Original subtitles

(Screams)

(Sobs in pain)

(Shouts) Coming, mate!

(Screams)

(Howls in pain)

It's OK. They're here.

You're in the way, mate. (Screams)

What happened? We were in the river, kayaking.

His name - what's his name? Cameron. Cameron Jones.

Cameron, I'm Dr Everleigh. (Screams)

Can you hear me? We need to move you.

Bart, what are you doing? Get in here and take his weight.

Dan, can you take the other side? I'll get his leg.

Did a speedboat get him? Hang on, Indie!

BART: Take it easy. OK, are we right? It's caught.

It's snagged. Well, unsnag it.

(Gasps)

(Moans in pain)

Give me a towel! Here, here.

(Coughs)

Was it a propeller? No, it was a shark.

A bloody shark got him!

(Groans) Need some help here.

What have you got? Shark bite.

You are kidding? Zorro?

Hang in there, mate. Oh, God, it hurts!

Two large bore IVCs, routine bloods, cross-match.

And two litres of Hartmann's. BART: I've got the cannulas.

Tourniquet? ERICA: Yep, got it.

DAN: What's a shark doing upriver? Maybe it was on holidays.

Let's hook him up to the monitors and give him oxygen.

Can't you give him something for the pain?

ERICA: Cameron? Cameron? Stay with us.

Oh, God, Indie. Don't die! Don't die!

Dan, you want to get our friend here treated?

I'm OK. Just look after him.

Let's have a look at that head, mate.

It's nothing. Let the doctors do their job.

Erica, we'll need to release this every 20 minutes.

Yep, sure. I'll get onto the theatre.

Let's get the wetsuit cut off. (Grunts)

Hughes, right on cue. I've got a shark attack victim for you.

Shark? Yeah, big fish with a lot of teeth.

As soon as he's stable, he's all yours.

No, I can't help you. The theatres are all closed.

There's some plumbing problem.

No water, no surgery.

So why aren't you out on the golf course

with the rest of the surgical team?

Ehh.

The best I can do is look at him and prep him for transfer.

Why wasn't I told about this? I'm onto Ambulance Control now.

I'll tell them we're shut down for all surgical and trauma admissions.

And get on to Admin and find out which genius

forgot to tell the Emergency Department

we've ceased to operate as a proper bloody hospital.

Sure.

WOMAN: I hate to be a nuisance. CATE: You're not.

It sounds like you've got a lot more important things to do.

I can come back. You have come back.

(Laughs) I know, but it's...

Lindsay, sit.

Come on. You were here on the weekend.

Your leg's not getting any better, is it?

No, it's worse.

I'm getting married next week.

Can't walk down the aisle with a scabby leg. (Laughs)

Yeah. Alright, I want you to put this on for me.

I'm gonna get a doctor to come in and see to you, OK?

Thanks.

Jo?

You OK to look after Lindsay?

She's re-presented with cellulitis on her leg.

Maybe. Who's the assigned doctor?

Ohh. Oh, come on.

If you were a real friend, you'd do me this one little favour

and make sure it's Sean.

I need something to get me through this shift.

He's probably busy. He can't be THAT busy.

VINCENT: OK, 30cm wound penetrating the deep fascia.

How are you doing there, Cameron? OK.

It's just the morphine... making you drowsy, mate.

It's alright to have a little sleep.

VINCENT: We just need to have a good look around

before we decide what we're gonna do, alright?

How are his vitals?

Bart? Sorry?

BP's down, temp's stable. More saline.

Oh, there's so much mud in here, I don't know what I'm doing.

Such a mess.

Equal air entry. Some dullness in the bases.

Multiple grazes to the arms

and deep laceration on the left forearm

that's going to need suturing.

Mmm. Ouch.

Hey, we could use an extra pair of hands in here, Cate.

Sorry, no can do. I'm on triage.

But I've got a patient in Subacute that needs looking at.

Let's get four units of O Neg on stand-by

and see what the blood bank's got in supply.

