Original subtitles

MAN: Get me out of here!

I'm Sandra Davies. I'm the factory manager.

The guy who's trapped is one of my supervisors.

Do something!

His name is Nathan Giles.

Ah!

Ambulance service. Get me out!

Can you make some room please? Excuse me.

'Bout bloody time! Get me out of here.

I'm Cate. This is Stewart.

We need to make sure it's safe to get in there.

Get me out out!

..before we can examine you, alright?

978 to base. We're on site. We've got a Code 9 situation...

It's okay, Nathan. We'll get you out as soon as possible.

(yells)

It's bad, right?

Have you blocked off the power yet?

I need you to stay really still.

Get me out. (Louder) Get me out!

THEME MUSIC

How's the pain?

(groans)

So, how'd this happen?

Bloody stupidity, that's how.

I was doing routine maintenance... bloody idiot.

Nathan, I need you to keep this mask on for me.

I should've known - I've been working on these machines for years.

Hey, it happens.

I once had a job working in a cannery.

It wasn't the uni students who had the accidents -

it was the permanent staff.

You're right. We get lazy.

What are they here for?

Hey, guys. The patient's Nathan Giles.

He's been trapped down there for about half an hour.

The power source has been disabled.

Alright? Cheers.

Come on, try and relax. Focus on your breathing.

Nice deep breaths in... and then out.

That's it.

They'll get me out, right?

Yeah, that's what they're here for.

So, I look alright?

Yeah, you look fine.

You think this top's a bit low cut?

You're asking me for fashion advice? Sure. Why not?

Look, listen, Kerry, I know...

I know it's just a cafeteria,

but I haven't had a job interview for a long time and...

Stop worrying, okay? You look great.

They'll give you the job in a heartbeat.

You're biased.

Morning, Von.

Better get moving.

Oh, just a second.

Nervous.

I do mean Kerry.

Yeah. Look, I'll talk to her tonight, okay? Don't worry.

And if she... does have feelings for me and you are right,

I will set her straight, okay?

Everything alright?

Yeah, yeah. Come on.

FRANK: Do you have to start every morning with these damn things?

VON: Just sign them, Frank.

KNOCK AT DOOR Come.

Ah, didn't expect to see you today.

Hello, Lucy. Hello.

Okay, let's go and find something fun to do.

Come on. Thanks.

How is she going?

Well, I don't think she really realises that Victoria's gone,

which is actually why I'm here.

You take all the time you need, Terri.

Well, I think Lucy really needs me right now

and... that perhaps I should, um...

Hey, hey. You're not resigning?

No, no... um... that perhaps I should go to two or three shifts a week.

I haven't spoken to Admin yet - I wanted to talk to you first.

You play it any way you like. Really?

Yes. I'm not a moron.

I do have some sensibility for home responsibilities.

Of course you do.

Although, the NUM isn't a part-time position...

I know. Got any ideas for a replacement?

Well, who do you think?

KNOCK AT DOOR

Frank? Ah... oh, sorry.

They need you in Resus. On my way.

Thanks, Frank.

CHARLOTTE: This is Bill Roddick.

Rapid descent into a tree and then fell six metres to the ground.

Horrible compound fracture, left tib and fib, and left forearm.

Multiple scratches from tree branches

and possible fractured ribs, left side.

He's had 7.5mg morphine.

Bill, I'm Dr Campion. I'm going to have a quick look at you.

So, can you tell me how this happened?

Parachuting accident.

Oh, really? You're an experienced parachutist?

No, not really. Can you tell?

It was his first solo jump.

Bet you won't be doing that again for a while.

You kidding? It's better than sex.

(scoffs) I doubt that.

Where does it hurt?

Pretty much everywhere.

Arthritis is probably making it worse than it is.

Nelson, will you draw up 10mg of morphine

and give him 2.5mg increments until he's comfortable?

Mm-hmm.

JESSICA: BP's 140 over 90, pulse is 120 and sats are 95%. Ta.

How old are you, Bill? 72.

I know what you're thinking -

"Silly old bugger. What the hell was he doing up there?"

Actually, I was wondering what went wrong.

Got blown off course.

Ended up stuck in an oak tree. An Allocasuarina Torulosa.

Oh.

