All language subtitles for The Fall (2013) S03E01 Silence and Suffering.en

Thirty-two-year-old male,
gunshot wounds to abdomen.

Breathing 35, pulse thready at 140.

BP unrecordable.

GCS nine, eyes two,
speech one, motor six.

Central and peripheral veins
are collapsed,

can't get venous cannulation.

We're trying intraosseous.

We're in.

IO successful.

0.5 liters saline being squeezed in.

You should know the patient
is in police custody.

He's fitting.
How long?

Two minutes.

What is it?

Man versus bullets, LUQ.

Doesn't sound too good.
BP unrecordable.

Palpable pulse, GCS nine and falling.

We've cleared a space
in resus one for him.

Draw up 100 milligrams of ketamine
and 100 milligrams of sux, please.

We'll need phenylephrine,
ephedrine and atropine handy,

and 10 micrograms per milliliter of epi
drawn up also as rescue drugs.

Okay, sure.
Right, what's going on here?

She's hypothermic, core temp 28.2.

Paramedics got a line in
and I got some bloods from one I put in.

The junior doc did a gas, pH is--

7.1.

PaCO2 9.0.
Pa base excess minus eight.

Lungs are good, though.
What's her name?

Rose Stagg.

DC McNally.
She's the woman we've been searching for.

Where was she found?

In a forest,
in the boot of a car.

We think she was there
for at least four days.

That's why her CO2's up.

Breathing her own recycled air.

Rose.

It's time to wake up, Rose

I can smell pear drops.

- What are her ketones?
- 2.3.

We can't move her
until an ICU bed is ready

and her temp's going
in the right direction.

- Do you want the Bair Hugger?
- Aye, set it to 38.

The FMO will need to see her
to process for rape evidence.

Not yet, and not in here.
We need to stabilize her first.

Oh, can I stay with her?
Things are about to get messy.

The gunshot wound that's coming in...
we think he's responsible for this.

She shouldn't catch sight of him.

Plus, we need to avoid
cross-contamination of evidence.

Fine.
Just keep out of the way.

Okay, everybody, listen to me.
I'm the tsar.

All questions to me, all angst to me,
all misery to me.

Fran is on airway,
Nurse Bronagh is anesthetic.

Buddy, Daryl, you're on "C,"

Nurse Ursula is runner,
just because she is.

Andrew, you're scribe.

Everyone happy? Good.

Right.
Come on, let's go.

Okay, guys,
our patient's here.

This is Paul, he's 32 years old.

He was in police custody
when he was shot.

Let's get him across.

Okay, on my count.

Nice and easy.
One, two, three.

Let's break the scoop, please.

Hit by a nine millimeter
police handgun from close range.

Two wounds to abdomen,
left upper quadrant.

Lateral wound, I can feel the bullet.
The other is hosing and deep.

Can we get the gendarmes
out of here, please?

We're gonna need those clothes.

It was approximately
20 minutes before we got to him,

by which time he was unresponsive.

GCS nine, and had lost
a significant amount of blood.

Breath sounds bilaterally,
heart sounds one and two, bit muffled.

He has an IO
in the right tibia.

We've given him a liter
of warm saline in two boluses.

BP 70 systolic, pulse 136.

We couldn't get his sats,
he's too shut down.

Have you given him anything else?
Morphine? Tranexamic?

Just the saline and a gram of tranexamic.

Excellent work, thank you.

- Okay, we're good.
- Okay, let's roll him

in case there's a bullet
they haven't told us about.

Okay, on my count.

One, two, three. Roll.

No exit wound, nothing here.

Okay, roll him back.
Grab his clothes, Perry.

Okay. One, two, three, roll.

BP 60 systolic.
Pulse 128 palp, no radial.

Okay, use the Ambu bag.
Help him with his breaths.

And ultrasound him, please.

Gently, Fran...

No pneumothorax.

Daryl, any luck with the bloods and line?

Here's blood.