I'll be with you as soon as I can, Cate.

Uh, Bart? You can do it, can't you?

Are you guys gonna be alright without me?

Ooh, I reckon we could manage. Great.

And, Cate? Tell Dan to get his arse back in here.

Yep.

DAN: What's with Zorro? What?

Your nickname? Name's Macedo. I'm half-Spanish.

He calls me Zorro, I call him Indie.

Ahh. Cameron Jones - Indiana Jones. Gotcha.

It's stupid. It stuck from when we were at school together.

It's not stupid. My friends used to call me Goldilocks.

Didn't stick, though. Thank God.

So how the hell did he get attacked by a shark?

We must be 20k's from the coast.

Only shark I know that comes that far upriver is a bull shark.

Oh, yeah. They've had a bit of press lately, haven't they?

They're pretty vicious.

Apparently, they like muddy water, so you don't see them coming.

Thought we'd hit a submerged log. Dan, you're needed in Resus.

Cheers.

OK, I'll have a doctor look at you shortly.

Tell them not to waste their time.

OK, beautiful. Thanks, Gloria.

Oh, got to go, 'bye.

Sorry. Had to change a fitting.

Wedding dress.

She's getting married next week.

(Laughs) Oh. Congratulations.

Um, oh, I'm Dr West. Lindsay Blake.

Uh, what happened to Sean Everleigh?

He got held up in Resus.

I believe we have cellulitis? Yeah.

Her vitals are all through the roof, so she pretty much feels like shit.

(Laughs nervously)

OK...you were in last week? That's right.

Uh... (Clears throat) ..I...

..I bought a home waxing kit.

Ripped a chunk off my leg.

You know how much those things hurt. I do.

I lost a bet at uni once.

(Laughs quietly)

Thought he was fooling around at first, and then I saw the blood

and that's when I knew it was a shark.

Yeah, you've got a lot of scratches on you too.

Must be from climbing over all that crap on the riverbank.

Excuse me, Mr Macedo?

Hello, I'm Von. I'm Patient Liaison Nurse.

What's that?

Well, I'm here to arrange any after-care you might need

or answer any questions, any concerns you've got.

Is Cameron OK? Yes, he's with the doctors now.

They're trying to get his pain under control

and also dressing his wound.

Thought you were gonna tell me he was dead.

Big 'ahh'. Ahh.

(Muffled) Sorry, I'm blathering.

I blather... I blather when I get nervous.

Do doctors make you nervous?

No. Getting married does.

Can we just have a look at the leg? Ooh.

Yeah. Yep.

Wow.

Ooh, that looks really sore.

Mmm, you're telling me.

Why are you drawing on it?

This way we can tell if the infection spreads any further.

So...you think it is cellulitis? Yeah, most likely.

Because it didn't respond to antibiotics,

we just need to run a few more tests, if that's alright.

Oh, um...yeah.

Sure, as long as I'm in town by 3:00.

OK, we'd better get going.

Uh, can we do an X-ray, a wound swab...

Mm-hm.

..and also, can we do some bloods? FBC, UEC, cultures.

You want fries with that?

Seeing as we're going for the works.

Can you just do the tests, please?

OK, I'll be back soon.

(Both chuckle)

Is there anyone I can call for you, Ben?

Your parents? Cameron's parents?

Oh, his parents live up in Maitland.

His father's Barry. I'm not sure of the number.

Oh, not to worry. I'll track that down.

Might need another blanket, hey?

Yeah, sure. I'll warm one up in a minute.

So, Ben, anything else at all?

(Scoffs) I don't need to be here, guys.

Yeah, you've got to see a doctor, Ben.

I wasn't the one attacked by a bloody shark, was I?

No, but you've got some cuts that might need stitching

and you've swallowed a gutful of river water

that's got God only knows what in it.

So, yes, you do need to see a doctor.

It's all my fault.

STEADY ELECTRONIC BEEPS

Alright, mate, let's loosen that tourniquet, see where we're at.

