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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,120 --> 00:00:02,560 Previously on All Saints... 2 00:00:04,280 --> 00:00:07,839 Home, shower, cheeky glass of red. 3 00:00:07,840 --> 00:00:10,039 Dr Hughes, we hardly know each other. 4 00:00:10,040 --> 00:00:11,839 Believe me, it's better that way. 5 00:00:11,840 --> 00:00:13,879 Dan, give it back! Come and get it. 6 00:00:13,880 --> 00:00:15,919 No, I mean it. I want it back! 7 00:00:15,920 --> 00:00:18,279 What have we got here? Oh, 'A Bodice Ripper'? 8 00:00:18,280 --> 00:00:19,959 How hot are those books? 9 00:00:19,960 --> 00:00:22,319 Like, do chicks, like, totally get off on them? 10 00:00:22,320 --> 00:00:23,519 Dan, go away. 11 00:00:23,520 --> 00:00:26,679 Then why haven't you applied for the position in the training program? 12 00:00:26,680 --> 00:00:28,399 It's a big decision. 13 00:00:28,400 --> 00:00:29,919 Four years on a training program. 14 00:00:29,920 --> 00:00:32,719 Why put yourself through all that pain if you're not sure? 15 00:00:32,720 --> 00:00:34,639 Maybe you've got a point. 16 00:00:34,640 --> 00:00:37,479 If push comes to shove, I will stand right behind Charlotte 17 00:00:37,480 --> 00:00:40,759 because she is a bloody good doctor and a member of my team. 18 00:00:40,760 --> 00:00:42,639 Charlotte is a cog in the wheel. 19 00:00:42,640 --> 00:00:44,199 If push comes to shove, 20 00:00:44,200 --> 00:00:47,680 I'll do whatever I need to for the greater good of this hospital. 21 00:00:53,160 --> 00:00:54,919 TERRI: How is Mrs Hunter going? 22 00:00:54,920 --> 00:00:57,759 Not great. She's spiked a nasty PUO. 23 00:00:57,760 --> 00:01:00,599 I've called her oncologist, Dr Giorgio, to come and review her. 24 00:01:00,600 --> 00:01:03,159 We need to find the source of this infection. 25 00:01:03,160 --> 00:01:05,238 She was a recent surgical inpatient, wasn't she? 26 00:01:05,239 --> 00:01:07,039 Yeah. She's had a Whipple's duohepatic cancer. 27 00:01:07,040 --> 00:01:08,839 But there were no perioperative complications 28 00:01:08,840 --> 00:01:10,919 and she was discharged about a week ago. 29 00:01:10,920 --> 00:01:13,559 Shall I page you when Dr Giorgio gets here? 30 00:01:13,560 --> 00:01:14,560 No. 31 00:01:14,561 --> 00:01:18,079 Let the night staff know to inform me of any change in her condition. 32 00:01:18,080 --> 00:01:19,879 Okay. I'll review her in the morning. 33 00:01:19,880 --> 00:01:21,399 You've got a day off tomorrow. 34 00:01:21,400 --> 00:01:23,199 Yes, but I'm bit worried about her. 35 00:01:23,200 --> 00:01:25,319 And I don't have anything better to do. 36 00:01:25,320 --> 00:01:26,320 Really? 37 00:01:29,200 --> 00:01:30,399 Charlotte? 38 00:01:30,400 --> 00:01:33,599 I was surprised to see your name on the application list 39 00:01:33,600 --> 00:01:35,159 for the emergency training position. 40 00:01:35,160 --> 00:01:36,599 Why would you be surprised? 41 00:01:36,600 --> 00:01:38,359 I've been working in emergency for ages 42 00:01:38,360 --> 00:01:40,639 and I've completed all the professional training. 43 00:01:40,640 --> 00:01:43,159 I was wondering if you're up to it, that's all, 44 00:01:43,160 --> 00:01:45,279 after the disappointment of the last training position. 45 00:01:45,280 --> 00:01:48,519 Oh, you mean when you fired me? 46 00:01:48,520 --> 00:01:52,479 I would hate if you were bitter if you didn't get it, that's all. 47 00:01:52,480 --> 00:01:57,159 Remember, there are other areas to consider - Dermatology, ENT. 48 00:01:57,160 --> 00:01:58,360 Good luck, though. 49 00:01:59,360 --> 00:02:01,159 DAN: Even back in 1887, 50 00:02:01,160 --> 00:02:04,239 they let nurses have two nights off a week for courting purposes. 51 00:02:04,240 --> 00:02:05,759 I have the proof right here. 52 00:02:05,760 --> 00:02:07,359 Really? Yes. 53 00:02:07,360 --> 00:02:10,198 So why have you put me on late shift every weekend 54 00:02:10,199 --> 00:02:11,479 for the past two months? 55 00:02:11,480 --> 00:02:13,239 It's just the way the rosters fell. 56 00:02:13,240 --> 00:02:15,559 You're not going to get special treatment, Dan. 57 00:02:15,560 --> 00:02:17,439 Why not? I am special. 58 00:02:17,440 --> 00:02:18,760 The answer's no. 59 00:02:23,600 --> 00:02:26,000 What about that one, Jess, huh? He's pretty cute. 60 00:02:29,640 --> 00:02:30,759 Off you go then. 61 00:02:30,760 --> 00:02:32,999 It wasn't for me. It was for you. 62 00:02:33,000 --> 00:02:36,239 I've got to bail out. I'm sorry. Not yet. It's too early. 63 00:02:36,240 --> 00:02:38,839 I know. I haven't been well. I've got to go. 64 00:02:38,840 --> 00:02:39,999 One more hour. 65 00:02:40,000 --> 00:02:42,599 I'm sorry. I've got to go. 66 00:02:42,600 --> 00:02:44,440 You have a good night. 67 00:02:47,480 --> 00:02:48,919 Oh, no. What? 68 00:02:48,920 --> 00:02:50,079 It's him. 69 00:02:50,080 --> 00:02:52,479 The fantastic Vincent? Don't look! 70 00:02:52,480 --> 00:02:56,599 Well, he is tall, dark and handsome. You going to go talk to him? 71 00:02:56,600 --> 00:02:58,119 No, of course not! 72 00:02:58,120 --> 00:03:00,879 He's all alone. Might be looking for a good time. 73 00:03:00,880 --> 00:03:02,559 He's not like that. 74 00:03:02,560 --> 00:03:03,799 Well, he's not! 75 00:03:03,800 --> 00:03:05,119 Rightio. 76 00:03:05,120 --> 00:03:07,799 If you don't go ever there, I'm going to. 77 00:03:07,800 --> 00:03:10,319 No. Alright, just sit down, okay? I'll go. 78 00:03:10,320 --> 00:03:12,920 Just ask him if he's got a friend. 79 00:03:25,480 --> 00:03:28,480 THEME MUSIC 80 00:04:14,840 --> 00:04:16,879 JESSICA: I'm sorry for the late notice, Nelson, 81 00:04:16,880 --> 00:04:19,639 but I don't think I'm able to come into work today. 82 00:04:19,640 --> 00:04:22,919 I think I've got appendicitis. 83 00:04:22,920 --> 00:04:27,199 No. My parents have left for work and... 84 00:04:27,200 --> 00:04:29,119 No, that's fine. 85 00:04:29,120 --> 00:04:31,279 If you can give me Dan's number, 86 00:04:31,280 --> 00:04:34,839 I might see if he can pick me up on his way into work. 87 00:04:34,840 --> 00:04:38,480 Oh, okay. That would be great. Thanks. 88 00:04:44,360 --> 00:04:47,639 NELSON: Jess isn't coming in. She's sick. Can you let Terri know? 89 00:04:47,640 --> 00:04:49,199 Sure. I hope it's nothing serious. 90 00:04:49,200 --> 00:04:51,919 Appendicitis, she thinks. Oh, no. 91 00:04:51,920 --> 00:04:53,639 Morning. Hi. 92 00:04:53,640 --> 00:04:56,839 Oh, great. You picked today of all days to turn up early. 93 00:04:56,840 --> 00:04:59,759 I can go again, if that makes... That won't be necessary. 94 00:04:59,760 --> 00:05:03,199 Did Terri mention anything about me being on triage today? 95 00:05:03,200 --> 00:05:05,279 She's not in yet, but I'm on triage. 96 00:05:05,280 --> 00:05:07,319 I'm getting rusty, can I triage this shift? 97 00:05:07,320 --> 00:05:08,680 Yeah, yeah, sure. Thanks, mate. 98 00:05:11,000 --> 00:05:14,000 (coughs and gags) 99 00:05:15,000 --> 00:05:18,000 PHONE RINGS 100 00:05:21,600 --> 00:05:24,159 Mrs Hunter's antibiotics aren't even touching the sides. 101 00:05:24,160 --> 00:05:26,039 Right. I'll just move her into Iso. 102 00:05:26,040 --> 00:05:28,039 Yeah, good idea. 103 00:05:28,040 --> 00:05:29,079 Problem? 104 00:05:29,080 --> 00:05:30,279 I hope not. 105 00:05:30,280 --> 00:05:33,479 Jess phoned in sick and now she's not answering the phone. 106 00:05:33,480 --> 00:05:34,599 Sick with what? 107 00:05:34,600 --> 00:05:35,799 Appendicitis, apparently. 