Ursula, two units of house red to start.

Crossmatch me six units
in the lab, please.

Good man, Daryl.
Chop-chop now.

- Hello.
- How's he doing?

I don't know.

He's lost so much blood.

He looks like he's dying.

Tyler died at the scene.

I know.

I had Ged Green secure the scene
as per your instructions.

The Ombudsman's SIO is on her way.

Thank you.

The Ombudsman's Office
will want to conduct a full investigation

of the circumstances
surrounding the shooting.

Why Spector was there.
Why Tyler was shot.

Well, Ferrington had no choice.

Tyler emerged from the woods firing.

I think... the one round missed
and went into the police car,

and then the next three rounds hit
Anderson and Spector.

I'm not sure of the precise order of shots
but I am certain that Ferrington

only returned fire.

The shooting was fully justified.

How is Anderson?

I don't know.

We had to leave him at the scene.

A second rapid response vehicle
was on its way.

Has Spector's family been informed?

I'm not sure.

Well, make sure that they are.

What about Tom Stagg?

I think the, uh, officers are
on their way to see him now.

And Rose?

Alive.

Are you in the car?

I'm on my way to HQ.

The chief wants to see me.

Keep in touch.

Andrew,
get on to the blood bank,

order four FFP, please.

Ursula needs a gram of tranexamic.

We need anesthesia!

And fast!
Bleep the surgeons again!

None of their
"We need a CT" shite.

He needs to go straight to theater.

- Have you got the O-neg up, Daryl?
- Yeah.

He's vomiting. Suction.

On my count.
One, two, three, roll.

And back, one, two, three.

He needs tubed.
Let's go.

Bronagh, size 8.5 tube. Mac 4 blade.
You ready, Bronagh?

- One minute.
- Am I doing it?

Unless you don't want to.

He's hypotensive and puking.

Them's the breaks.

I'll bail you out if it goes to shite.

Can someone get a pillow for his head
before Fran knocks his teeth out?

Will I do cricoid?
Sure.

Get that other blood up, Daryl.

Sophie, you got squeezer drugs ready?

I've got 10 mics per milliliter
of epinephrine,

100 mics per mill of phenylephrine,
ephedrine and glycopyrrolate.

The emergency box is ready.
Ketamine and sux here.

Good.
Is that blood up?

Yeah, I've got
a green in his left foot.

I'll stick the other unit through here.

- You happy, Daryl?
- Flushing well.

Okay, let's have quiet.

Ready, Fran?

Ready. He's been preoxygenated.
End-tidal CO2 ready.

Suction ready and under pillow.

Cuff checked, tube lubed.
Bougie handy. Ready.

BP 70, pulse 120.
Sats now reading 93%.

Fifty milligrams ketamine in.
One hundred of sux.

He's fasciculating.

Just wait.
It should pass.

Go now.

Give him 100 micrograms
of phenylephrine, Daryl.

Can you see the cords?

- I think I can--
- Is that a yes or a no?

It's a yes.
Tube, please.

Feels good.

Cuff up.

You've got end-tidal, sats 90%.
Check BP there.

Sophie, squeeze that blood in.

Daryl, listen to the lungs
and stop looking pretty.

Air entry, both axilla.

Cricoid off, please.

Bronagh, can you hold this?

It's 22 centimeters at lips.

Ursula, bag while I tie this in.

BP 50 systolic.

Give him 50 micrograms of epi,
please, Daryl.

Right, let's get him on the vent.

Andrew, log the time.

Where's that bloody surgeon?

Ah, Alex.
Good, right.

This one's superficial.

- Yeah, I can feel the bullet.
- Right.

- That one's gone deep.
- Okay.

Right.

They're taking her up to the ICU now.

Rose? Rose...

You're safe now.

Everything's gonna be okay.

You go with her.
No media, no photographs.

Yes, ma'am.

Gail...

could you go to my hotel room
and pick me up some clean clothes?