I remember thinking what a beautiful smell it had...

..then the branch broke and down I went.

Ah, now that is bad luck.

Yeah. Think I was actually still in one piece when I landed in the tree.

You've got a very nasty fracture of your leg

and you've probably broken your wrist as well.

Ribs are tender.

What's going to happen to me?

We'll take some X-rays and scans

and then the bone doctor will look at you.

It's not going to take all day, is it? I got a date tonight.

(all chuckle)

CHARLOTTE: Bill, uh... you may wanna take a raincheck on that.

Can I have a word?

Shouldn't have got out of bed this morning.

You're doin' fine, Nathan.

I'm the Occupational Health and Safety Officer around here.

I'll be the laughing stock.

(pants) Slow your breathing down.

Try and relax.

Do you wanna go and get an update on how this dismantling's going?

Can you straighten your arm out?

You married? No.

That's my daughter.

She's gorgeous. What's her name?

Silky. Her name's actually Hannah, but we call her Silky.

She's my princess.

What is it? What's wrong?

Your BP's dropped a little. I just need to get these fluids fed through.

Well, no sign of any abnormalities.

What do you call a busted leg - normal?

(chuckles)

I'm just checking to see whether you have any internal injuries.

That machine can tell you that? Yeah, it sure can.

Bugger me.

Yep, it's called a FAST Machine -

Focused Assessment with Sonography for Trauma.

It's a portable ultrasound.

Snappy little thing.

Well, the good news is, Bill, that you have no spinal or neck injuries.

So we can lose this.

Alright, I just need you to keep your neck very still for me, okay?

That's it.

Jess? Jess? Thank you.

And the bad news?

Well, only what we initially suspected.

Leg and wrist breaks.

Okay, you wanna turn your head gently to the left for me?

Okay, and the right.

Any pain there, Bill? Nuh.

Okay.

What happens now?

Now we've gotta get you off to theatre, so we can fix these bones.

Surgery, eh?

Never had that before.

Really?

Oh... I know what you're thinking, doc -

"How could someone get to my age and look as handsome as me

"without a nip and tuck."

Right? You got me.

Well, I'm here to tell ya that I'm 100% the real deal.

(both chuckle)

KNOCK AT DOOR

You wanted to see me? This is your lucky day.

Oh, come on. Don't be so cynical.

Terri's going part-time.

Uh, right and I, uh, should be doing cartwheels because...

You can have your old job back.

Next month's rosters aren't finalised

and you'll have to fix up the budget.

Right.

You've been doing Terri's job anyway.

You may as well get paid for it. Right, that's settled.

(snorts) What?

Look, Frank, you didn't think I'd swallow it, did ya?

Come on. You've got no authority to offer me the job.

It'll have to be advertised.

I'll tell nursing admin that you're my preferred candidate.

No, thanks.

Alright, I'll even support a claim to backdate the job. Okay?

No.

Are you telling me you're not interested in it?

I told you months ago to shove the job and nothin's changed

so, no, I'm not interested.

Good, I'll get your answer by the end of the day.

Nathan, is there anyone you want us to call?

No, thanks.

What's happening down there? Why are they taking so long?

I'll find out.

You leavin'?

No, I'm gonna have a word with my partner,

but I won't let you out of my sight, I promise.

Okay? Okay.

What's the story? What's taking them so long?

They can't say. The machine's ancient. They're working blind.

Cate?

We both know that when this guy's finally released,

chances are he'll die.

So, look, just for your own good, keep some distance from this, okay?

Yeah, yeah, yeah. Yeah.

So what does your wife think of you skydiving?

She died two years ago.

Sorry.

You weren't to know.

When she went, I sat around feeling sorry for myself.

And then my grandson Joey gave me a good kick up the bum.

Good for him.

He suggested you go skydiving? (chuckles then gasps in pain)

Ah. Sorry, nearly there, mate.

No, he badgered me into coaching his soccer team.

And don't tell me.

They were at the bottom of the ladder until you took over...

..and we won the cup.

You're kidding? (laughs) Yeah, I sucked.

If it had been cricket, I might have had a chance, but soccer...

I helped them lose the next four games and they sacked me.

So after you took the sporting world by storm, what did you try next?

