Original subtitles

Hello?

Hello?

Come on. There we go.

That's it. Whoa.

Alrighty.

THEME MUSIC

I need a hand. She's in a bad way.

Okay, I'll get Frank.

What's happened? Locked in a car with the windows up.

It's over 35 degrees out there. Tell me about it.

Do you have a name? No idea.

What've we got here?

Little girl discovered locked in a car, unknown duration.

Okay, little one, we'll get you better.

She's got an output but she's flat. Mm-hm.

Strip her down. We need a temp and BSL.

There's blood here. It's mine.

Mucus membranes are dry.

Okay. Hypothermic. 41.910.

We need to cool her and get IV access.

Won't be easy, she's peripherally shut down.

I want a full blood work up, CK and co-AGs.

Do you know this girl? No, I was just walking past.

No parent?

Probably inside. Didn't hang around to find out.

Inside where? The pub.

That's where the car was parked.

What kind of parent leaves a kid in a car on a scorcher like today?

A drunk one.

Hi there.

Beth, what are you doing here?

I stayed at a girlfriend's last night around the corner.

I thought while I was in the area, I might...

How did you know where I live?

It's okay. You said you're not interested and I heard you.

It's... it's just, um...

I got this feeling that you've got an issue with intimacy, and...

..and I just thought,

"I don't know who caused that, but the woman's crazy."

Says she who's standing outside your house.

Am I freaking you out?

No.

Yeah. A little.

Sorry. I didn't mean that. I just wanted to say hello.

So, um... have fun at work.

Tachycardiac 180, resps 40.

Jack, how you going with that line?

It's in.

We need to monitor her core temp.

We're going to get you a nice sponge bath.

She needs an IDC, urgent UA, and strict fluid balance monitoring.

I'm on it. And what fluids?

Amro-2 with 5% dextrose, 20ml per kilo to start with.

I'll chart her maintenance fluids. MACHINE STARTS BEEPING

Frank, she's fitting.

Midazolam 2mg.

Midazolam 5mg and 1ml. 2mg equals 0.4mls, expires 03/06.

Come on, come on. Get the Laedel.

There you go, sweetheart.

Good girl.

Found her parents yet? I need some medical records.

No. Is she going to be okay?

How bad's that cut? Just needs a couple of sutures.

Park yourself in a cubicle, I'll see you soon as I can.

So, what's the rehab plan for today?

Oh, you know, more water torture. Gob-full of chlorine. Fun, fun, fun.

You'd make a good little synchronised swimmer.

You'd look quite cute with a little plug up your nose.

(laughs)

How's my replacement working out?

She's very green.

Reminds me of when I was first starting out, actually.

She's good, though.

A girl, so there's no chance of me falling for my partner this time.

Everything okay?

Mac, what's wrong?

Have the doctors said something? No.

No. It's just...

Maybe we should slow this thing down a bit.

Everything's been so crazy lately.

You know what your problem is?

You've got too much time to think about things that don't exist.

I haven't thought this thing through at all, Cate.

And neither have you.

Why don't you concentrate on being a good synchronised swimmer,

and let the rest take care of itself.

It's not that easy and you know it. There's a lot to sort out.

Like what?

I don't know, Cate. Stuff. (scoffs)

This is complicated. (laughs)

I've gotta go to work. I'll talk to you later, okay?

Cate, I wanna know that we're doing the right thing.

Feels right to me.

See you later, okay?

Hi, Cate. We're all revved up and ready to roll.

I've checked all the stock and checked all the equipment.

Everything is A-OK. Great.

Sorry, my mind's elsewhere.

I can't tell you how excited I am to be working with you today.

Yesterday was such a buzz.

Great. I think we make a really good team.

Not as good as you and Mac, or anything.

He's such a spunk.

So sad. Yeah, it's tragic.

TWO-WAY RADIO: 978, are you clear?

Affirmative, Operations. 978 clear.

Ready?

Industrial accident, male trapped.

SIREN WAILS

NELSON: How's she doing?

FRANK: Paediatric Registrar's with her now.

Oh! Don't be such a wuss.

If you were more careful I wouldn't be doing this.

I didn't think.

When I saw the little girl burning up in the back seat,

I grabbed the first thing I could and threw it through the window.

Just as well you did. Know anything about the parents?