You guys right to hold him? Yep.

OK, Cameron, we're gonna loosen the tourniquet

from around your thigh for a moment.

Where's Ben? He's being looked after. He's fine.

OK, loosening it now.

(Screams) Keep him still, Dan.

I'm trying. (Screams)

VINCENT: OK, we've got one, two, three,

maybe four, possibly five bleeders.

Alright, tighten it up.

Hold on, Cameron. This is gonna hurt.

(Screams)

Hang in there, mate. The pain will pass in a minute, alright?

More analgesia?

Morphine - 5mg, thanks.

I've got it.

How's it going? Slowly.

Cameron? Hi, I'm Von Ryan.

Now, I've contacted your parents.

It could be a couple of hours before they get here, though.

That's OK. I'm not going anywhere.

Shall I tell them to come here

or will he be transferred to St Angela's by then?

We're not moving him.

FRANK: What happened to prepping him for transfer?

Transfer's not the best option. It's the only option.

Get an ambulance with a paramedic.

Hold on, hold on.

Look, Frank, if he goes into pulmonary oedema in transit,

he's gonna be dead by the time he reaches St Angela's.

Do you really want to be responsible for that?

Hughes, there are no theatres operating here.

I don't like this situation any more than you do,

but I reckon I can save the guy.

No, I'm not letting you turn my Resus into an operating theatre.

Book the ambulance.

I'm...I'm not gonna release him.

He's not stable for transfer. He's stable enough.

Aside from the trauma of the shark bite, the major blood loss and shock,

he's a near-drowning victim.

Look at his films. His lungs are clear.

They're clear for now but he's at high risk of secondary drowning.

All the more reason to transfer him quickly.

I disagree.

Fine, I'll sign the transfer papers myself.

He's a surgical patient.

He became one the minute you requested a consult.

Resus is not a sterile environment. It's the lesser of two evils.

Every anaesthetist in the joint

has probably already buggered off to a long lunch.

Apart from which, the emergency care ventilator

is only intended for short-term use.

What you're suggesting could take hours.

I estimate it to be four hours. Jack and I will do it in shifts.

What about analgesia? I'll manage it locally.

You'll need enough lignocaine to kill a bull-bloody-elephant.

My problem, Frank.

On your bike, Everleigh. Your services are needed elsewhere.

Apparently, I have signed this patient over to the surgical staff.

Theatres operational now, are they? No.

You're gonna operate without a full anaesthetic?

That's the plan. OK.

Righto. Where do you two think you're going?

ERICA: Thought you'd be using theatre staff.

No theatres operating, no theatre staff. You're it.

Don't we have a say in this?

Your problem.

No. Oh!

Drape him for a femoral block and I want Jack paged, please.

I hope you're confident, because if this goes wrong...

..it'll be on your head.

CATE: He's pretty shaken up.

Not surprising, given what he's been through.

Yeah.

Ben, this is Dr Everleigh. G'day, Ben.

Sorry to have kept you waiting. Ben Macedo.

Aka Zorro?

Thanks for looking after Cameron. You're welcome.

How is he? He's stable.

OK...

Well...

..that head lac's definitely gonna need suturing.

Alright.

I think these grazes will just need Steri-Strips,

once we get him cleaned up.

He's also swallowed some water.

OK.

Deep breath for me, Ben.

(Inhales deeply)

(Exhales)

OK, lungs sound clear, but we'll get a chest X-ray to make sure.

OK.

Any known allergies or reactions to medications?

No.

Give him a gram of Ceftriaxone IVI and a dose of ADT

once you get him cleaned up.

We're gonna give you an antibiotic and tetanus booster.

Why?

Well, there might have been pollutants

in the water that you swallowed.

I don't need any of that crap. I just need Cameron to be OK.

Hey, you did what you could for Cameron.

Now let us look after you, alright?

But I didn't, you know?

I headed for the bank, Indie stayed in to ride the kayak.

Then I heard him shouting

and I looked around and saw all that blood, and...