I did some hiking, bought a motorbike... well, a scooter, really.

Went up in an ultralight. That's where I got the idea to skydive.

Not bad for an old bugger, right? It's not bad for anybody.

You ought to try it, Von. Gets the blood rushing.

My blood's fine, thank you, Bill.

(chuckles)

What's going on here?

Uh, one very sick little boy.

This is Michael David.

What's wrong with him? Sepsis.

He was shut down.

Frank had to use intra-osseus access.

Oh, he did, did he?

(clears throat) Frank!

Yep.

How are you? Good.

Did you just use an intra-osseus needle?

I did.

Two words for you - emergency fellowship.

Yep, that's two words. Mmm.

Well, I've never done that procedure and you are my supervisor and...

And what?

Isn't that what the fellowship's all about -

gaining clinical experience?

Beaumont, you are absolutely correct.

I apologise unreservedly.

I have been remiss in my duty towards you

and should anything medically unusual arise in the near future,

you'll be the first to be notified.

Thank you.

Ah, rosters are done. The new NUM can worry about the budgets.

Heard anything from Kerry?

Nuh. You?

Nuh. But her interview must be well and truly over by now.

Yeah, I know. (Clears throat) 10mg morphine amps?

Yeah, uh... mmm... 16... amps.

Yep.

Ah, she'll be, uh... (clears throat)

..devastated if she doesn't get the job.

BEEPING

I'll go. Alright. Just let me lock this.

It's okay. I trust you.

He's tachycardic, tachypnoic and his BP's dropped.

NELSON: I'll check him manually.

BEEPING

Jugular's distended.

Muffled heart tones.

Pulsus paradoxus.

Conclusion?

Beck's triad. Cardiac Tamponade?

Just try and relax, Bill.

Bill, we think there's, um... blood building up pressure on your heart,

so Dr Beaumont will insert a needle in your chest

to relieve the pressure, okay?

Okay, I need him semi-recumbent, thanks, Nelson.

Get the pericardiocentisis kit ready and some local anaesthetic.

Got it.

Frank, just so you know, I haven't done one of these before.

You wanted a challenge. Here it is.

I feel weird.

That'll be because of your low blood pressure.

I'm gonna die, aren't I?

I need to know.

Nathan, perhaps you might want to think about calling your family.

God.

Here we go, Bill.

Keep your eye on that rhythm.

Let me know if there's the slightest change or any ST segment elevation.

Will do.

That's it. Slowly does it... slowly.

Good, good, good.

But keep going and while you're advancing the needle,

keep constant backward pressure on the syringe.

What if I, um...

No 'what ifs'. The ECG will let us know if you touch the myocardium.

Right.

Okay, got a flashback?

Now gently... gently draw up as much blood as you can.

Okay, I have 20ml.

Shut off the stopcock...

..and you expel the blood.

Okay, he's BP's back up to 120 systolic

and his heart rate's settled.

And now we repeat the process.

Ah, he's coming back to us.

And you can remove the needle when you can't aspirate any more blood.

I've only got 10ml.

Well, sometimes that's all it takes.

(sighs)

Let radiology know he needs an urgent chest X-ray

and I'll talk to the thoracic surgeon.

(sighs) Thank you.

Not at all.

(sighs)

Look, rescue reckons 20 minutes tops,

they'll be ready to move the rollers.

I'll talk to Nathan. Oh, what's there to talk about?

He hasn't contacted his wife...

Well, that's his choice.

What about them - do they get a choice?

A chance to say goodbye? Not if he doesn't want them to.

He has to understand the decision he's making.

Trust me, he understands. He's not an idiot.

Tell Rescue, no-one's gonna do anything until I say so.

We're almost ready to release you.

Have you thought anything more about calling home?

I can't.

What happens when they open this machine up?

When the compressive force is removed...

..toxins can be released into your system.

And?

And that can cause cardiac arrhythmias.

My heart could stop.

We'll give you drugs and fluids to counter that,

but you have to understand...

I get it.

Okay.

Nathan, no-one's gonna do anything until you say so.

Can you just sit with me for a bit?

Of course I can.

Hey.

Hey.

For someone who needs time away from us,

you're certainly hard to get rid of.

Admin have agreed to me doing two shifts a week and no weekends.