Ah, no,

but the car's parked outside the pub a lot - at all hours.

Only noticed 'cause it's got different coloured doors.

Why would you do that? Go boozing and leave your kid locked in a car.

Called DOCS? Yep.

Wonder how long it'll be before they even notice she's missing.

Hopefully, the police can track them down.

Hmm?

I've got the car's rego and Regina's given the cops a call.

Good thinking.

SIREN WAILS MAN: Ambos are here, mate.

Baz, hang in there, buddy.

How did this happen?

We were working up on the roof - demolishing it -

and the whole damn lot came down.

What's his name? Barry.

Hey, Barry. I'm Cate. This is Sasha. We're going to check you out.

Please, it's killing me.

Where's the pain, exactly?

Down my right... leg. The side.

Can you tell me what day it is? Tuesday.

Good.

We're going to make you comfortable and get you out of here soon.

Here. This is for the pain.

Just suck on it and it will help.

Just shining a torch in your eyes, Barry.

Now, is there any way any of this can get cleared?

We moved as much as we could, but that thing weighs a tonne.

I'll get on to Rescue. Excellent.

978 to base. We're on-site at Lot...

I'm putting a cannula in your arm

so I can give you something stronger for the pain, okay?

Barry? Now, come on, mate. C'mon, stay with me. Barry?

Sasha?

Copy that, Operations.

Baz, come on, mate. Come on, Barry.

Check his obs, he's deteriorating.

Hey, you okay? Ah, fine. Why?

It's just you've got a lot...

If there's anything you need me to do?

Yeah, keep up a steady supply of chocolate.

Jess, can I get a pan for bed nine. Sure, I'll just finish up here.

How you travelling?

Well, you know, it's a juggling act, but so far so good.

Vincent, someone called for you. Beth Chandler.

When? About 10 minutes ago.

Daughter of a patient of mine...

..I said I'd keep her informed.

Jess? The pan. Right.

She's so not the daughter of a patient.

Hughes, it's your lucky day.

Ambos need you for a patient trapped in a construction site.

Why me? Because I just volunteered you.

Police will pick you up in 10 minutes.

I hate bloody call-outs, Frank. They're always horrible.

Come on! Fresh air will do you good.

Vincent, good luck. Thank you.

Listen, Reg, if that woman calls again,

would you mind telling her I'm not available?

She sounds lovely.

Hello. Can I help you?

Are you here to see a doctor? No.

Are you feeling sick?

It's very hot outside today, isn't it?

Yes. It's nice and cool in here.

Do you want to sit down for a while? Yes.

I'd like to sit for a while. I'm waiting for Charlie to get fixed.

Okay, well, you take a seat.

PHONE RINGS

All Saints Emergency. Regina speaking.

Oh, Claire, how are you?

We have to stop meeting like this - people will talk.

Nice to see you too. What've we got here?

Barry Swain. Trapped when the ceiling collapsed.

Crushed from the right knee down.

Seems he's developed abdo tenderness and guarding.

G'day, Barry. I'm Dr Hughes.

Dullness on percussion. You're right. Internal bleed.

That's why I wanted to call you in.

Barry, can you feel anything in your right leg?

(moans)

Rescue's organised a specialised crane to lift that,

but it'll take a while.

He needs to get to theatre. Yeah, I know.

Barry, we're gonna make you as comfortable as possible.

Let me know when you feel any pain.

(Barry moans)

What do you think?

What's his BP? 100/50.

Up from 90/40 after fluid bolus of 500ml of Hartmans

Let's start a bag of O-neg.

Sorry, I've never started a blood transfusion.

You start it, I'll maintain it.

Okay. Barry?

Barry, can you hear me?

Cate, go talk to Rescue. I want to know how long this'll take.

We need to lock down this area - get them to screen us off.

I think Barry would appreciate the privacy - I know I would.

That leg looks pretty bad. Yep.

What are you gonna do?

I don't know yet.

Has next of kin been notified?

Foreman called his wife.

Rescue think it'll be another two to three hours at least.

They can't be more precise.

I don't think we've got two, three hours.

FRANK: How's this little one going? Temp is improving.

Good news.

But her output is borderline.

And her name is Emily.

We found her parents. Good. Where are they?

No parents, Frank. It's on her bracelet.

Which means they haven't checked on her.