108 00:05:35,800 --> 00:05:39,319 Do you want me to take a look at her? I'm heading out now. 109 00:05:39,320 --> 00:05:40,999 That would be great. Okay. 110 00:05:41,000 --> 00:05:44,159 Give me a yell if pathology and swab results come in. 111 00:05:44,160 --> 00:05:46,279 PHONE RINGS Yep. 112 00:05:46,280 --> 00:05:48,559 Beaumont, get your arse into gear. 113 00:05:48,560 --> 00:05:51,199 Rescue chopper's just brought in a hypothermic cardiac arrest. 114 00:05:51,200 --> 00:05:53,120 From where? Ski fields. 115 00:05:54,120 --> 00:05:55,399 What's Telford doing here again? 116 00:05:55,400 --> 00:05:57,879 He's boning up before his interview. 117 00:05:57,880 --> 00:05:59,999 Alison's very taken with him. 118 00:06:00,000 --> 00:06:01,759 Dr Campion, Ben Telford. Good to see... 119 00:06:01,760 --> 00:06:03,279 Move it, move it! 120 00:06:03,280 --> 00:06:06,919 Donald McCarthy, 45 years old, hypothermic cardiac arrest 121 00:06:06,920 --> 00:06:09,039 following extended cold water immersion. 122 00:06:09,040 --> 00:06:11,999 Nil spontaneous respiration or circulation. 123 00:06:12,000 --> 00:06:13,359 Pupils fixed and unreactive. 124 00:06:13,360 --> 00:06:14,959 Temperature? Unobtainable. 125 00:06:14,960 --> 00:06:17,159 CPR commenced on site by his daughter, Phoebe, 126 00:06:17,160 --> 00:06:18,319 who's right behind us. 127 00:06:18,320 --> 00:06:20,879 Patient intubated, size 8ETT. 128 00:06:20,880 --> 00:06:22,079 IV access? 129 00:06:22,080 --> 00:06:24,119 Unable to establish one due to vasoconstriction. 130 00:06:24,120 --> 00:06:27,599 Phoebe, we're going to transfer your dad to the bed. 131 00:06:27,600 --> 00:06:29,199 Give Regina all your details, 132 00:06:29,200 --> 00:06:31,599 then I'll take you to him once he's assessed. 133 00:06:31,600 --> 00:06:32,999 He'll be fine, Phoebe. 134 00:06:33,000 --> 00:06:35,759 Come with me and we'll get a nice hot drink. 135 00:06:35,760 --> 00:06:39,999 IDC, NG, CVC, blood gas if possible. 136 00:06:40,000 --> 00:06:41,999 Someone put the warm touch on him. 137 00:06:42,000 --> 00:06:43,239 Good luck. 138 00:06:43,240 --> 00:06:44,719 Tympanic thermometer won't work. 139 00:06:44,720 --> 00:06:47,319 Try a rectal gauge. I need a core temperature. 140 00:06:47,320 --> 00:06:48,999 I'm getting a line. 141 00:06:49,000 --> 00:06:50,000 Good work. 142 00:06:50,001 --> 00:06:51,879 See if you can get full bloods. 143 00:06:51,880 --> 00:06:53,439 Then we'll need on outline. 144 00:06:53,440 --> 00:06:56,360 Set up for pleural and gastric lavages. 145 00:06:57,840 --> 00:07:00,839 You might think about telling his daughter it's not looking good. 146 00:07:00,840 --> 00:07:02,119 We don't know that yet. 147 00:07:02,120 --> 00:07:04,599 Deep hypothermia increases the brain's tolerance to ischemia, 148 00:07:04,600 --> 00:07:06,959 slows the metabolic process and reduces oxygen consumption. 149 00:07:06,960 --> 00:07:10,399 We cannot determine any sort of outcome until we warm him up. 150 00:07:10,400 --> 00:07:11,959 You've been doing your homework. 151 00:07:11,960 --> 00:07:14,119 You right here? There's no-one in triage. 152 00:07:14,120 --> 00:07:15,319 Yeah, go, go. 153 00:07:15,320 --> 00:07:16,639 Stop CPR. 154 00:07:16,640 --> 00:07:18,639 CONSTANT BEEP 155 00:07:18,640 --> 00:07:20,399 Resume compressions. He's been down a while. 156 00:07:20,400 --> 00:07:22,320 Just keep going, Jack. 157 00:07:24,160 --> 00:07:25,319 You wanted me? 158 00:07:25,320 --> 00:07:27,719 I've ordered an agency nurse to cover for Jess. 159 00:07:27,720 --> 00:07:28,799 Oh, great. 160 00:07:28,800 --> 00:07:30,999 What's the story with the patient in Resus? 161 00:07:31,000 --> 00:07:35,799 Stuck between rocks with frozen water pouring over him for an unknown time? 162 00:07:35,800 --> 00:07:39,119 Yeah, don't see hypothermic cardiac arrest in Australia very often. 163 00:07:39,120 --> 00:07:41,200 Yeah. Listen, Dan's up for appraisal... 164 00:07:45,840 --> 00:07:47,559 Okay. (Clears throat) 165 00:07:47,560 --> 00:07:50,039 He's coming up for appraisal, okay? 166 00:07:50,040 --> 00:07:51,959 What do you think of him? 167 00:07:51,960 --> 00:07:53,639 Good nurse. 168 00:07:53,640 --> 00:07:56,559 Well, his patient skills packages came back. 169 00:07:56,560 --> 00:07:59,119 He scraped through with passes and he didn't even try. 170 00:07:59,120 --> 00:08:02,079 Well, you know, it wouldn't be a first time. 171 00:08:02,080 --> 00:08:03,879 Doesn't he seem glib to you? 172 00:08:03,880 --> 00:08:05,839 I mean, he doesn't take anything seriously. 173 00:08:05,840 --> 00:08:08,879 That's not true. I mean, he takes his sex life very seriously. 174 00:08:08,880 --> 00:08:10,839 That's terrific. 175 00:08:10,840 --> 00:08:13,159 He's a good nurse, you know. He's not lazy... 176 00:08:13,160 --> 00:08:14,520 So you think I'm wrong? 177 00:08:18,600 --> 00:08:19,679 What's that? 178 00:08:19,680 --> 00:08:23,359 This is a list of nurses' duties dating back to 1887 179 00:08:23,360 --> 00:08:24,959 that Dan gave me. 180 00:08:24,960 --> 00:08:27,799 "Number one - daily sweep and mop the floors of your ward, 181 00:08:27,800 --> 00:08:29,319 "dust the patient's furniture and windowsills." 182 00:08:29,320 --> 00:08:32,399 If I made him do that, he'd have something to complain about. 183 00:08:32,400 --> 00:08:33,599 Yes, he would. 184 00:08:33,600 --> 00:08:35,159 See you. Bye-bye. 185 00:08:43,080 --> 00:08:45,759 Why do people come to ED with coughs and colds? 186 00:08:45,760 --> 00:08:48,359 They'd get seen by a GP a thousand times faster. 187 00:08:48,360 --> 00:08:50,879 Don't make assumptions about symptoms, okay? 188 00:08:50,880 --> 00:08:52,999 Just assess the patient, take a full history... 189 00:08:53,000 --> 00:08:54,719 Yeah, yeah, yeah. It'll be fine. 190 00:08:54,720 --> 00:08:56,640 I've worked in triage before. 191 00:08:59,960 --> 00:09:02,719 What? I'd lose the attitude if I was you. 192 00:09:02,720 --> 00:09:04,639 It's not attitude. It's good-natured optimism. 193 00:09:04,640 --> 00:09:07,199 And I've done my triage package, so everything's peachy. 194 00:09:07,200 --> 00:09:08,559 We need attention to detail, 195 00:09:08,560 --> 00:09:10,879 so call me if there's anything you're unsure of. 196 00:09:10,880 --> 00:09:12,279 I know what I'm doing. 197 00:09:12,280 --> 00:09:14,440 Then we won't have any problems? Mm-hm. 198 00:09:15,720 --> 00:09:16,799 Nazi. 199 00:09:16,800 --> 00:09:19,879 You got a problem with being asked to do a job properly? 200 00:09:19,880 --> 00:09:23,559 No. You're coming on a bit strong. Of course I'll do my job properly. 201 00:09:23,560 --> 00:09:24,720 Hi. 202 00:09:26,080 --> 00:09:27,559 Hi. 203 00:09:27,560 --> 00:09:29,960 One agency nurse at your service. 204 00:09:36,800 --> 00:09:38,359 How old are you, Phoebe? 205 00:09:38,360 --> 00:09:41,239 14.15 in February. 206 00:09:41,240 --> 00:09:44,759 Please, I just need to know if my dad's going to be okay. 207 00:09:44,760 --> 00:09:47,319 I wish I could tell you, but the truth is, 208 00:09:47,320 --> 00:09:51,079 we have no idea what the outcome will be. 209 00:09:51,080 --> 00:09:54,399 But I did CPR. Didn't I do it right? 210 00:09:54,400 --> 00:09:56,759 It's amazing you even know how to do CPR, 211 00:09:56,760 --> 00:09:59,160 and you did everything you should have done. 212 00:10:01,240 --> 00:10:03,440 Where's your mother, Phoebe? 