Good for them. Where's the little one?

Von's got her. Shall I let Nelson know?

He's playing hard to get on the NUMs position.

Probably thinks I'll beg him to do it.

Good on him. Fat chance that'll happen.

Frank you were pretty terrible to him last time he had the job.

I've been pretty terrible to everyone, or haven't you noticed?

What?

Well, I just wondered how you do it.

You know, how you juggle work and being a dad.

You just do.

Lucy's been pretty quiet and I've tried to talk to her...

Terri, she's five years old. She's just lost her grandmother.

It's a new situation.

If you're finding it hard, imagine how she's going.

I know, but I feel like I'm running a thousand miles an hour

and I'm not getting anywhere.

Maybe you should try standing still.

I've had 15 years trying, you've had 15 minutes.

What's happened? Why have they stopped?

Well, they're just waiting for me to tell them that you're ready.

Well, I'm not.

It's okay.

Still my decision, isn't it?

Calling them up on the phone?

Doesn't seem right.

Nathan...

I can't leave 'em, Cate.

You know... my dad was a cop.

We used to do everything together.

I couldn't even stand it when he went to the shops without me.

That's not the thing I remember about him most.

I remember his best mate coming to our front door

and telling my mum that he was dead.

He'd been shot.

I didn't understand. I kept waiting for him to come home from work.

I didn't get to say goodbye and neither did Mum.

BEEP

(dials number)

Daddy's gotta go now, Silky.

Put Mum back on. I love you.

Gotta go now, babe.

Milk.

Sure. I'll get some on the way home, hey?

I love you.

BEEP

I tried to tell 'em, but I couldn't.

We've gotta do this now, Nathan.

Are you ready?

Okay, let's do it.

Okay, let's go, guys.

Okay. Ready, everybody?

We're gonna move this compressive force very, very slowly.

Okay.

They still know I love them, right? That's exactly right.

Whatever you do,

you just keep your eyes on me the whole time, okay?

We gotta keep him straight as possible.

On three, everybody.

One... two... three.

Just keep your eyes on me.

That's it, just keep looking at me.

Are you okay?

Nathan? Come on, you stay with us.

Come on, mate.

DRAMATIC MUSIC

Nathan. Nathan, come on. You stay with us.

Come on, Nathan!

Tachycardia. He's got peaked T waves.

Alright, pop those fluids through, bag him and give him the sodi bic.

He's in VT.

Okay, charging to 200 joules.

MACHINE WHINES

Charged. Clear.

Nuh. Still VT.

Charging to 200 joules again.

MACHINE WHIRRS

Charged. Clear.

Asystole.

Alright, tube him, load, and go.

Come on, Nathan!

SIREN BLARES

For a moment there, I thought I was on my way to meet Margot.

His wife.

Trauma incoming - are you on it? Yep, we're on it.

I don't think you'll be going skydiving for a while.

I've been thinking about that.

I've always wanted to walk the Milford Track in New Zealand.

Thought I might do that to get me back to peak fitness.

After all this?

Why not?

No good sitting at home wishing you'd done things.

If I'd stayed in bed this morning,

I'd never have jumped out of a plane.

(laughs) You wouldn't have busted your leg either.

Well, there's a risk in everything we do.

Sometimes you just have to put your hand up and have a go.

You know what they say - better to have loved and lost and all that.

Yeah, so they say.

Nathan Giles, 31. Industrial accident.

Trapped by compression to the pelvis and distal limbs

for a sustained period.

He became hypertensive and had a VT arrest when released.

He's non-responsive to fluid resuscitation,

sodi bic and no output.

Let's transfer him on three.

One, two, three.

FRANK: Let's get that monitor attached.

I want a rhythm strip.

What's his down time? 30 minutes plus.

He's got a young family.

Adrenaline. JACK: On it.

Go and get another line in and an ADG.

Pupils are dilated, unreactive.

Cate.

Thanks, Cate.

Adrenalin, 1mg... in.

We need to notify his next of kin.

You okay? Oh, just a tough day, that's all.

Well, if you wanna call tonight off...

No, I don't wanna do that.

Dan only takes one holiday a year,

so we should make the most of it.

Sure. I'm about to take a break if you want to join me.

I'll check with the boss.