Her ABG shows respiratory alkalosis and her electrolytes are haywire,

so we have to monitor her renal function closely.

Hope those cops have checked out the rego number.

Emily, come on, baby. Open your eyes for us, sweetheart.

What gets me is she's gotta be five or six -

why didn't she let herself out of the car when she started burning up?

Probably too scared to disobey her parents.

All kids disobey their parents.

Not when your dad's drunk. If he says stay in the car, you do.

That's it. We can't wait any longer.

You're really going to amputate his leg?

Sasha, we have to. We've got no choice.

You can go if you want.

Oh, no, I'll stay.

I don't know how I can help?

Just keep bagging him. Were doing this and transporting him to theatre.

We're not going to do anything fancy, trust me.

MAN: Denise!

Both ready? You can't go in there.

Let's do it. Denise!

It's all under control.

Denise, wait!

What the hell is going on? Get away from him.

Shh.

It's okay, Em. You're in hospital. Just try to relax.

Any change?

Well, she's a little more alert, and her temp has settled.

Mmm.

Still has minimal urinary output, though.

You have to keep your mask on, sweetie. It helps you breathe easier.

That's it. Good girl.

So how's it looking? Too early to tell.

Emily, can you open your eyes?

Good girl, good girl. That's the way.

What about her renal function?

Her creatine and urea are elevated.

I'll do repeat bloods in 20 minutes. Can you give her another IV bolus.

Mm-hm.

Why don't you take a break? It's all covered here.

No, you go. Nelson...

Alright. Just let me know if there are any changes.

Yep, yeah. Okay, thank you very much. Okay. Bye.

Excuse me. Hello.

You alright? My name's Dan. What's yours?

Reg, has this lady been registered? Ah, no.

Have a name? Know anything about her? No, I don't.

She didn't want to see a doctor, said she was waiting for somebody,

and it was so hot outside, I just...

Can you please not tell Frank.

(laughs) I won't. Something seems to be bothering her, though.

Can you tell me what's wrong with you? Are you sick?

She was okay before.

Okay, see if you can walk across the room.

It's okay, I've got you. Oh, dear.

It's okay. It's alright. Reg, can you get me a wheelchair?

Yeah, sure.

Let's just sit you up.

There we go.

Okay?

Ah!

She's photophobic. Be good to know if she has a history of migraines.

Can you tell me your name?

Can you tell me what day it is?

She was definitely talking earlier?

Yes, she said she didn't want to see a doctor,

just wanted to sit down for a while.

Can you touch your chin to your chest for me?

Just... like that.

(moans)

It's okay.

(moans)

I'll take bloods and blood cultures. She'll need an urgent head CT.

We're going to run tests to work out what's going on with you.

Where's Charlie?

Who's Charlie?

Where's Charlie? I want him.

Where is he?

It's okay.

We'll find him for you.

Barry? Baby, it's me. I'm here.

Vincent, BP's dropping - it's 85/50. Pulse is 125.

Push those fluids through.

Mrs Swain, please.

I can't believe you were going to cut off his leg.

No-one gave you permission.

Mrs Swain, your husband's condition is continuing to deteriorate.

If we don't get him to hospital soon, he's...

So you thought you'd go ahead without asking him, or me?

You don't understand how serious this is?

I understand it completely.

They told me a crane was on it's way, so I want...

We don't know how long it'll be

before your husband can be released from under that concrete.

In the meantime, he has an internal bleed.

Amputating the trapped leg is the only way...

I don't care.

He'd rather die than have one leg.

I know him, Doctor.

His leg is severely injured.

To be honest, it's unlikely that we would be able to save it anyway.

It's up to me. I'm the next of kin.

It's my decision, right?

Yes, but I would strongly advise... Then I say no.

Just keep him alive until the crane arrives.

Mrs Swain!

I've made my decision, Doctor.

Vincent, BP's dropping.

CHARLOTTE: She's photophobic, stiff neck,

nausea and low-grade temperature.

So you're thinking meningitis?

We've got no ID or next of kin -

I can't get informed consent for the lumbar puncture.

I noticed some ataxia in the waiting room, so...

..maybe something else is going on too.

Hello there. My name's Dr Campion.

Can you tell me your name? Charlie?

'Charlie'? Isn't that a nickname for 'Charlotte'?

Not unless I like you a lot.