..and I froze.

I just...

..I just froze.

JACK: Shark bite? Sure beats the golf course.

(Laughs)

Now, Cameron, we're just gonna numb your leg

before we patch you up, alright?

CAMERON: Sounds like a good idea to me.

You just lie there, relax... think happy thoughts.

This might feel a little bit cold.

It's just an alcohol wash.

Alright, would you find the femoral pulse, please?

Vein, artery and nerve.

Now, Cameron, you'll maybe feel a little sting.

This is just local anaesthetic.

How are you feeling? Not bad.

Anybody order a Bier's block machine from theatre?

Yes, I did. Well, you're not getting it.

Admin has refused your request

and they are sending down an infection control officer

to check we're not doing any unauthorised procedures.

I'll get Frank to deal with it, shall I?

Good thinking.

FRANK: I've got it all under control.

Well, explain it to me, then, Frank.

Why did you let Vincent commandeer our Resus?

MY Resus. Using MY nurses, Frank.

You heard what Hughes said -

it would be more dangerous to transfer the man.

What if we get another patient who requires emergency treatment?

We're closed to ambulance delivery. Not to walk-in, we're not.

Well, we'll cross that bridge when we come to it.

Oh.

Oh, God. Be gentle with him, Frank.

Uh, Frank Campion - director of E.D. You must be Infection Control?

Kevin Manning. Uh, Kevin. Nice of you to visit us.

Frank? You paged me. Yes, I did.

Kevin Manning, this is my esteemed colleague, Dr Zoe Gallagher.

It's a pleasure, Dr Gallagher. Mr Manning.

Zoe's been implementing a whole raft

of new infection control procedures around here.

Oh, that's wonderful. I'd love to see them sometime.

Well, there's no time like the present.

She's been dying to show them off to somebody,

so why don't you let her show you now?

There's no telling when next you'll be able to visit us.

That would be great, but I really have to talk to you

about an order coming upstairs for a Bier's block machine.

Bier's block? No, no, must be a clerical error.

Zoe, why don't you give Mr Mannering the full tour.

I'll catch you later.

Uh, let's start this way, shall we? Resus.

Probably Subacute would be the best place to start, don't you think?

Subacute? And you can walk your way forwards?

Subacute it is, then. This way, Mr Manning.

VINCENT: Can you feel that?

No.

That?

Hey, is my mate still around?

I think he's being seen by a doctor. Yeah, right.

He's probably chatting up one of the other nurses.

(Laughs)

How about that? Ahh!

Yes! Yes.

OK. Let's give it another five minutes.

Mm-hm.

Any chance I could see Zorro while we wait?

Would that be cool, Doc?

He would love to get a gawk at that beauty

before you stitch it up.

Sure, that would be fine.

Just get him to leave his sword outside.

(Laughs) I'll go see where they're at.

FRANK: I need an update.

Uh, we're just waiting for the femoral block to take hold.

Right.

When it does, do what you need to do to stabilise him, but make it quick.

Infection Control are already down here

sniffing around like the bloody CIA.

Don't you love Admin? Efficient only when they don't need to be.

Listen, pal, you might think this is funny,

but if we lose our accreditation because of your little stunt,

I will make sure you never come near an operating table again.

Do I make myself clear?

ZOE: As you can see, we've really stepped things up here in the E.D.,

even adding extra soap dispensers, providing a choice of wash creams.

Oh, it's all very well and good, Dr Gallagher,

but it's a question of whether or not the staff actually use them.

Mm-hm. Moving on.

Hey, how's it going in there? Oh, great.

Vince has decided to operate here, instead of transferring him.

What? What's he thinking? Oh, who knows?

Anyway, we're just waiting for the femoral to take effect.

How's it going with his mate?

OK. Just a few cuts. Oh, good.

Cameron wants to see him.

Oh.

I don't know about that. What?

Well, the poor guy's blaming himself.

(Scoffs) It was a shark.