Hey, you up for a caffeine hit?

Cate, you did everything you could.

His wife thinks he's picking up milk on the way home.

FRANK: Looks like he's got extensive crush injuries

to the pelvis and distal limbs with likely internal injury.

Chances here aren't good.

JACK: That's another adrenaline hit.

Stop and check for a rhythm.

FLATLINE No output.

I'm gonna call it. We're not doing him any favours here.

Time of death - 15:45.

MACHINE CONTINUES TO FLATLINE

Right to go? Um...

(woman screams)

Cate, hang on.

Out of my way, please.

MAN: I think someone's had a go at him.

Can everyone just stay calm and move back?

Hello? Can you hear me?

Can you tell me what happened?

A couple of kids dropped him and ran.

Okay, there's an output.

Stewart can you get a trolley and an orderly?

Yeah, sure. Ah, trauma pad.

One of the boys called him Josh.

There's a puncture wound.

It looks like a stab wound to the chest.

Cate, ask Von to clear Resus and get Vincent.

CATE: Sure. Josh? You with us, mate?

Josh?

VINCENT: We got that line in yet? We need IV access.

I'm in.

BP is 70 on 50.

Crossmatch. Get a bag of gel up.

Pump it through? Yep, straightaway.

O-neg, please, Nels.

Josh, can you hear me?

Tachycardiac, 130, BP dropping...

60 on 40.

He's in extremis.

It's like a penetrating cardiac injury.

Theatre's on stand-by.

No time. Can you organise a thoracotomy tray for me?

You going to crack his chest here? He's exsanguinating.

If I don't find the blood source, he'll die.

Just the tray. I'll tube him.

Thio & Sux Size 8 tube, please, Nelson.

Von, I'm going to do an anterolateral thoracotomy.

Can you inform Cardio-Thoracics, please?

VON: Yeah, will do.

Are you sure about this, Vincent?

Are you pissed off at me?

Look... I didn't know what to say to the guy.

I prefer the scoop-'em-up, get-'em-to-the-hospital gigs.

It doesn't always work like that. Yeah, I know.

I'm sorry if I was rough on you today, Cate, but...

You called it as you saw it, alright?

So did I.

Okay.

How about we forget the coffee?

I reckon we've earned a beer.

I thought you had a romantic dinner planned tonight.

Oh, yeah, but after the day we've had,

even a stud like me needs to relax a little.

That's quite an admission - stud.

Well, don't tell anyone or I'll have to kill ya.

What say we dump the rig and hit Cougars?

(sighs) Thanks, but...

..there's something I've got to do.

I can't see a thing with so much blood. Suction.

How are his obs?

BP 70 on 40 and pulse is 150.

Alright. Push that blood through as fast as you can.

Yeah, doing it, doing it.

BEEPING

Alright, I think we've got it.

Ah, BP, yes, 95 over 50.

Give me size 12 Foley's catheter.

An IDC? Just do it, please.

Come on, Nelson, hurry.

Okay, check the catheter.

Is the cuff inflating? NELSON: Yes.

Okay, place the haemostat proximal to the cup.

Thank you.

Okay, I think I've got it.

Open the haemostat. Inflate the cuff with 5mls.

BEEPING CONTINUES

And clamping.

Alright, I think that's got it.

Well done. BP 100 on 70.

Let's get him to theatre. Come on, guys.

SORROWFUL MUSIC

Mandy?

(sobs)

Are you comfortable, Bill? Yeah.

You know, today's the first major thing that's happened to me

that Margot hasn't been there for.

How long were you married for?

48 years.

Wow.

Yeah, it's a long bloody time when you say it out loud.

What's the secret to staying married that long?

Give and take.

Opposites attract... or complement.

(chuckles) Buggered if I know.

You still miss her?

Every day.

How about you? Have you got a fella?

Yeah, I do, actually.

Oh. Anyway, we should get moving.

How long have you been together, you and your bloke?

Oh, about 50 years less than you and Margot.

(laughs) Could this be the one?

Might be.

Good for you.

Bill, I hope when I'm 72 I've got the pep to go skydiving.

Don't wait that long.

And watch out for oak trees!

Found someone to do the double shift?

No.

If worst comes to worst, I'll do it myself.