Is your name Charlotte?

Is Charlotte your name?

Schedule her and do the procedure.

Thank you.

Charlotte, you're looking, um... Well, you're blooming.

I'm saying that you're on Triage today and she should've been seen.

My fault - I didn't register her.

Why not? What did you think she was here for?

She didn't want to see a doctor. I assumed she was with a patient.

Triage should never be based on assumptions.

That's not fair, Frank.

Very little of life is, Jessica. Off you go, both of you.

Go on. Oh!

I actually had that under control.

I know, but I'm a great believer in heading trouble off at the pass.

What's with the little kid in Resus that's got your knickers in a knot?

Kids get to you, that's all. And that's all?

What else would it be, Frank?

What are you doing? What's happening?

C'mon, Denise. Let's give him some room.

Vincent, can we hold him together until the crane arrives?

He's hypervolemic. He'll exsanguinate if we don't get him out soon.

I'll talk to her.

Can you hold this?

Cate, talk fast.

You don't understand.

I have so many things to consider.

Denise, the surgeon believes this is Barry's best chance of surviving.

He won't cope.

And he'll... He'll what?

Denise?

(sighs)

We've been going through... We've been having some problems.

Going through a rough patch, you know.

I'm not sure if I'm in the right frame of mind to make this decision.

Do you love him? Of course, I do.

I always have.

If you make your decision based on that, you can't go wrong.

But if I let you do this...

..he'll hate me even more than he already does.

Wouldn't you rather take your chances on that,

and have him around, than not have him at all?

I don't know what to do.

He'll die, Denise.

Then do it!

Where are you going? The light's bothering her.

I'll set up the lumbar puncture in ISO,

where we can control the lights and the noise.

Good idea.

Head CT's clear.

It could be a bad migraine, but it looks like meningitis.

I'll write her up for benzopenicillin and ceftriaxone.

Where's Charlie?

She keeps on saying that.

I'm sure he's fine.

(moans)

Okay.

This will help you relax,

but you have to stay very still for this procedure, okay?

Give that a second to take effect.

You alright there?

Where's my baby?

Charlie's your baby?

Charlie?

Do you think she's talking about a 'baby' baby here?

Maybe.

Maybe.

Let's have another go.

Okay, nice and still. That's it.

We're about to start the procedure.

I'll use a local anaesthetic so you won't feel anything, okay?

Still as you can be.

We're gonna need some trauma pads. This will be a quick procedure.

What made her change her mind?

Commonsense prevails most of the time.

Thank God.

What are his obs?

80/50. Pulse is 120. If you're gonna do it, do it now, Vincent.

REGINA: No, I'm afraid Dr Hughes isn't in at the moment.

Yeah, sure, I'll give him the message. Bye.

Where's my daughter? You mongrels have my kid.

Where is she? Take it easy.

Think he means the girl from the car?

Soon find out.

Calm down. I'll take your details.

Where the hell is she? You're Emily's father?

What's it to you?

I'm Nelson Curtis, an RN, I've been looking after Emily.

Great. Whatever. Can I see her?

Bit early to smell like a brewery, isn't it?

What are you? The resident Salvo?

Take me to my daughter now!

You guys dragged him out of the pub?

I went to the pub for one drink,

when I came out some mongrel had kidnapped my kid.

You're drunk. I'm not letting you in. Let him see his daughter.

He's drunk. And you're out of order.

Come through.

Almost done.

Doin' great.

That's it.

With us there, are you?

All over.

You can sleep now. I'll help you roll onto your back.

Phew! Can you special her until the sedation wears off?

Sure.

Standard neurovascular obs and keep her supine for four hours.

Check the site for any signs of haematoma?

(yawns) I'll chart the IV and antibiotics

once the results come through.

Are you okay? Wanna take a break?

Oh, I'm fine.

God, you must be sick and tired of people saying,

"Poor pregnant woman needs a break."

It's primal, I think.

So, um...

..tell me, Charlotte.

How did it happen? You and the bubba.

It's, um, none of your business.

Oh, come on, you're killing us here. What's the story?

Does this mean you've jumped back over the other side of the fence?

Only once.

How do you know?

Because when she jumped, she landed on me.

Are you the father? Yes, I am the father.

Wow! Wow!

Wow! Wow!

Wow!

(laughs) Does that mean I have to keep this a secret?