No worry.

I need something comfortable and...

- something to talk to the press in.
- Yes, ma'am.

I think I left some papers out
this morning in the rush,

- if you'd put them away?
- Yes, ma'am.

Thank you.

Okay,
let's move him, let's go!

Is your boss on his way?

He's been fast-bleeped
by theater.

Sophie, can you squeeze that blood in?

It's hard to look at a systolic of 60.

- Thanks, Joe.
- All right.

How is he?

Dr. O'Donnell, we have
another gunshot wound here for you.

What is this, the '70s?

- Who are you exactly?
- Detective Superintendent Gibson.

Uh, massive internal bleeding,
he's lost half his blood volume at least.

Given where he was shot,

I'm guessing he needs
his spleen in a bucket.

- Will he live?
- Maybe.

So he's the Belfast Strangler?

Wow.

We need to keep him under guard
at all times.

Well, he's been given muscle relaxants

and he's on a ventilator.
He's going nowhere.

It's not the risk of escape, really,
it's for his own protection.

There are people that would harm him
if they could.

And my aim is to get him to court
in one piece.

Right now, the aim is
to get him to survive theater.

Right.

Your other gunshot wound,
I think, is a colleague.

- Look after him, please.
- Aye.

And you're backing Gibson
to stay in charge?

On balance?

Yes, sir.

No one knows the case like her.

She's got her man.
Rose is alive...

There's gonna be a media feeding frenzy.

Get an MLO on board
as soon as you can

and keep Gibson
away from the cameras.

I don't want her making
any direct statements,

conducting any interviews...

while inquiries into her handling
of the case are ongoing.

Understood.

Spector's first appearance was moved
to tomorrow.

I'll contact the courts and let them know
he won't be appearing.

Keep the PPS up to speed, too.

Yes, sir.

I can manage her, sir.

I promise that.

Detective Sergeant Anderson
has a gunshot wound

to the lateral aspect of the distal end
of his humerus

with what looks like an exit wound

just distal to the antecubital fossa
on the ulnar flexor aspect of his forearm.

He has some minor ooze
around the entry and exit site

when taking the dressing down.

There's a lot of swelling
around the entrance wound,

probably a large hematoma.

- Do you have Mr. Anderson's X-rays?
- Yeah.

No, no bony injury.

No retained metal by the looks of it.

He can get an MRI.

The earliest is tomorrow
and that's with me pleading for it.

So far, so good, Mr. Anderson.

The X-ray reveals no fractures
and your pulses are intact.

Now let's see you bend this wrist back.

There, but not great.

Make a fist... and open up your hand,
spreading your fingers.

Good. Can you feel me
touch you there?

It feels odd.

Your function in your hand is good.

However, I am a little worried
about the radial nerve.

Where the bullet entered is not exactly
where the radial nerve lies,

but swelling can compress it

and, clearly, there's a lot of swelling
above the elbow.

Reassuringly, with encouragement
you can extend the wrist,

which is what the radial nerve should do.

But the altered sensation is
a cause of concern.

So the plan is, we'll clean the wound out
and scan it tomorrow.

How long will I be out of action for?

I really don't know.

We'll be in a better position
to judge tomorrow, post-MRI.

Well, weeks, months... forever?
What?

I'm sorry, I really don't know.

All I can tell you is
that he was shot in police custody.

There's severe abdominal trauma.

He's in a critical condition
and undergoing emergency surgery.

There is a possibility
that he won't survive that surgery.

Shot by a police officer?

No, not a police officer.

I'm sorry, I can't say any more than that.

Is that blood here yet?

Two units, O-negative,
just ready through the rapid transfuser.

We're waiting on MTP.

Christ,
60 systolic before we start?

Drapes.

Give me a minute before you open,
his BP's in the toilet.

- More like 30 seconds, please.
- Make me a syringe of adrenaline.

His pressure's going to bottom
when they open and decompress him.

