while now

and I find it particularly stimulating and challenging

as it utilises skills and knowledge across all specialties.

And in my time there I have come to understand

what a valuable speciality emergency medicine really is.

How so?

It's the front line for patients in critical condition.

It's a place of education for patients

with less urgent clinical presentations

and you are dealing with patients...

Oh, for God's sake.

All this touchy-feely, cuddle me, please stuff

is starting to turn my stomach.

Sorry, I don't have time for it. Dr Campion...!

I need to know if this applicant has the initiative

to take care of an emergency situation

without me holding her bloody hand.

Since Dr Beaumont decided to stuff us around all day,

I think we should put her through the ringer.

How do you intend doing that?

Patient presents with hypothermic cardiopulmonary arrest

following prolonged exposure to sub-zero temperatures.

What do you do?

Well, first, I would...

Dr Campion, that's hardly a fair question.

All of our candidates deserve a level playing field.

I'm happy to answer the question, Dr Newell.

Any underlying pathology I should know about,

anything that would preclude resuscitation attempts?

Nope.

Then I would have to weigh up my options on rewarming techniques.

Which are?

Passive external rewarming -

insulating from heat loss, warm environment.

Active external rewarming - heat blankets, lamps, etc.

An active core rewarming - heat infusions, lavages.

Extracorporeal blood rewarming -

hemodialysis, venovenous, cardiopulmonary bypass...