213 00:10:05,000 --> 00:10:07,400 She died when I was eight. 214 00:10:09,560 --> 00:10:12,240 Is there an aunt or a grandparent I can call? 215 00:10:14,560 --> 00:10:16,639 I don't get what happened. 216 00:10:16,640 --> 00:10:20,719 We were collecting snow plant life for my school project. 217 00:10:20,720 --> 00:10:23,359 We headed in different directions, 218 00:10:23,360 --> 00:10:26,560 and when he didn't turn up when he said he would... 219 00:10:29,160 --> 00:10:30,960 ..I found him. 220 00:10:34,840 --> 00:10:37,879 Phoebe, I need you to understand 221 00:10:37,880 --> 00:10:41,039 exactly what's happening to your father. 222 00:10:41,040 --> 00:10:44,680 We're trying to raise his temperature and restore a heartbeat. 223 00:10:45,840 --> 00:10:49,240 But there is a risk that he may have sustained brain damage. 224 00:10:51,680 --> 00:10:56,359 And a chance that we may not be able to revive him at all. 225 00:10:56,360 --> 00:10:59,520 (cries) Just save him, please. 226 00:11:01,440 --> 00:11:04,720 Please, don't give up. He's all I've got. 227 00:11:16,480 --> 00:11:18,120 DOORBELL RINGS 228 00:11:21,000 --> 00:11:23,120 It's about time you showed up, Dan. 229 00:11:25,320 --> 00:11:26,999 Am I late? 230 00:11:27,000 --> 00:11:28,639 Vincent, what are you doing here? 231 00:11:28,640 --> 00:11:31,960 I'm making a house call. I heard there was a damsel in distress. 232 00:11:33,800 --> 00:11:35,880 Do you mind if I come in? 233 00:11:40,840 --> 00:11:44,079 Nice slippers. Oh, God! 234 00:11:44,080 --> 00:11:45,359 So, what's going on? 235 00:11:45,360 --> 00:11:48,079 Look, nothing. I'm actually feeling heaps better. 236 00:11:48,080 --> 00:11:50,159 You don't have to be here. I'm fine. 237 00:11:50,160 --> 00:11:51,679 Nelson said it might be appendicitis. 238 00:11:51,680 --> 00:11:52,680 Oh! 239 00:11:52,681 --> 00:11:55,880 I'm taking a look at you. Where's your bedroom? 240 00:12:03,360 --> 00:12:05,199 How long have you been feeling unwell? 241 00:12:05,200 --> 00:12:06,839 A couple of days. 242 00:12:06,840 --> 00:12:08,279 Not as... Oh! 243 00:12:08,280 --> 00:12:12,080 Not as bad as this, though. It got worse through the night. 244 00:12:13,920 --> 00:12:15,719 Do you have a thermometer here? 245 00:12:15,720 --> 00:12:17,799 I'm febrile. I took it earlier. 246 00:12:17,800 --> 00:12:20,919 Okay. Off to the hospital for you, young lady. 247 00:12:20,920 --> 00:12:22,079 Really? 248 00:12:22,080 --> 00:12:23,599 Mm-hm, really. 249 00:12:23,600 --> 00:12:24,920 Who are you calling? 250 00:12:34,600 --> 00:12:36,160 Reg, it's Vincent. 251 00:12:37,360 --> 00:12:38,599 Okay, then. 252 00:12:38,600 --> 00:12:40,479 That was Vincent. He's bringing Jessica in. 253 00:12:40,480 --> 00:12:42,079 She has acute appendicitis. 254 00:12:42,080 --> 00:12:44,599 What's Hughes doing at Jessica's place? Or shouldn't I ask? 255 00:12:44,600 --> 00:12:46,399 I asked him to check on her. 256 00:12:46,400 --> 00:12:48,319 You shouldn't make assumptions like that, Frank. 257 00:12:48,320 --> 00:12:49,799 Frank. 258 00:12:49,800 --> 00:12:51,239 Yeah. What do you think? 259 00:12:51,240 --> 00:12:52,319 About what? 260 00:12:52,320 --> 00:12:56,599 About placing Don McCarthy on percutaneous cardiopulmonary bypass? 261 00:12:56,600 --> 00:12:59,319 You really want to mobilise a bypass unit for this? 262 00:12:59,320 --> 00:13:00,519 Yes, I do! 263 00:13:00,520 --> 00:13:02,999 It's been done successfully in the States and Canada 264 00:13:03,000 --> 00:13:06,199 with good outcomes and little or no neurological deficit. 265 00:13:06,200 --> 00:13:08,639 I've never heard of it being done here, ever. 266 00:13:08,640 --> 00:13:09,959 It's not cold enough. 267 00:13:09,960 --> 00:13:12,639 Tell that to Donald. Better still, tell his daughter. 268 00:13:12,640 --> 00:13:15,199 It costs a bloody fortune! Why is that a factor? 269 00:13:15,200 --> 00:13:17,119 It's always a factor! 270 00:13:17,120 --> 00:13:19,639 If that was the kid in Resus, not the father, 271 00:13:19,640 --> 00:13:22,039 we wouldn't be having this conversation, you know that. 272 00:13:22,040 --> 00:13:26,000 Yes, we would, because, regardless of the age, the prognosis would be poor. 273 00:13:27,000 --> 00:13:29,319 Alright, alright! Hurry up and give it a go. 274 00:13:29,320 --> 00:13:31,680 But not in there. I want Resus cleared. 275 00:13:32,680 --> 00:13:35,479 Now you've got an interview this afternoon. You got a time? 276 00:13:35,480 --> 00:13:36,839 1:30. 277 00:13:36,840 --> 00:13:38,999 Cardiac unit contact details. Thanks. 278 00:13:39,000 --> 00:13:42,399 Newell suggested that maybe I should do dermatology. 279 00:13:42,400 --> 00:13:45,799 (laughs) I hope you told her to kiss your backside. 280 00:13:45,800 --> 00:13:47,559 Hey, what have you got there? What? 281 00:13:47,560 --> 00:13:50,839 You can't write with two at once. Why do you need two pens? 282 00:13:50,840 --> 00:13:52,759 No wonder our bloody budget's being blown! 283 00:13:52,760 --> 00:13:55,799 When you want a new pen, show me the old one first! 284 00:13:55,800 --> 00:13:58,599 Do you really think that'll make a difference to the budget? 285 00:13:58,600 --> 00:14:00,439 Every little bit makes a difference. 286 00:14:00,440 --> 00:14:01,719 Well, in that case, 287 00:14:01,720 --> 00:14:04,999 we won't need any refill cartridges for your fancy French pen! 288 00:14:05,000 --> 00:14:06,279 Oui, oui. 289 00:14:06,280 --> 00:14:07,480 TERRI: Frank! 290 00:14:10,920 --> 00:14:13,879 Phoebe, this is Dr Frank Campion. He's the director of emergency. 291 00:14:13,880 --> 00:14:15,040 There you go. 292 00:14:16,200 --> 00:14:17,519 So, you're the boss, right? 293 00:14:17,520 --> 00:14:19,119 That's me. 294 00:14:19,120 --> 00:14:20,960 I'm gonna go get some more fluids. 295 00:14:22,400 --> 00:14:23,559 What's the story, Jack? 296 00:14:23,560 --> 00:14:25,399 No change. 297 00:14:25,400 --> 00:14:27,239 You won't give up, will you? 298 00:14:27,240 --> 00:14:29,799 I mean, you can still do other things. 299 00:14:29,800 --> 00:14:32,360 We'll do everything we can. 300 00:14:34,280 --> 00:14:36,839 I told Dad it'd be okay. 301 00:14:36,840 --> 00:14:38,840 SOMBRE MUSIC 302 00:14:45,400 --> 00:14:47,119 Phoebe? 303 00:14:47,120 --> 00:14:49,719 Did Dr Beaumont tell you exactly what's going on? 304 00:14:49,720 --> 00:14:53,000 She said his temperature's really low and we need to warm him up. 305 00:14:54,520 --> 00:14:56,079 Alright. 306 00:14:56,080 --> 00:14:58,159 Phoebe, the truth is, 307 00:14:58,160 --> 00:15:01,719 the chances of anyone coming through something like this are very slim. 308 00:15:01,720 --> 00:15:03,999 And in your dad's case, 309 00:15:04,000 --> 00:15:07,799 I'm afraid because of his age and his temperature being so low, 310 00:15:07,800 --> 00:15:09,519 the chances are much less. 311 00:15:09,520 --> 00:15:11,759 Don't say that! He'll be alright! 312 00:15:11,760 --> 00:15:13,080 Won't you, Dad? 313 00:15:14,360 --> 00:15:15,479 How'd you go? 314 00:15:15,480 --> 00:15:19,719 The cardiac team will consider it if I find an ICU bed. So far no luck. 315 00:15:19,720 --> 00:15:20,879 What does that mean? 316 00:15:20,880 --> 00:15:23,679 We're trying to organise a faster way to warm your dad, 317 00:15:23,680 --> 00:15:24,879 but it's complicated, sweetie. 318 00:15:24,880 --> 00:15:29,119 I don't care if it's complicated! He's my dad! 319 00:15:29,120 --> 00:15:31,639 Phoebe, why don't you and I go for a walk? 320 00:15:31,640 --> 00:15:34,399 Just fix him, okay? Make him better! 