What did he think - he could get in there and wrestle it like Tarzan?

Yeah, it's a serious case of survivor guilt, though.

Von's organised a counsellor for him.

Maybe if he saw that Cameron was OK,

he'd feel a bit better about it.

Yeah, but it might traumatise him further.

We could just ask.

Alright, I'll try.

How's your cellulitis case going? Good.

Well, you know...

..I mean, not good.

I mean...you know what I mean?

Mm-hm.

Thanks a lot. What's with sending me Doogie Howser?

You might have more luck with him than you did with Sean.

Oh, you cut me to the core!

That is gross.

Yeah.

It's not as gross as a shark bite, though.

No, no. (Laughs)

Anyway, I've got to get back.

Never do today what you can put off till next year, hey, Bart?

Sorry?

(Whispers) You obviously have the hots for her.

Do you have that X-ray?

Mm-hm. Right here.

Thank you.

Swing you around. (Sighs)

There's subcutaneous emphysema around the infection.

Sounds bad. What is it?

It's air under the skin. Oh.

Sounds a little bit better.

Bit of air never hurt anyone, right? (Chuckles)

How are her obs?

Temp's 41, pulse 110, BP's 100 on 55.

No wonder you're feeling a bit average.

Mmm. We're just gonna have a look, OK?

Mm-hm.

(Gasps in pain)

Ohh! It's OK.

OHH! GOD!

Uh, can we chase up those bloods and cultures?

(Gasps in pain) What's wrong with me?

We're just gonna wait for the test results to come back

before we panic, OK?

(Chuckles nervously) I mean, we won't panic.

We're just gonna relax.

How am I supposed to relax? I've got a fitting in a couple of hours.

My leg looks like that!

I know.

KEVIN MANNING: I'm very grateful for you taking the time

to show me around, Dr Gallagher.

It's my pleasure, Mr Manning. Oh, please, you can call me Kevin.

Kevin.

You know, Zoe, most departments hate us.

No? Really? Yeah.

They tend to see us as an unnecessary burden.

But you're just doing your job. Well, exactly.

I have to say, though,

I am very impressed with how much of our operation manual

has been implemented in the ED.

Thank you.

Perhaps we could get you to do a talk sometime?

For the benefit of the other departments?

Uh, could you excuse me for one moment, Kevin?

I will be right back.

Er, Dr Campion? Why am I doing this?

Because there's a procedure going on in there

and if he gets wind of it all our arses will be in a sling.

OK, well, how long is this procedure going to take?

Well, it's not going to be quick, so show him the soap dispensers.

I've been there, done that. Well, use your imagination.

Oh, come on, Frank! I don't know.

Show him the fish tank in the quiet room.

Fish tank? Oh, terrible things.

A real breeding ground for salmonella.

Exactly.

Um, but that's why our feeding procedure is revolutionary.

Yeah. Sounds fascinating.

It's back this way, Kevin.

I'm sorry that I forgot that.

Uh, Dr Campion? Could I talk to you?

Not now, Homer. My patient...

JACK: Just releasing the BP cuff. ERICA: You OK?

You know, St Angela's has a world-class vascular team,

unimpaired by little things

like closed operating theatres and ego.

Is that what you think this is about, Frank?

Ego? You bet I do.

Must have had rocks in my head to let you get away with this.

It won't happen again, trust me.

CATE: Vincent, is it OK if Ben comes in and says hi?

Yeah, that's fine.

Well, the artery seems to be holding up pretty nicely.

JACK: Yep.

Hey, Zorro.

Indie.

It's wicked, hey?

Yeah, it's... it's enough to make you puke.

(Chuckles)

Uh, I've got some bleeding from the third perforating artery.

Can I have some more gauze? Circulation seems pretty good too.

Good. Keep me posted. DAN: Sure.

CAMERON: My olds are on their way down.

BEN: Yeah, I know.

(Laughs) The guys will get a kick out of this one.

I thought I was a goner for sure.

The bloody thing just...wouldn't let go.