Sister, would you ring the blood bank
and remind them

that massive transfusion
protocol means now?

And would you call Mr. King and tell him
I'd appreciate his help?

What's his pressure now?
Can I start?

Eighty systolic.
Only gonna get worse.

Yes, you can start.

Scalpel.

And two swabs.

Suction, please.

Retractor.

It's a real, real mess here.

He's slowing, systolic dropping.
Where's that adrenaline?

He's cold.
Let's push the fluids.

Turn up the heat
in theater, please.

There's another unit
ready for transfusion.

The six FFP are here.

Give him the unit and horse in the FFP
through that peripheral.

- Sister, would you squeeze that in?
- Packs.

We're losing here.
BP and pulse are the same, 40.

Where are we at, Miss Morton?

- We need to get control here.
- I can't see shit.

Pulse rate is dropping.
We're really struggling here.

Stop, stop, stop. There's no pulse.
Adrenaline please.

Start CPR.

Peter...

Mother?

Daddy, look what I found.

Peter...

Peter, come to me.

Peter...

Adrenaline's hitting.
So he's back?

He's back.
Carry on, Dr. Morton.

His spleen is shattered.

I'm gonna need
a second pair of hands here.

- Any sign of Mr. King?
- He is scrubbing.

BP now 60 and pulse 56.

Time to act.
We've got a window here.

Spleen?
Yeah, I think so.

Let's get it out
and see what else is going on.

Mobilize the spleen, please.

Scissors.

- That's just coming now.
- Good.

Clamp.

Watch the tail of the pancreas.

Got it.
Good.

Scissors.

Pressure rising, 80 systolic,
pulse rising up at 72.

Tie.

Scissors.

Diathermy.

How are we getting on there, Adrian?

Systolic stable at 90,
pulse stable at 102.

He's on a trickle of norepinephrine.

He's still behind, but pH 7.2,
lactate 4.5, though that's improved.

He's still quite labile.

Temp is 34.8 degrees Celsius.

But he's making urine,
40 mills in the last 15 minutes.

He's very oozy.
I think it best to pack him, warm him up.

We need to fix that acidosis
and get his coag sorted out.

I suggest putting him in ICU overnight
and having a relook laparotomy tomorrow?

Agreed.

The hole is superficial.

I can actually feel the bullet.

Another trophy for the forensic lab.
Packs, please.

There's an ICU bed ready
whenever you're ready.

Medium soft.
Do not unfold them. Do not unfold them.

Big soft in my hand, please.
Big soft.

Thank you.

Take the bad look off him
up in recovery. Yeah?

- Thank you.
- You're welcome.

Daddy's been in an accident.

What kind of accident?

A car accident.

- What car?
- I don't know, I think, um...

I don't know what car.

Where is he?

He's in hospital.

Can we go and see him?

The doctors are looking after him now,
and...

he needs his sleep.

Maybe tomorrow...
if he's feeling better.

Where is he hurt?

I don't know,

I think it's his tummy.

- I really wanna see him.
- Well, you can't, not tonight.

Olivia.

Olivia?

- Hey.
- Hey.

What have the doctors said about your arm?

Could be some nerve damage.

May be the end of my career.

Really?

I'm sure it's not.

Why did you run to him?

What?

'Cause the both of us were shot,
but you ran to him, not me.

All your concern was for him.

I could see that his injuries were worse.

And?

You were crying out,
"We're losing him."

You sounded...

anguished.

I didn't want it to end there.

Not like that.

No court case, no sentence,
no punishment.

No closure for the families.

I want him to live...

so that he can be tried and sentenced
and spend the rest of his life in prison.

If I sounded anguished...

that's why.

- I have your things, ma'am.
- Thank you.

Er, if you need somewhere
to park yourself,

I have a room for you.

Thanks.

- You all right?
- Yeah... You?

Not brilliant.

He's had his spleen out
and his abdomen packed.

Didn't look as if
anything else was perfed,

but the surgeons want him
on co-amoxiclav and Flagyl.