Oh, I'll do it.

You have other things to do, remember?

And the longer you leave it, the harder it will be.

Are you sure you don't have a problem

with me and Kerry being in the house alone together?

I trust you.

Besides, she obviously didn't get the job and, frankly,

I couldn't bear to console her over it.

Hey, thanks.

You right to finish up here?

Perfect.

Oh, just the person I was looking for.

What can I do for you?

I was just wondering if there are any RN positions available.

Don't we throw enough agency work your way?

I'm talking about a permanent position.

What about the ambos?

Don't get me wrong,

I love being an ambo but lately it's been a bit...

I don't know, time for a change.

Are you sure it isn't that the grass is greener?

Maybe it is, maybe it isn't. Not gonna know unless I try.

Cate, are you sure? Yeah.

Look, you gave up nursing... I know.

I'm going to deal with it. I need to do this, Nelson.

Okay.

You'll need to put in a formal application.

That shouldn't be a problem. A good ED staffer is hard to find.

Thanks.

Oh, the NUMs job's going. Why don't you apply for that?

Oh, no thanks. Who'd be stupid enough to take that?

'Bye. See ya.

KNOCK AT DOOR

Caz, me old China plater, I was just thinking of you.

I will take the job.

Just like that?

No, on a three-month trial basis.

What do you need a trial basis for? You know the job backwards.

No, not me, Frank - you, okay?

You're the one on trial.

So no more tearing strips off the nurses

and if you have a problem with anyone, you talk to me.

Is that it?

Uh...

No, there is one more thing, actually.

You see, this is not your office, okay? We share it.

Okay.

Fine.

Deal.

See, I can be nice.

For a whole three months, I doubt it.

So do I.

Well?

Congratulate me.

Got the job? That's fantastic.

When do you start?

Orientation's next week.

Not wasting any time, then?

Sit down, relax.

Champagne's on ice,

and I'm making something special for dinner, so... where's Von?

She had to work a double shift.

If she knew you'd got...

It's just the two of us. Even better.

Listen, Kerry, um...

Can you get the glasses? I put them in the fridge to chill.

No, I can't.

Look, if I'm right about this situation...

..there's a few things you need to know about me...

..and if I'm not, then I'm going to make a complete fool of myself.

Does that help?

No... it doesn't.

What is it?

I'm an alcoholic.

Then we'll skip the champagne.

You know every relationship I've been in has been a disaster, right?

I've been married twice...

I'm not looking for a husband.

Oh, okay, I get it. You're not interested.

I just thought...

Look who's the idiot now. No, wait, listen.

I wouldn't be able to forgive myself if I didn't do that at least once.

I don't know how you do it, Jess.

All that sitting around hand-holding stuff.

What happens when a patient doesn't make it?

You get used to it, I guess.

Okay, well, you don't exactly get used to it, but...

Well, you have to ask yourself if you made a difference.

Did you... I don't know... maintain their dignity?

Keep them comfortable? Ease the pain a little?

Stu, are you okay?

Sorry, I'm not very good company tonight.

You know, I had this big romantic dinner planned.

Maybe we should just call it a night

and do it properly later in the week.

Excuse me?

This is the first time we've had the place to ourselves since we met.

I've been looking forward to it all day.

Yeah, me too.

Thank you. Hey.

What are you still doing here? I'm just finishing up.

Did Josh pull through? Yes, he did.

Yes, penetrating ventricular injuries

are always a bit touch and go but I reckon he'll make it.

You were pretty impressive in there today. Did you know that?

Well, I wasn't that confident, but I had to do something.

Oh, finished.

Hey, do you want to have dinner with me?

Yes, I do. That would be great.

Von, we're having dinner. Do you want to come?

Double shift.

Sucker! I am a sucker.

You may not realise this,

but you actually cracked a smile or two today

and I was beginning to think that you had forgotten how.

Welcome back.

SOFT MUSIC PLAYS

What? I'm sorry.

What's wrong? I'm sorry. I can't do this.

Okay. Okay, we won't.

Jess? I've gotta go.

Sorry, what?! I'm sorry.

It's cool. We'll take it more slow.

Jessica? I'm sorry, I really am.

(quietly) Oh, man.

PENSIVE MUSIC