321 00:15:34,400 --> 00:15:37,000 Yep. Come on, come on. 322 00:15:41,240 --> 00:15:42,559 Sorry for losing it before. 323 00:15:42,560 --> 00:15:45,519 Dad would freak if heard me talking to you like that. 324 00:15:45,520 --> 00:15:49,119 I've had patients and families behave much worse than that. 325 00:15:49,120 --> 00:15:51,919 At least you didn't spit at me. I had that once. 326 00:15:51,920 --> 00:15:53,960 Gross. Yeah. 327 00:15:54,960 --> 00:15:56,279 Look, Phoebe... 328 00:15:56,280 --> 00:15:58,999 ..you need to understand that, 329 00:15:59,000 --> 00:16:01,279 even if we do manage to revive your father, 330 00:16:01,280 --> 00:16:04,159 there could be long-term complications. 331 00:16:04,160 --> 00:16:06,919 I don't care about any of that. 332 00:16:06,920 --> 00:16:08,479 You need to care about it, 333 00:16:08,480 --> 00:16:10,999 because it's going to affect the rest of your life. 334 00:16:11,000 --> 00:16:14,120 Your father could suffer permanent brain damage. 335 00:16:16,360 --> 00:16:18,679 Then I'll look after him. 336 00:16:18,680 --> 00:16:21,679 Yeah, I don't think you quite understand. 337 00:16:21,680 --> 00:16:24,119 He looked after me when my mum died. 338 00:16:24,120 --> 00:16:26,639 Everybody said he couldn't do it, with work and everything, 339 00:16:26,640 --> 00:16:28,039 but he did. 340 00:16:28,040 --> 00:16:30,439 I'm sure he did. But this is very different. 341 00:16:30,440 --> 00:16:35,119 Why? We're a team, you know. That's what he says, anyway. 342 00:16:35,120 --> 00:16:37,679 It's kind of lame, I know, but it's the truth. 343 00:16:37,680 --> 00:16:40,919 I'm sure it is. I'm sure it is. 344 00:16:40,920 --> 00:16:42,799 We've got to be realistic about this. 345 00:16:42,800 --> 00:16:46,239 If he dies, I'll be on my own. 346 00:16:46,240 --> 00:16:49,519 If he doesn't die, he could be a lifelong burden to you. 347 00:16:49,520 --> 00:16:51,599 He could never be a burden. 348 00:16:51,600 --> 00:16:53,799 I know that's how you feel now, 349 00:16:53,800 --> 00:16:55,359 but in 10 or 20 years 350 00:16:55,360 --> 00:16:57,639 when you're still looking after him around-the-clock, 351 00:16:57,640 --> 00:16:59,119 you may feel differently. 352 00:16:59,120 --> 00:17:00,999 Please, please believe me. 353 00:17:01,000 --> 00:17:06,598 You'll realise that what seems to be me being cruel today 354 00:17:06,599 --> 00:17:09,159 is actually the reverse. 355 00:17:09,160 --> 00:17:13,280 You're only 14. You've got your whole life ahead of you. 356 00:17:15,640 --> 00:17:18,760 What does that mean with no family to share it with? 357 00:17:22,960 --> 00:17:24,959 How long have you been feeling unwell? 358 00:17:24,960 --> 00:17:28,318 Ah, a day or so. 359 00:17:28,319 --> 00:17:32,319 I had the flu a couple of weeks ago, but I thought I was over that. 360 00:17:32,320 --> 00:17:33,999 Okay, any other medical history? 361 00:17:34,000 --> 00:17:36,359 I probably should've just gone to my local doctor, 362 00:17:36,360 --> 00:17:39,679 but to tell you the truth, he thinks I'm a hypochondriac. 363 00:17:39,680 --> 00:17:41,439 I guess I am a bit. 364 00:17:41,440 --> 00:17:42,759 Any other symptoms? 365 00:17:42,760 --> 00:17:45,119 Not really. 366 00:17:45,120 --> 00:17:47,679 I just don't feel... right. 367 00:17:47,680 --> 00:17:50,959 I get this tingling in my hands and feet. It drives me nuts. 368 00:17:50,960 --> 00:17:53,080 Breathe for me. 369 00:17:55,360 --> 00:17:57,119 When you go to your local doctor 370 00:17:57,120 --> 00:17:59,919 and tell him your legs are aching and you feel off, 371 00:17:59,920 --> 00:18:01,479 and they look at you like, 372 00:18:01,480 --> 00:18:03,759 "What do you want me to do about it?" 373 00:18:03,760 --> 00:18:05,279 You're probably thinking that right now. 374 00:18:05,280 --> 00:18:07,839 Hey! Only doctors are allowed to be that arrogant. 375 00:18:07,840 --> 00:18:10,359 Tell you what, you stay here, I'll be right back. 376 00:18:10,360 --> 00:18:12,639 I'm probably just imagining it. It's no big deal. 377 00:18:12,640 --> 00:18:13,880 Won't be long. 378 00:18:14,880 --> 00:18:16,159 Don't give me that crap. 379 00:18:16,160 --> 00:18:19,679 We've got a man here doing a good impersonation of an ice sculpture, 380 00:18:19,680 --> 00:18:22,719 and we need him up there now, so get your act together! 381 00:18:22,720 --> 00:18:23,999 Nelson, you got a second? 382 00:18:24,000 --> 00:18:25,759 I have to relieve in Resus. What? 383 00:18:25,760 --> 00:18:28,279 I've got a guy out there with no specific symptoms. 384 00:18:28,280 --> 00:18:29,599 Triage him accordingly. 385 00:18:29,600 --> 00:18:33,359 I've just got a gut feeling he's got something else going on with him. 386 00:18:33,360 --> 00:18:34,719 Reassess him regularly. 387 00:18:34,720 --> 00:18:37,479 If in doubt, or he deteriorates, push him up a category. 388 00:18:37,480 --> 00:18:40,999 Sorry, I have to do this. Let me know if there's any changes. 389 00:18:41,000 --> 00:18:42,599 Hey, what's going on? It's sweet. 390 00:18:42,600 --> 00:18:43,639 What's going on... 391 00:18:43,640 --> 00:18:46,439 I'm just being paranoid because Nelson gave me a serve earlier. 392 00:18:46,440 --> 00:18:48,999 I'm not sure of the status of a triage patient. 393 00:18:49,000 --> 00:18:51,359 Do you want me to have a look? No. 394 00:18:51,360 --> 00:18:54,359 That's what triage responsibility is all about. It's my decision to make. 395 00:18:54,360 --> 00:18:56,279 What is your instinct telling you? 396 00:18:56,280 --> 00:18:59,279 That he should be a higher priority than category five. 397 00:18:59,280 --> 00:19:00,799 Make him a high priority. 398 00:19:00,800 --> 00:19:03,479 Charlotte, I've got your bed in ICU. 399 00:19:03,480 --> 00:19:05,799 They can provide the profusionist but not much else. 400 00:19:05,800 --> 00:19:07,599 You'll need someone to go with him. 401 00:19:07,600 --> 00:19:09,439 Thank you. Can I have a word? 402 00:19:09,440 --> 00:19:13,039 This better not come back and bite us on the bum. 403 00:19:13,040 --> 00:19:15,079 If this man comes through this a vegetable, 404 00:19:15,080 --> 00:19:18,400 he'll drain on the system for the rest of his miserable life. 405 00:19:30,200 --> 00:19:32,359 (groans in pain) 406 00:19:32,360 --> 00:19:33,999 Are you getting worse? 407 00:19:34,000 --> 00:19:35,599 I think I'm gonna be sick. 408 00:19:35,600 --> 00:19:37,320 Okay. Hold on. I'll pull over. 409 00:19:40,160 --> 00:19:43,160 (gags) 410 00:19:49,960 --> 00:19:52,279 Oh! I'm so sorry. 411 00:19:52,280 --> 00:19:54,239 It's okay. Don't worry about it. 412 00:19:54,240 --> 00:19:56,480 Oh, God! 413 00:20:00,040 --> 00:20:03,080 It's okay, it's alright. (pants) 414 00:20:09,240 --> 00:20:10,599 You okay, Jessie? 415 00:20:10,600 --> 00:20:12,439 I didn't think it was this bad. 416 00:20:12,440 --> 00:20:14,479 What's the story? 417 00:20:14,480 --> 00:20:16,479 Acute appendicitis. It looks like its perforated. 418 00:20:16,480 --> 00:20:17,800 Let Peter know, Dan. 419 00:20:26,600 --> 00:20:28,199 Frank...? Busy. 420 00:20:28,200 --> 00:20:29,799 Interview's in half an hour. 421 00:20:29,800 --> 00:20:31,959 I can tell the time! 422 00:20:31,960 --> 00:20:34,039 Is he ready to go to ICU? Yeah. 423 00:20:34,040 --> 00:20:36,679 Listen, you can't all go. Okay, I'll stay. 424 00:20:36,680 --> 00:20:38,719 Nelson, want me to take over? I'm fine. 425 00:20:38,720 --> 00:20:40,399 You sure? You must be exhausted. 