They're having a relook tomorrow.

He's had a shed-load of blood
and products through.

Four units of O-neg
and ten units crossmatch.

That's including the two units
hanging there.

He's had eight FFP and a bag of platelets.

So, only twice his blood volume then?

No expense spared.

Hey.

How's the Strangler doing?

I'm going up to see him in a minute.

I've been aware of what's going on

but I haven't really been
following it closely.

Some of my friends have been
really caught up in it all...

having alarms fitted
and asking random boyfriends to move in.

Well, lucky that you're a doctor
and therefore never at home.

True.

I hadn't really thought of myself
as being at risk in that way.

Then you look at the photographs
and you think,

"They're just young women
living their lives like I live mine.

That could have been me."

One of my best buddies
is a doctor in the military.

Did several tours in Afghanistan.

In the field hospitals,

casualties are treated solely
on the basis of their clinical need.

Badly injured Taliban treated
ahead of British casualties

if their condition was more urgent.

Same here in the old days.

That didn't always make him very popular.

In truth, it rather fucked him up...

but he'd still argue medical care
has to be delivered

according to clinical need
without discrimination.

If he was here, he'd tell us it's our duty

to treat your man humanely
and protect him,

even if he is a murdering bastard.

Allegedly.

The press are gathering.

TV crews, all the main channels,

plus local TV,
print and radio journalists.

Quite a few web news sites, too.

I think we have to go
with a live interview.

Have the victims' families been informed?

Gallaghers, Kays, Monroes?

The announcement
can't come as a shock to them.

They have, ma'am, yes.

And Spector's family?

Yes, ma'am, they've been notified.

Right.

Three key points...

One, a man has been arrested
and has been charged.

Two--

- Stella.
- Sorry, sir, just one second.

Rose Stagg has been found and is alive.

Three, that the prisoner
was injured in police custody

and then something about his condition.

But... beyond that,
investigations are ongoing--

I need to stop you there.

You won't be making the statement.

- What?
- The chief constable wants me to do it.

Am I still SIO?

Can you give us a second, please?

Martina... it is really important

that you monitor all press coverage
for accuracy and interpretation.

Defense teams love to make allegations
about what's been said in the media,

particularly when misquoting facts
provided by the police.

Yes, ma'am.

Well?

Yes, you are.

For now.

I stood up for you, Stella.

So I should think.

I also told the chief
that I could manage you.

I see.

Don't make this difficult for me.

Well, you might want to straighten
your tie before you go on camera.

Tom Stagg is in
the ICU waiting room, ma'am.

Oh, thank you.

Would you ask DC McNally to bring me
my bags from the room I just changed in?

Yes, ma'am.

Has the Belfast Strangler
been caught? That's the question tonight.

How is she?
Have you seen her?

I've seen her briefly.

I'm told she's stable, Tom.

Thank you. Thank you.

- Shall we go in and see her?
- What's going on outside?

Is that all for Rose?

Don't worry about that now.
Come on, I'll take you in.

- You're Rose's husband?
- Yes.

Come this way.

Oh, my love.

I'm Assistant Chief Constable Jim Burns

and I have information relating
to the Operation Musicman Task Force

and the serial murder investigations.

I wish to confirm
that a 32-year-old Belfast male

has been arrested in connection with

the murders of...
of Sarah Kay, Fiona Gallagher,

Alice Parker Monroe and Joseph Brawley,

and also for the unlawful imprisonment
of a Belfast radiologist, Rose Stagg.

He was due to appear in court
in Belfast tomorrow morning

to face these and other charges.

But that is no longer the case

as he has suffered serious injury
whilst in police custody.

How did he
come by those injuries?

Why was he injured?

The victim of a gun attack.

His medical condition
is described as critical,

his injuries, life-threatening.

Assistant Chief Constable,
how does a man get shot in police custody?

Who's he talking about?