Kept trying to...roll me over.

I don't know what happened out there, mate.

I do.

He was standing on a sandbank with a lightweight paddle.

A lot of good that would have done against a frenzied shark. (Laughs)

CATE: Well, I can't say I would have been rushing in.

ERICA: Me either.

Is that...

..is that a bit of leg?

It couldn't be. X-ray showed no fracture.

Looks like a shark's tooth.

Ah! Give me the artery forceps now.

CATE: Come on, Ben.

Come on. What happened?

His BP's dropping. Put up two units of O Neg.

He's gonna die, isn't he? No, no.

He's gonna die.

Come on, it's OK.

There was so much blood. I know.

I'm so sorry you had to see that, Ben,

but trust me, they've got it under control, OK?

What's happened?

Cameron had an arterial bleed when Ben was in there visiting him.

Come on. Sit down.

It's all my fault. Hey, it's not your fault.

It is my bloody fault. No, you listen to me.

Cameron's got a really good chance

because his mate got him to hospital in time, OK?

That's what it was like when he was out in the water.

All I could see was all that blood.

It's perfectly normal to replay a traumatic event

and wish you'd done things differently.

I stood there and watched him.

I did nothing. Don't you get it?

I want my clothes.

Ben. Come on.

Just let us give you the antibiotic and tetanus cover before you leave.

Just humour us, OK?

Alright, but can you get my clothes, please?

They should be in the back of the car.

No problem. I'll find out where security's parked it, alright?

Can you make sure he gets the Ceftriaxone

and the ADT before you discharge him?

Yeah. Thanks.

Well, I guess that's about all I can show you, Kevin.

Am I mistaken or did we miss out on Resus?

Uh, sorry?

That's what you call it, isn't it?

Uh, where you treat your category-1 patients when they come in.

Yeah, right. Sorry. Resus.

Um, I believe there is a gynaecological examination

going on at the moment - vaginal haemorrhage.

We could probably skip that then.

I think so. Uh, excuse me, Dr Gallagher.

Could I get your opinion on a patient, please?

Sure, Bart. Thanks.

I'll be right back.

Uh, her name's Lindsay Blake.

She re-presented with cellulitis,

but I think it's necrotizing fasciitis.

Flesh-eating bacteria? Yep.

It looks a lot like this picture.

I mean, I know what you're thinking, you know.

Interns are always looking for exotic diseases,

when 9 times out of 10 it's the ordinary run of the mill ones,

but sometimes...

Sometimes those horses turn out to be zebras, Bart.

When I was an intern, Frank told me to bugger off to Namibia

if I wanted sexy exotic diseases.

What did you tell him? I don't want to go to Namibia.

OK, apart from looking like this picture,

what makes you suspect necrotizing fasciitis?

Well, there's a rapid spread of infection

and she's got subcutaneous air on her X-ray.

Have you done bloods and cultures?

Yeah, but the results aren't back yet.

OK. I'll take a look at her. Thank you.

(Sighs)

Kevin?

You might want to consider getting this disinfected

more regularly.

OK. Great idea.

Uh, look, my colleague here might have a case

that would really interest you.

Oh, sure. Yeah?

Uh, Lindsay, this is Dr Gallagher.

Hi, Lindsay. Hi.

How are you feeling?

A bit average.

It's just a second opinion. Must be bad then.

Can I take a look at your leg? Yeah.

How long has it been like this for?

Since the weekend. It's just got bad today.

Lindsay's getting married next week.

Congratulations. Thank you.

Uh, lab results?

Oh, apparently they're flat chat, but we'll have them soon.

Can you excuse us for a second, Lindsay?

Yep.

Call pathology again and tell them I'm on my way down

and they'd better have those damn results by the time I get down there.

Will do. Dr Gallagher, do you...

We will wait until we confirm the diagnosis

before we inform the patient.

What do we tell her if it's necrotizing fasciitis?

We tell her the truth, Bart -

she will need immediate surgery

and there's every likelihood she'll lose her leg.