426 00:20:40,400 --> 00:20:42,239 Won't need to work out tonight. 427 00:20:42,240 --> 00:20:43,839 Where are you taking him? 428 00:20:43,840 --> 00:20:47,159 Cardiac are waiting upstairs to warm your dad up more effectively. 429 00:20:47,160 --> 00:20:48,160 Really? 430 00:20:48,161 --> 00:20:50,719 Still no guarantees, but this is the best chance. 431 00:20:50,720 --> 00:20:53,559 We'll put your dad on cardiac bypass, warm his blood up 432 00:20:53,560 --> 00:20:55,319 and pump it back through his system. 433 00:20:55,320 --> 00:20:57,079 We have to go. I'll watch her. 434 00:20:57,080 --> 00:20:58,240 Thanks. 435 00:21:03,960 --> 00:21:06,159 Is this going to work? 436 00:21:06,160 --> 00:21:08,320 I have no idea. 437 00:21:10,280 --> 00:21:11,799 How's she doing? 438 00:21:11,800 --> 00:21:15,079 Much better since the pain relief kicked in. 439 00:21:15,080 --> 00:21:18,399 Emergency Department. Cate speaking. 440 00:21:18,400 --> 00:21:20,959 Yes. Yes, she's ready. 441 00:21:20,960 --> 00:21:22,400 Okay, I'll send her up. 442 00:21:23,800 --> 00:21:26,599 That was theatre. They're ready for Jess. I'll page an orderly. 443 00:21:26,600 --> 00:21:27,679 Okay. 444 00:21:27,680 --> 00:21:29,439 Who's the surgeon on today? Abbot. 445 00:21:29,440 --> 00:21:31,999 He's a dinosaur. He'll give her an old-fashioned scar. 446 00:21:32,000 --> 00:21:33,119 Well, he's rostered on. 447 00:21:33,120 --> 00:21:34,239 I'm gonna do it. 448 00:21:34,240 --> 00:21:35,399 You're not working today. 449 00:21:35,400 --> 00:21:37,120 I can fix that. 450 00:21:38,480 --> 00:21:42,559 Terri, has Loretta Giorgio been in to review Mrs Hunter? 451 00:21:42,560 --> 00:21:45,319 Maybe you might give her another call and hurry her up. 452 00:21:45,320 --> 00:21:48,760 No, that's okay. I'm sure she'll come when she's ready. 453 00:21:50,640 --> 00:21:52,759 Hi. How are you going? 454 00:21:52,760 --> 00:21:55,159 A culture shock. I'm used to coming and going. 455 00:21:55,160 --> 00:21:57,239 Forgot what it's like being here all day. 456 00:21:57,240 --> 00:21:58,319 So what's next? 457 00:21:58,320 --> 00:21:59,679 A break for you. 458 00:21:59,680 --> 00:22:01,959 I usually eat on the run. Take yours first. 459 00:22:01,960 --> 00:22:04,640 No, it's okay, I'm busy. You go. Alright. 460 00:22:09,760 --> 00:22:11,559 Hey, Jess. 461 00:22:11,560 --> 00:22:13,519 Look at you. You alright? 462 00:22:13,520 --> 00:22:16,479 I made a fool of myself. 463 00:22:16,480 --> 00:22:18,319 I was in my pyjamas. 464 00:22:18,320 --> 00:22:21,399 You're sick. You're not supposed to look beautiful. No-one cares. 465 00:22:21,400 --> 00:22:23,839 My fluffy slippers. 466 00:22:23,840 --> 00:22:26,479 I threw up all over his car. 467 00:22:26,480 --> 00:22:27,999 Whose car? 468 00:22:28,000 --> 00:22:30,919 It wasn't supposed to happen that way. I've ruined everything. 469 00:22:30,920 --> 00:22:33,719 Okay. 470 00:22:33,720 --> 00:22:36,840 Cate? Take your break. 471 00:22:38,520 --> 00:22:40,399 Terri, who brought Jess in? 472 00:22:40,400 --> 00:22:41,720 Vincent. 473 00:22:47,760 --> 00:22:49,239 How are you doing? 474 00:22:49,240 --> 00:22:50,919 Alright, I guess. 475 00:22:50,920 --> 00:22:52,519 Are you in any pain? 476 00:22:52,520 --> 00:22:55,400 No, not pain. 477 00:22:56,640 --> 00:22:59,319 Let's have a doctor look at you. Can you stand? 478 00:22:59,320 --> 00:23:00,959 Yeah. 479 00:23:00,960 --> 00:23:02,999 Take it easy. Up. 480 00:23:03,000 --> 00:23:04,639 Sorry to be such a nuisance. 481 00:23:04,640 --> 00:23:07,040 No nuisance, no nuisance. 482 00:23:09,320 --> 00:23:11,039 Jack? 483 00:23:11,040 --> 00:23:12,359 Have you got a sec? 484 00:23:12,360 --> 00:23:13,439 Not really, mate. 485 00:23:13,440 --> 00:23:16,519 I need you to have a look at someone for me. 486 00:23:16,520 --> 00:23:18,079 A 34-year-old male, 487 00:23:18,080 --> 00:23:19,959 shortness of breath, back and leg pain 488 00:23:19,960 --> 00:23:23,119 following flu-like symptoms a couple of weeks ago, 489 00:23:23,120 --> 00:23:25,239 and he's having trouble weight-bearing. 490 00:23:25,240 --> 00:23:27,680 Where is he now? I put him in triage. 491 00:23:31,600 --> 00:23:34,919 Okay. Now this weakness in your legs, that started today? 492 00:23:34,920 --> 00:23:39,239 I've been a bit weird for a few days, actually - pins and needles. 493 00:23:39,240 --> 00:23:40,560 Sort of like they're asleep. 494 00:23:42,280 --> 00:23:44,880 Dan's been in and out checking on him all morning. 495 00:23:46,560 --> 00:23:49,599 He's not right, is he? I couldn't put my finger on it. 496 00:23:49,600 --> 00:23:52,919 He didn't say he was getting worse or give me all the information. 497 00:23:52,920 --> 00:23:56,239 Okay, listen, I want bloods taken. MRI and ECG, thanks. 498 00:23:56,240 --> 00:23:58,919 Neurology consult? Yeah. 499 00:23:58,920 --> 00:24:02,639 Um, what's going on? What's happening to me? 500 00:24:02,640 --> 00:24:04,559 I don't know, but I'll find out. 501 00:24:04,560 --> 00:24:06,559 I need you to just relax, okay? 502 00:24:06,560 --> 00:24:08,439 Let's get you to a bed. 503 00:24:08,440 --> 00:24:12,759 Nelson, he should have been triaged higher than a category four. 504 00:24:12,760 --> 00:24:15,640 Yeah, that was my fault. Right. 505 00:24:23,600 --> 00:24:27,159 It's alright, Jess, you're on you way to theatre now. 506 00:24:27,160 --> 00:24:29,279 I've got permission to do the operation myself, 507 00:24:29,280 --> 00:24:31,880 so I'll make sure there is no scar, okay? 508 00:24:37,280 --> 00:24:38,959 Shouldn't he be responding by now? 509 00:24:38,960 --> 00:24:40,959 It takes a lot longer than this 510 00:24:40,960 --> 00:24:43,439 to kick-start a frozen circulatory system. 511 00:24:43,440 --> 00:24:46,319 How warm does he need to get before defib is effective? 512 00:24:46,320 --> 00:24:47,960 Around 32 degrees. 513 00:24:52,760 --> 00:24:54,959 I remember reading this Canadian case 514 00:24:54,960 --> 00:24:57,599 about a boy who fell into an ice fishing hole - 515 00:24:57,600 --> 00:25:00,400 he was under water for a lot longer than this guy. 516 00:25:04,240 --> 00:25:08,399 Come on, Donald. You've got a daughter to look after. 517 00:25:08,400 --> 00:25:11,720 She's waiting for you to wake up. 518 00:25:14,120 --> 00:25:17,920 TAPPING 519 00:25:21,680 --> 00:25:22,799 Do you mind? 520 00:25:22,800 --> 00:25:24,639 TAPPING STOPS 521 00:25:24,640 --> 00:25:29,119 What I mind is that I don't have a candidate sitting in that chair 522 00:25:29,120 --> 00:25:30,239 being interviewed. 523 00:25:30,240 --> 00:25:32,519 Dr Beaumont... THAT is what I mind. 524 00:25:32,520 --> 00:25:35,959 Dr Beaumont is working on a particularly difficult case, Alison. 525 00:25:35,960 --> 00:25:37,439 We're all working, Frank. 526 00:25:37,440 --> 00:25:41,439 Right, pushing paper can really take it out of you, can't it? 527 00:25:41,440 --> 00:25:43,639 She's not here. 528 00:25:43,640 --> 00:25:46,439 And that is precisely my concern with her as a candidate. 529 00:25:46,440 --> 00:25:49,039 She has trouble working within the system, always has. 530 00:25:49,040 --> 00:25:50,119 Garbage. 531 00:25:50,120 --> 00:25:52,279 Meanwhile, there are other candidates 532 00:25:52,280 --> 00:25:53,960 who are taking this seriously. 533 00:26:00,520 --> 00:26:02,919 At least give her until 2:00. 