You can tell whoever you want.

I'll be right back.

Dan. Gossip can wait. Patient.

Yeah. Sure. Right.

You sure you want this broadcast?

Yeah, it's fine.

Can you tell Jess I need a hand.

With what? Gossip?

FRANK: She came in suffering from dehydration and severe heat stroke.

We're treating her with IV fluids and slowly bringing her temp down.

Daddy's here, Em.

She'll have to be admitted, of course, and monitored closely,

but she's responding well to treatment so far.

But she'll be okay, right?

Children dehydrate very quickly.

Sometimes the temperature inside a locked car

is more than 20 degrees what it is outside.

Stupid mother was supposed to pick her up.

We're watching her closely for signs of damage to internal organs,

especially her kidneys.

Em? Come on, Emily, open your eyes for Daddy.

She's a very sick little girl.

Please...

..don't let her die.

I couldn't stand it.

If you have any questions, just ask?

I wasn't gone that long, honest.

Just one beer, a kick-start, you know.

Get outta here.

Everything will be alright, Em.

No thanks to you.

Nelson.

It wasn't my fault.

Always someone else's fault. Okay, that's enough!

I don't believe this.

Put that away.

Look, I need it. He's upsetting me.

What about your daughter? How do you think she feels?

Just get a breath of fresh air. Back in a minute.

Good idea.

Let it go. You won't change...

Bloody hell. Daddy?

Hello.

Are you feeling better?

Yes? Where's my daddy?

Give that back.

Worth more to you than your daughter, isn't it?

What the hell is your problem? You are.

Give me the bottle.

Curtis?

You'll replace that.

Curtis!

This bottle might've cost your daughter her life.

Feel good about that, do you? Hey?

Alright, alright.

Bloody brilliant!

Get inside.

My first thought out there

was that I'd just witnessed an act of rank, bloody stupidity.

But then I said to myself,

"No, despite all I've thought in the past, Curtis isn't that stupid."

I wanted him to take responsibility for his actions, that's all.

Cut the crap! That wasn't about him, that was about you.

You goaded him into it. Why?

Get cleaned up. You probably need a couple of steri-strips for that cut.

You know, we are not our parents, Curtis.

Some of us are.

So, I take it we won't be going for a stiff drink after work?

No.

Not in this lifetime.

Barry Swain, 38, industrial accident, trapped at the scene

with severe crush injury to the right leg requiring emergency AKA.

Internal bleed, possibly. He has abdo tenderness and guarding.

Hypertensive, 80/40. Pulse is 120.

He's on his sixth bag of O-neg blood.

He's going to need an urgent exploratory laparotomy.

Theatre's already on stand-by.

It's the last time you volunteer me, Frank.

You okay? Must've been tough. Yeah.

Cross-match him for theatre.

You going to follow this patient through?

I've had enough of this guy for one day.

Next of kin - Denise Swain, his wife, should be in shortly.

Thanks.

I wonder if you can help me. I will if I can.

Well, it's a bit of a complicated story, I'm afraid.

That's okay.

Dan. This is Gordon Breen.

He thinks our mystery lady here might be his wife.

Oh, great. She's a little bit sleepy.

We did some tests to find out what's wrong with her.

Janice?

It is you. Thank God.

Could you get Charlotte?

So... name's Janice? Yes.

Um, what's happened to her?

I'll let the doctor explain. For now, she's resting comfortably.

I've been worried sick.

It's Gordy, love. I'm here now.

She has to lie on her back because of the procedure.

Love.

Guess who I have?

Charlie!

So this is Charlie?

She loves it. It's her... Baby?

Gordon, Dr Beaumont.

Is she sick?

I'm afraid your wife's test results show she has meningitis.

Meningitis?

The illness is serious, but we've diagnosed it early,

she should respond well to treatment.

She's been sick and I didn't know?

She'll be okay.

We'll admit her for IV antibiotics and neurological observation.

If that's okay with you? Of course. As long as she's alright.

I don't know what I'd do without her.

Has Janice been suffering headaches?

Been confused? Disorientated?

That's not unusual for Jan.

She suffered a head injury in a car accident about eight years ago.

Okay.

She's never really been the same since.

She's like a child in many ways.

And Charlie makes her feel safe? Yeah.

He does.

It's alright, dear.