- Don't do that!
- Katie--

His assailant was shot dead
by police in the incident

- and I cannot comment
- It is Paul!

Oh, my God!
I have to go to him.

- Katie, you can't!
- I have to see him.

You're not allowed out!

I don't care!

Katie, you're on bail.
You're not allowed out at night.

- Get out of my way!
- You're not allowed to see him!

- Get out of my way!
- Katie!

- Where are the keys?
- Katie!

You locked me in!

You're not allowed
out of this house, I said!

- Fuck off!
- You're not allowed to see him.

Get the fuck off me!

I'm calling the police.

If you leave this house
I'm calling the police.

I don't know what's happened to you!

Your father would be appalled
at what you've become.

I am pleased to say
that Rose Stagg has been found,

that she's alive
and she's in a stable condition.

I'd like to take this opportunity to thank
Detective Superintendent Stella Gibson,

her team and the public
for all their efforts in finding her.

Where is
Detective Superintendent Gibson?

Why isn't she here with you?

Detective Superintendent Gibson
is doing what she does best. Policing.

I'm certain it's Paul.

He's been hurt.

How's he been shot?
Who shot him?

I don't know.

The police I suppose, I don't know.
He's in hospital.

He's where?

In the General Hospital,
I think.

I really need you to go there,
find out how he is.

Me, why?
Why can't you?

You know why.

The fucking bail conditions!

- Why would they let me in?
- They wouldn't.

- They wouldn't let me in.
- You don't understand.

I think he might be dying.

What?
It's really difficult to hear.

I think he might be dying.

What do I...
I don't know what I'm supposed to do?

- Daisy, are youse comin' or what?
- Why are you being a bitch?

What?

Why are you being a fucking bitch?

Oh.

I'm not, I'm just saying.
I don't know what I'm supposed to--

- Mummy.
- Yes?

I can't sleep.

Have you tried?

Really, really hard.

It's because you've got your light on.

Can I get in with you?

I'm thirsty.

You've cleaned your teeth
so you can only have water.

Okay.

She needs her rest now.

I've got something for you.

Nancy was desperate to come.

She sent you this.

I'll see you tomorrow.

Right, would you like me
to hang that up for you?

Has she spoken to you?

Has she told you anything?
Did he...

She's hardly said a word yet.

It's too soon.

She'll see the police doctor
in the morning

and we'll know more after that. But...

she'll talk in her own time.

I can't bear to think of her
alone with him for all that time.

I can't bear to think of him...
laying his hands on her.

Tom...

try not to imagine things
that very probably didn't even occur.

I'm furious with myself
for not being there to protect her.

Lying on the sofa,
headphones on, for Christ's sake.

If I was in bed with her,
it would never have happened.

Tom, you don't know that.

It could have been far worse.

Look at what happened with Joe Brawley.

Why didn't she cry out?
Or scream?

Why didn't she fight him?

Why did she go with him?

- Tom--
- Do you know that Nancy

saw them crossing the street together,
arm in arm?

Tom, I need you to listen to me right now.

Men always think
in terms of fight or flight.

In fact, the most common instinct
in the face of this kind of threat

is to freeze.

If she didn't fight, if she didn't scream,
if she was silent and numb...

it's because she was petrified.

If she went with him quietly...

it's because she was afraid for her life.

And not just her life.

Yours and Nancy's and the baby's.

In that state of fear...
she might well have been compliant,

she might well have submitted...

but that does not mean she consented.

Tom, the way you behave...

...the way you approach your role
as Rose's helper...

will either make her experience
better or worse.

If you react badly...

you will devastate her.

Or you can be...

a big part of her healing
and her recovery.

What she needs from you right now
is to know that she is safe.

To know that she's loved.

Be patient...

be tender.

Tomorrow's another day.

You shouldn't be in here.

Please leave.

Is that you?

Thank God you're here.

I've been so worried.

Thank God you're safe.

Sweetheart... I'm glad you've come.