534 00:26:02,920 --> 00:26:04,799 No. 535 00:26:04,800 --> 00:26:06,280 Cross Beaumont off the list. 536 00:26:16,440 --> 00:26:18,839 Mr Swaine, you know, you really should've told someone 537 00:26:18,840 --> 00:26:20,399 that this was getting worse. 538 00:26:20,400 --> 00:26:21,959 I didn't want to bother anyone. 539 00:26:21,960 --> 00:26:24,039 I know how busy you all are. 540 00:26:24,040 --> 00:26:26,479 I wasn't going to come in at all. 541 00:26:26,480 --> 00:26:28,239 You're lucky Dan was on the ball. 542 00:26:28,240 --> 00:26:31,120 Here, just squeeze both my hands. 543 00:26:33,440 --> 00:26:35,080 Uh-huh. Okay, thanks. 544 00:26:36,760 --> 00:26:38,239 Quick deficit both sides. 545 00:26:38,240 --> 00:26:39,999 Is that neurology registrar on the way? 546 00:26:40,000 --> 00:26:42,039 He said he'd come as soon as possible. 547 00:26:42,040 --> 00:26:44,159 Who is it? Ben Telford. 548 00:26:44,160 --> 00:26:45,439 Oh! Well, good. 549 00:26:45,440 --> 00:26:48,280 Judging by past experience, he's not gonna be much help. 550 00:26:49,440 --> 00:26:50,719 Excellent, Dr Telford. 551 00:26:50,720 --> 00:26:53,159 Thanks very much. I appreciate your time. 552 00:26:53,160 --> 00:26:56,679 And we appreciate the effort you've obviously put into your application. 553 00:26:56,680 --> 00:26:58,680 My pleasure. Thank you. 554 00:27:02,600 --> 00:27:04,119 He's a talented boy. 555 00:27:04,120 --> 00:27:05,400 He's a knob. 556 00:27:07,720 --> 00:27:10,039 Now it's decision time. 557 00:27:10,040 --> 00:27:12,199 Well, we can lose Beaumont immediately. 558 00:27:12,200 --> 00:27:15,719 So that leaves four possibles. 559 00:27:15,720 --> 00:27:17,039 Lewis? 560 00:27:17,040 --> 00:27:20,479 Moron. Just into prestige and the letters after his name. 561 00:27:20,480 --> 00:27:22,079 Yeah, I agree. 562 00:27:22,080 --> 00:27:24,159 So do I. 563 00:27:24,160 --> 00:27:27,159 Micaleff seemed motivated, good clinical knowledge and judgment. 564 00:27:27,160 --> 00:27:28,199 (sneers) 565 00:27:28,200 --> 00:27:30,879 Frank, if you're gonna block every one of these applicants, 566 00:27:30,880 --> 00:27:32,079 then we'll have problems... 567 00:27:32,080 --> 00:27:33,639 Then we'll have problems, Alison. 568 00:27:33,640 --> 00:27:36,159 I know you. You want Telford to have the position. 569 00:27:36,160 --> 00:27:38,359 Stop wasting time and get down to it. 570 00:27:38,360 --> 00:27:40,399 Ben Telford has an impeccable record. 571 00:27:40,400 --> 00:27:41,799 Frank, he was impressive. 572 00:27:41,800 --> 00:27:45,079 He's been vegetating in Neurology since the time he graduated. 573 00:27:45,080 --> 00:27:48,679 He wouldn't know a trauma if it bit him on the balls. 574 00:27:48,680 --> 00:27:50,559 He demonstrates the knowledge, skills and commitment 575 00:27:50,560 --> 00:27:51,919 demanded of a program... 576 00:27:51,920 --> 00:27:53,119 I don't care. 577 00:27:53,120 --> 00:27:54,879 I cannot have a doctor in ED 578 00:27:54,880 --> 00:27:57,719 who'll turn to water at the first sight of blood. 579 00:27:57,720 --> 00:28:00,720 He is pretty, though, I'll give you that. 580 00:28:01,840 --> 00:28:04,479 He's the best candidate we've interviewed, and you know it. 581 00:28:04,480 --> 00:28:08,640 But not necessarily the best man for the job, Alison. 582 00:28:11,760 --> 00:28:13,800 Charged. Clear! 583 00:28:15,960 --> 00:28:18,519 VF. Again, 360. 584 00:28:18,520 --> 00:28:21,600 BEEPING INTENSIFIES 585 00:28:26,800 --> 00:28:28,959 Charged. Clear! 586 00:28:28,960 --> 00:28:31,960 STEADY BEEPING 587 00:28:32,960 --> 00:28:36,639 That looks like sinus rhythm to me. Me too. 588 00:28:36,640 --> 00:28:38,120 Welcome back, Donald. 589 00:28:40,760 --> 00:28:43,639 Oh, sh...! Charlotte? 590 00:28:43,640 --> 00:28:47,199 Just something I was supposed to do. It's too late now. 591 00:28:47,200 --> 00:28:50,199 If you're okay here, I'd like to speak to Donald's daughter. 592 00:28:50,200 --> 00:28:52,000 That's fine. Thank you. 593 00:29:00,640 --> 00:29:02,199 Afternoon. 594 00:29:02,200 --> 00:29:04,159 (groans in pain) 595 00:29:04,160 --> 00:29:06,519 No, don't do that. You've just had an operation. 596 00:29:06,520 --> 00:29:08,359 Perforated appendix. 597 00:29:08,360 --> 00:29:10,680 Come on, go back to sleep. 598 00:29:12,720 --> 00:29:14,239 TERRI: Hey. 599 00:29:14,240 --> 00:29:16,399 How did it go? 600 00:29:16,400 --> 00:29:18,639 Like clockwork. What are you doing up here? 601 00:29:18,640 --> 00:29:22,760 Came to see how Jess was. These are Mrs Hunter's pathology results. 602 00:29:27,040 --> 00:29:29,239 MRAB? Yeah. 603 00:29:29,240 --> 00:29:32,239 No wonder nothing we've been doing has been working. 604 00:29:32,240 --> 00:29:34,759 I just hope I'm not the source of the infection, 605 00:29:34,760 --> 00:29:37,479 because if I'm carrying it, I just operated on Jessica. 606 00:29:37,480 --> 00:29:40,759 None of your other post-op patients have signs of infection, do they? 607 00:29:40,760 --> 00:29:43,399 No, but I'll get the infection control team onto this, 608 00:29:43,400 --> 00:29:46,999 and if you could take a swab of Mrs Hunter's incision site. 609 00:29:47,000 --> 00:29:49,039 Okay. Dr Giorgio is aware of the results. 610 00:29:49,040 --> 00:29:51,639 Would you like me to page you when she arrives? 611 00:29:51,640 --> 00:29:52,920 (snores) 612 00:29:54,120 --> 00:29:56,360 Not unless you have to. 613 00:29:57,560 --> 00:29:58,760 What's going on? 614 00:30:00,160 --> 00:30:03,439 You seem to be avoiding her, and I'd like to know why. 615 00:30:03,440 --> 00:30:09,359 Okay, Terri, I called her yesterday to ask for some advice on Mrs Hunter. 616 00:30:09,360 --> 00:30:11,879 She suggested that we catch up to talk about it, 617 00:30:11,880 --> 00:30:14,840 and then she turned the whole consult into a date. 618 00:30:15,840 --> 00:30:17,959 (laughs) I'm sorry. 619 00:30:17,960 --> 00:30:21,319 You're the only man in the hospital who'd have a problem with that. 620 00:30:21,320 --> 00:30:23,119 Yeah. 621 00:30:23,120 --> 00:30:25,919 I'll tell her how busy you are, shall I? 622 00:30:25,920 --> 00:30:28,080 Thank you. (laughs) 623 00:30:30,280 --> 00:30:32,600 (snores) 624 00:30:34,280 --> 00:30:37,639 Anyway, we're just going to start by reviewing her antibiotics, okay. 625 00:30:37,640 --> 00:30:38,759 Hello, there. 626 00:30:38,760 --> 00:30:40,439 I'll get you Mrs Hunter's file. 627 00:30:40,440 --> 00:30:43,359 No need. I'm sure Vincent can run me through developments. 628 00:30:43,360 --> 00:30:45,520 Nurse mentioned MRAB. 629 00:30:47,080 --> 00:30:49,999 You forgot to give me your phone number last night. 630 00:30:50,000 --> 00:30:52,599 No, I didn't forget. 631 00:30:52,600 --> 00:30:54,599 Shy? 632 00:30:54,600 --> 00:30:58,279 I'm just not interested, actually, I'm sorry. 633 00:30:58,280 --> 00:31:00,080 I'm disappointed. 634 00:31:01,200 --> 00:31:03,119 Vincent, I'm sorry to interrupt. Um... 635 00:31:03,120 --> 00:31:04,880 Excuse me. 636 00:31:06,200 --> 00:31:08,999 Wow, that looked like you just turned down Loretta Giorgio. 637 00:31:09,000 --> 00:31:10,119 Are you nuts? 638 00:31:10,120 --> 00:31:11,559 Did you want something, Dan? 639 00:31:11,560 --> 00:31:14,999 Yeah, um... Jess, how is she? 640 00:31:15,000 --> 00:31:16,679 She's doing fine. Good. 641 00:31:16,680 --> 00:31:18,959 I'll go and see her in my lunch break. 642 00:31:18,960 --> 00:31:21,719 Don't do that. She's just had an operation. She needs rest. 643 00:31:21,720 --> 00:31:23,719 Okay. I'll make it quick. 