How's she doing? Urine output was 60ml last hour.

Good.

Police took her father away.

Frank read you the riot act, I suppose?

Yep.

And you deserved it. You know that, don't you?

Mm-hm. Mm-hm.

Take a break. I'll stay with her.

Go on. I'm fine.

Daddy? Oh, hi there.

Good to see you're awake.

I'm Nelson, and you're in hospital.

Can you remember how you got here? I want my daddy.

Your daddy will be back later.

He was here earlier but you were asleep.

Why don't you get a bit more rest, okay?

Just close your eyes.

You're a good girl.

One thing's got me beat.

How'd you know Janice was here?

Took some figuring out, I can tell you.

Charlie's been a bit...

..on the nose, if you know what I mean.

(laughs)

Last night, I took him and gave him a wash.

I told Jan I was gonna "fix him up".

So today when Jan went missing, it came back to me -

she was brought here after the car accident.

When she asked why she couldn't go home, I'd tell her -

you've gotta stay in hospital till they "fix you up".

You're quite a detective. I just know my girl.

Can I get you a coffee? Ah, no, thank you.

Jess!

Did you know Jack's the father of Charlotte's baby?

Oh.

He's telling everyone, Dan. You really should keep up.

Barry sustained a laceration to his liver,

and he had some internal bleeding.

But I've spoken with the surgeon and it's looking pretty good.

He'll be alright?

Yeah. He was lucky we got him into theatre when we did.

Can I see him?

Ah, he'll be in surgery for some time yet.

As soon as he's out, it'll be fine.

In the meantime, get some rest in the Quiet Room.

That's easier said than done.

Sorry I was a bit scatterbrained earlier today,

I've been a bit stressed lately.

Perfectly understandable.

You made the right decision, Denise. Yeah, I know that.

That bitch he's seeing won't find him so attractive now,

not with one leg.

Thanks. Both of you.

Wait till I tell Nicko that we amputated a man's leg.

(chuckles) Glad you're excited about it.

Vincent, you did some great work today.

Did I? Yeah, we saved a guy's life.

I don't appreciate being put through the hoops by his wife.

In the end the right decision was made.

For all the wrong reasons.

Isn't it exciting that Jack and Charlotte are having a baby?

And, Vincent, your girlfriend called again.

She's concerned that you weren't returning her calls.

I thought you said she was a patient's daughter.

We had a nice little chat and I explained to her

that you weren't ignoring her, you were at an emergency.

What did you say?

I, um, well, I just said to her...

She said some really nice things about you.

Why don't you all just mind your own business?

Are you coming with us, Dr Beaumont? No. Dan will take you upstairs.

Thank you, Doctor. Thank you. My pleasure.

You okay?

I've had a gutful, actually.

What happened?

In no particular order. Not now, Charlotte. Please.

Okay. I can wait.

Oh! I should not have worn these heels to work today.

(sighs)

Is Regina okay?

She'll be fine.

I'll apologise to her.

Who is this woman calling you? She's no-one.

Really?

Yeah, really.

I've got it under control.

No, you don't.

Charlotte, it's, you know...

I'll work it out.

Okay? It's no big deal.

Okay.

Oh! That's good.

You know, Vincent...

..I don't know who this new woman is, but, um...

..I don't think I like her much.

Hey, Vincent!

I'm really sorry about that crack I made about Beth.

I was really stupid. That's okay, Jess.

No, it's not okay. I didn't mean to upset you.

I appreciate that, but you gotta understand it's been a hell of a day.

The last thing I needed was to come here and become gossip.

Yeah, I know, I'm so sorry. Consider the matter closed.

Hey, Jess. Catch you. I've got soccer training.

See ya. Bye.

You knocking off? Ah, yes.

Wanna grab a drink? I can't. I've got other plans.

How is Mac?

It really is impossible to keep a secret around here?

Do you really want it to be secret? No.

It's wonderful. It's a bit scary, but it's wonderful.

Oh, true love.

"Paramedic nurses wounded beast back to health

"and they live happily ever after."

(laughs) You're an idiot.

No, what I am is really thirsty. Dan.

Wanna have a drink? Sorry, Jess, I've already got plans.

Tomorrow night, I'm yours. Alright? Alright.

See you then. Bye.

Hey! Give the wounded beast a kiss for me.

(laughs)