644 00:31:23,720 --> 00:31:25,759 No, Dan! Did you hear what I said? 645 00:31:25,760 --> 00:31:28,920 When the staff are in the hospital they never get any rest. 646 00:31:34,880 --> 00:31:36,119 DAN: What happened? 647 00:31:36,120 --> 00:31:38,239 I think it's Guillain Barre Syndrome - 648 00:31:38,240 --> 00:31:39,999 you can get it after a virus. 649 00:31:40,000 --> 00:31:41,999 The immune system attacks the nervous system. 650 00:31:42,000 --> 00:31:43,599 It can be really life threatening. 651 00:31:43,600 --> 00:31:46,799 I didn't even think of that. I've never come across it before. 652 00:31:46,800 --> 00:31:49,799 Neither have I. Not something that walks through the door every day. 653 00:31:49,800 --> 00:31:51,839 Anyway, patients his age recover pretty well. 654 00:31:51,840 --> 00:31:53,919 Hopefully he'll improve in a couple of weeks. 655 00:31:53,920 --> 00:31:55,559 Okay, that was the bed manager. 656 00:31:55,560 --> 00:31:57,879 We've got a bed in ICU in 10 minutes. 657 00:31:57,880 --> 00:31:58,880 Great. 658 00:31:58,881 --> 00:32:00,919 If I'd triaged him at a higher level... 659 00:32:00,920 --> 00:32:03,719 Wouldn't have made a difference. You did well picking it up. 660 00:32:03,720 --> 00:32:06,080 You were right to trust your instincts, Dan. 661 00:32:10,240 --> 00:32:12,600 So what happened to the neurology registrar? 662 00:32:14,080 --> 00:32:17,079 You were lucky to diagnose him with GBS. 663 00:32:17,080 --> 00:32:20,359 Well, let's hope Ben Telford doesn't get the training position. 664 00:32:20,360 --> 00:32:23,520 He won't. The job's Charlotte's. 665 00:33:10,240 --> 00:33:13,799 I really am very careful, Frank. I hate wasting anything. 666 00:33:13,800 --> 00:33:15,799 Except my time, perhaps. 667 00:33:15,800 --> 00:33:17,119 Well, that's not very funny. 668 00:33:17,120 --> 00:33:19,559 If we don't get the requisition forms signed, 669 00:33:19,560 --> 00:33:21,119 then we have no supplies. 670 00:33:21,120 --> 00:33:24,399 We'll have to make do then, and when we're scratching things on the... 671 00:33:24,400 --> 00:33:26,159 Where have you been? With Donald McCarthy. 672 00:33:26,160 --> 00:33:28,439 He's continuing to improve, his daughter's by his side. 673 00:33:28,440 --> 00:33:29,919 That's all that matters. Good. 674 00:33:29,920 --> 00:33:33,159 I'd hate to think you missed your interview without good cause. 675 00:33:33,160 --> 00:33:35,919 Don't start. I know I stuffed up. Damn right, you did. 676 00:33:35,920 --> 00:33:37,439 I couldn't leave my patient, Frank. 677 00:33:37,440 --> 00:33:40,199 If that means I don't get the traineeship, then too bad. 678 00:33:40,200 --> 00:33:41,200 Charlotte! 679 00:33:41,201 --> 00:33:43,359 You wanna start on hospital resources I've used, 680 00:33:43,360 --> 00:33:46,879 go ahead, 'cause right now I couldn't care less, 681 00:33:46,880 --> 00:33:47,999 and neither should you. 682 00:33:48,000 --> 00:33:50,599 Well, I don't have the luxury of not caring 683 00:33:50,600 --> 00:33:52,599 because I have to balance the budget, 684 00:33:52,600 --> 00:33:55,119 I have to answer the board's stupid, bloody questions 685 00:33:55,120 --> 00:33:58,119 about whether or not I really needed to use so many sutures, 686 00:33:58,120 --> 00:33:59,959 and I have to explain to them 687 00:33:59,960 --> 00:34:03,959 why my candidate for the traineeship was too busy to attend her interview. 688 00:34:03,960 --> 00:34:05,719 The fun just never stops for me. 689 00:34:05,720 --> 00:34:07,999 Frank, I am sorry. 690 00:34:08,000 --> 00:34:10,319 But Alison was never gonna give me that position, 691 00:34:10,320 --> 00:34:11,999 so what difference does it make? 692 00:34:12,000 --> 00:34:13,999 Get yourself ready in half an hour. 693 00:34:14,000 --> 00:34:18,479 At that time the board will be reconvening to hear your application. 694 00:34:18,480 --> 00:34:19,480 What? 695 00:34:19,481 --> 00:34:23,198 I have been tap dancing for the last hour to get you another shot, 696 00:34:23,199 --> 00:34:24,839 so don't disappoint me. 697 00:34:24,840 --> 00:34:28,399 And I expect the bypass to be chalked up to ICU's budget 698 00:34:28,400 --> 00:34:30,159 since it was done up there. 699 00:34:36,280 --> 00:34:38,920 (winces in pain) 700 00:34:42,719 --> 00:34:45,319 You can always call a nurse to help, you know? 701 00:34:45,320 --> 00:34:47,399 Wanna get up? 702 00:34:47,400 --> 00:34:50,000 (pants) 703 00:34:52,040 --> 00:34:53,678 Hey. 704 00:34:53,679 --> 00:34:55,079 What are you doing here? 705 00:34:55,080 --> 00:34:57,160 I brought you a present. 706 00:34:58,720 --> 00:35:03,080 Emergency procedures manual. Gee, thanks. (Laughs) 707 00:35:04,400 --> 00:35:05,959 How are you feeling? 708 00:35:05,960 --> 00:35:07,599 Not very good. 709 00:35:07,600 --> 00:35:09,639 Well, don't expect too many visitors. 710 00:35:09,640 --> 00:35:12,319 Vincent has appointed himself your personal watchdog. 711 00:35:12,320 --> 00:35:13,999 What are you talking about? 712 00:35:14,000 --> 00:35:16,599 He doesn't want any of us plebs bothering you. 713 00:35:16,600 --> 00:35:18,039 Really? 714 00:35:18,040 --> 00:35:20,120 Really. 715 00:35:21,680 --> 00:35:22,919 So I'd better go. 716 00:35:22,920 --> 00:35:24,039 No, you stay. 717 00:35:24,040 --> 00:35:26,839 You always leave 'em wanting more, Jess. 718 00:35:26,840 --> 00:35:28,679 No, seriously, I've got to go. 719 00:35:28,680 --> 00:35:31,079 I've got my own personal watchdog... Who? 720 00:35:31,080 --> 00:35:32,119 Nelson. 721 00:35:32,120 --> 00:35:34,439 Oh, he's not still being a pain, is he? 722 00:35:34,440 --> 00:35:37,679 Not really. Enjoy your reading. 723 00:35:37,680 --> 00:35:40,160 (whispers) No-one will ever know. 724 00:35:44,920 --> 00:35:46,960 (laughs) Ouch! 725 00:36:02,480 --> 00:36:03,840 Come on in. Sit down. 726 00:36:06,080 --> 00:36:07,519 Am I in trouble? 727 00:36:07,520 --> 00:36:10,559 Why do you say that? Nelson thinks you're doing a great job. 728 00:36:10,560 --> 00:36:12,199 I know that look. 729 00:36:12,200 --> 00:36:13,999 I used to get it from teachers 730 00:36:14,000 --> 00:36:17,880 who used to put "Daniel's attitude is disappointing" on my report cards. 731 00:36:18,880 --> 00:36:20,599 Am I right? 732 00:36:20,600 --> 00:36:22,679 Well, you're self-reflective skills are fabulous. 733 00:36:22,680 --> 00:36:24,559 Ah, anyway, can I go? 734 00:36:24,560 --> 00:36:25,799 Nope. 735 00:36:25,800 --> 00:36:29,159 Here you go. Next month's rosters. You've only got one weekend shift. 736 00:36:29,160 --> 00:36:30,839 No way! That's fantastic. 737 00:36:30,840 --> 00:36:32,399 Yeah, well, I checked back 738 00:36:32,400 --> 00:36:36,239 you were given a bit of a rough trot, so I thought you deserved it. 739 00:36:36,240 --> 00:36:37,439 Just another thing - 740 00:36:37,440 --> 00:36:39,199 interesting little list you gave me here. 741 00:36:39,200 --> 00:36:43,319 It says here each nurse can have two evenings off a week 742 00:36:43,320 --> 00:36:46,439 for courting purposes, as long as they attend church regularly. 743 00:36:46,440 --> 00:36:48,800 Oh, great. I'll see you there Sunday. 744 00:36:51,080 --> 00:36:52,879 Charlotte, you know what they'll ask you. 745 00:36:52,880 --> 00:36:54,919 You went through it on the physician's traineeship. 746 00:36:54,920 --> 00:36:58,079 But I didn't have the director of medicine gunning for me then. 747 00:36:58,080 --> 00:36:59,239 Come on. 748 00:36:59,240 --> 00:37:01,199 (Groans) Okay. 749 00:37:01,200 --> 00:37:04,839 So tell me, Dr Beaumont, why do you want this position? 750 00:37:04,840 --> 00:37:06,240 To stick it up Newell. 751 00:37:08,040 --> 00:37:09,519 Okay, okay. 752 00:37:09,520 --> 00:37:14,759 Because my time in the ED has demonstrated to me 753 00:37:14,760 --> 00:37:19,399 what a valuable area emergency medicine is... 754 00:37:19,400 --> 00:37:21,079 What? Is that a wank? 755 00:37:21,080 --> 00:37:23,839 It's not a complete one, no. 756 00:37:23,840 --> 00:37:26,119 I'm going to blow this, I know I am. 757 00:37:26,120 --> 00:37:30,799 Charlotte, you're gonna be fine. It's okay. It was a little thin. 758 00:37:30,800 --> 00:37:31,919 Just say something like 759 00:37:31,920 --> 00:37:34,959 you want to develop skills to work at the highest clinical level 760 00:37:34,960 --> 00:37:37,999 and then have the capacity to use those skills to teach others, 761 00:37:38,000 --> 00:37:39,679 blah, blah, blah, blah, blah, blah. 762 00:37:39,680 --> 00:37:42,239 That's what I hate about you. You're so perfect. 763 00:37:42,240 --> 00:37:45,320 I'm far from perfect. 764 00:37:46,440 --> 00:37:48,200 What's up? 765 00:37:50,800 --> 00:37:54,520 I don't know I just... I feel poisonous at the moment. 766 00:37:56,480 --> 00:37:58,760 You know that's rubbish. 767 00:38:01,440 --> 00:38:03,960 Come on, mate. You're gonna be late. Off you go. 768 00:38:05,680 --> 00:38:06,799 Thank you. 769 00:38:06,800 --> 00:38:09,920 And if I screw this up, then consider yourself poisonous. 770 00:38:16,520 --> 00:38:18,799 Oh, Vincent. 771 00:38:18,800 --> 00:38:20,840 It's Mrs Hunter's pathology results. 772 00:38:22,080 --> 00:38:23,159 Ah. 773 00:38:23,160 --> 00:38:24,959 Is that for me? Thanks. 774 00:38:24,960 --> 00:38:26,039 Good news? 775 00:38:26,040 --> 00:38:28,639 Yeah, her surgical wound was negative for MRAB. 776 00:38:28,640 --> 00:38:30,919 It means it didn't come from me. That's good. 777 00:38:30,920 --> 00:38:33,479 I'm surprised to see you in the ED this afternoon. 778 00:38:33,480 --> 00:38:35,759 I needed extra cash. I'm going overseas at Christmas. 779 00:38:35,760 --> 00:38:36,839 How's Jess? 780 00:38:36,840 --> 00:38:39,639 I'm heading there now. She was fine last time I checked. 781 00:38:39,640 --> 00:38:43,160 You'd better be nice to her. She's got a massive crush on you. 782 00:38:56,440 --> 00:38:57,520 Hi. 783 00:38:58,600 --> 00:38:59,759 How you feeling? 784 00:38:59,760 --> 00:39:01,040 Much better, thanks. 785 00:39:03,280 --> 00:39:05,119 Vincent, um... 786 00:39:05,120 --> 00:39:10,599 thanks so much, you know, for everything. 787 00:39:10,600 --> 00:39:13,120 No problems. 788 00:39:15,080 --> 00:39:16,519 Is there something wrong? 789 00:39:16,520 --> 00:39:18,399 No, not at all. 790 00:39:18,400 --> 00:39:22,239 You've had an appendicectomy, but you'll barely notice the scar. 791 00:39:22,240 --> 00:39:25,279 But you'll need to stay nil by mouth until you've passed wind. 792 00:39:25,280 --> 00:39:27,280 Yeah, I know all that. 793 00:39:28,640 --> 00:39:30,760 Okay, any questions? 794 00:39:38,000 --> 00:39:39,119 No. 795 00:39:39,120 --> 00:39:43,079 Right, we've left a drain in which we'll remove in a couple of days. 796 00:39:43,080 --> 00:39:45,040 Ah, get some rest. 797 00:40:00,760 --> 00:40:02,279 Hot, isn't it? 798 00:40:02,280 --> 00:40:03,799 Is this yours? Mm-hm. 799 00:40:03,800 --> 00:40:04,879 Nice, Dr Giorgio. 800 00:40:04,880 --> 00:40:08,399 I had a poster of one on my wall when I was a teenager. 801 00:40:08,400 --> 00:40:09,959 It wasn't this model, of course. 802 00:40:09,960 --> 00:40:13,039 Let me guess, it had a naked woman drapped over the bonnet? 803 00:40:13,040 --> 00:40:15,320 It had two of them, now you mention it. 804 00:40:16,760 --> 00:40:18,320 You want a ride? 805 00:40:19,600 --> 00:40:20,799 Oh... 806 00:40:20,800 --> 00:40:23,079 ENGINE REVS Suit yourself. 807 00:40:23,080 --> 00:40:24,759 No, wait, wait. 808 00:40:24,760 --> 00:40:27,959 ENGINE REVS 809 00:40:27,960 --> 00:40:31,120 TYRES SCREECH 810 00:40:33,800 --> 00:40:35,439 CHARLOTTE: Sorry. 811 00:40:35,440 --> 00:40:37,600 Thank you. 812 00:40:45,560 --> 00:40:47,319 (sighs) 813 00:40:47,320 --> 00:40:49,519 Oh, thank you for joining us. 814 00:40:49,520 --> 00:40:50,919 Finally. 815 00:40:50,920 --> 00:40:54,959 I am sorry. I did have an emergency to attend to. 816 00:40:54,960 --> 00:40:58,279 Well, let's get started, shall we? 817 00:40:58,280 --> 00:41:00,199 Why do you want this position? 818 00:41:00,200 --> 00:41:05,599 Well, as you're aware, I have been working in the ED for a while now 819 00:41:05,600 --> 00:41:09,279 and I find it particularly stimulating and challenging 820 00:41:09,280 --> 00:41:12,559 as it utilises skills and knowledge across all specialties. 821 00:41:12,560 --> 00:41:16,479 And in my time there I have come to understand 822 00:41:16,480 --> 00:41:20,079 what a valuable speciality emergency medicine really is. 823 00:41:20,080 --> 00:41:21,440 How so? 824 00:41:23,240 --> 00:41:26,599 It's the front line for patients in critical condition. 825 00:41:26,600 --> 00:41:28,519 It's a place of education for patients 826 00:41:28,520 --> 00:41:29,839 with less urgent clinical presentations 827 00:41:29,840 --> 00:41:31,359 and you are dealing with patients... 828 00:41:31,360 --> 00:41:32,439 Oh, for God's sake. 829 00:41:32,440 --> 00:41:35,119 All this touchy-feely, cuddle me, please stuff 830 00:41:35,120 --> 00:41:36,679 is starting to turn my stomach. 831 00:41:36,680 --> 00:41:38,959 Sorry, I don't have time for it. Dr Campion...! 832 00:41:38,960 --> 00:41:42,039 I need to know if this applicant has the initiative 833 00:41:42,040 --> 00:41:44,199 to take care of an emergency situation 834 00:41:44,200 --> 00:41:45,919 without me holding her bloody hand. 835 00:41:45,920 --> 00:41:48,759 Since Dr Beaumont decided to stuff us around all day, 836 00:41:48,760 --> 00:41:51,039 I think we should put her through the ringer. 837 00:41:51,040 --> 00:41:52,840 How do you intend doing that? 838 00:41:56,160 --> 00:41:59,919 Patient presents with hypothermic cardiopulmonary arrest 839 00:41:59,920 --> 00:42:02,999 following prolonged exposure to sub-zero temperatures. 840 00:42:03,000 --> 00:42:04,560 What do you do? 841 00:42:07,560 --> 00:42:09,559 Well, first, I would... 842 00:42:09,560 --> 00:42:11,599 Dr Campion, that's hardly a fair question. 843 00:42:11,600 --> 00:42:14,439 All of our candidates deserve a level playing field. 844 00:42:14,440 --> 00:42:17,240 I'm happy to answer the question, Dr Newell. 845 00:42:23,360 --> 00:42:25,999 Any underlying pathology I should know about, 846 00:42:26,000 --> 00:42:29,559 anything that would preclude resuscitation attempts? 847 00:42:29,560 --> 00:42:31,240 Nope. 848 00:42:32,960 --> 00:42:36,679 Then I would have to weigh up my options on rewarming techniques. 849 00:42:36,680 --> 00:42:38,360 Which are? 850 00:42:40,560 --> 00:42:42,879 Passive external rewarming - 851 00:42:42,880 --> 00:42:45,959 insulating from heat loss, warm environment. 852 00:42:45,960 --> 00:42:49,959 Active external rewarming - heat blankets, lamps, etc. 853 00:42:49,960 --> 00:42:55,239 An active core rewarming - heat infusions, lavages. 854 00:42:55,240 --> 00:42:57,679 Extracorporeal blood rewarming - 855 00:42:57,680 --> 00:43:01,800 hemodialysis, venovenous, cardiopulmonary bypass... 64494

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