I'm not gonna make my three o'clock fitting, am I?

I doubt it. Sorry.

Great. Just great.

What are you doing to my hand?

Um, I'm checking your capillary refill. See?

Dr West, what's wrong with me?

Bart's fine.

Bart.

Well, that suits you. Yeah?

Bart, um, I'm getting a bit scared.

Can you just tell me what's going on?

Look, until we have the results there's no point guessing.

You think it might be serious, don't you?

It might be a number of things. Some of them serious?

Possibly.

OK, 'cause if I postpone this wedding one more time...

..my mum and dad and Scott and my bridesmaids,

they're all gonna kill me.

So if it's serious...

..it better be pretty bloody serious.

Where's your...where's your friend? Oh, Kevin.

He took one look at a suspected necrotizing fasciitis case

and ran a mile.

Necrotizing fasciitis - are you sure?

Look, I'm still waiting on the results from the lab,

but I think we should be prepared for the worst.

DAN: BP is 90 on 50.

Pulse is at 90.

That artery should hold now.

Now I know what you've been up to.

Very impressive. Propeller injury?

Shark bite.

Listen, if one of you cowboys can tear yourself away,

I need a consult - necrotizing fasciitis.

Does the patient know?

Uh, not yet, but Bart's with her. Homer?

Well, it was his original diagnosis. Well, well.

Your car was a bit of a mess. I could call you a cab.

It'll be fine.

Of course, you could always stay and see Cameron.

Yeah, right. He thinks I'm an idiot. He's angry with me.

He didn't sound angry to me. He sounded scared.

Would you just get off my case? What's it to you anyhow?

I think you're in shock, Ben.

From what happened out at the river and also in Resus.

I think it'd be a really good idea

if you stayed and talked to a counsellor.

I mean, Cameron's your mate.

He's more than a mate.

He's like a brother.

He's always been there for me and I couldn't do the same for him.

So, what - you think walking out now is gonna fix everything, do you?

I can't go back in there.

I told you he's gonna be alright.

I don't wanna go back in there. OK?

I can't face him.

Not after what I did.

Ben, you saved his life.

You jumped into the river and you pulled him out.

Only after the shark let him go.

He'll never forgive me.

Never.

Just hurry up and give me the injection, would you?

OK. I've got the results on Lindsay's bloods.

Her blood cultures are growing a group A streptococci

and a staphylococcus,

and her white cell count is sky high.

Spot on.

Necrotizing fasciitis. Are you sure?

Maybe it's just some form of golden staph.

Bart, you can't have it both ways.

You were right. Now you've gotta deal with it.

Then every minute counts - we need to get her in surgery straightaway.

I've already organised a transfer to St Angela's.

How come we can patch up a shark attack victim here...

Don't even think about it.

Look, if this infection isn't cut out entirely,

she could not only lose her leg but her life.

She's getting married.

Look, Bart, I can talk to her if you'd like.

No, I should be the one to tell her.

Yeah? You sure?

Yeah. Alright.

Word of advice - keep it simple.

Strepto...and stapha...what?

Streptococci and staphylococcus. Uh-huh.

They're bacteria.

That's why we're increasing your antibiotics.

When you removed the skin,

it allowed the bacteria into your system.

It spread to the deep fascia

and it's causing necrosis of the subcutaneous...

What Dr West is trying to say is...

Look, it's serious.

It's very serious. OK. Just tell me.

The tissue needs to be surgically removed.

It has to be done as quickly as possible

to stop the bacteria spreading.

An operation? Yeah.

But...

..unfortunately the operating theatres are closed today

because of this maintenance problem, but it's OK -

we've organised you to be transferred to another hospital.

Surgery?

(Stammers) Will I have a scar?

Of course I'll have a scar. Will it be bad?

Will you be able to see it or...?

I'm not sure.

It's worse, isn't it?

There's a possibility you might lose your leg.

(Struggles for words)

No, they can't, they can't... they can't cut off my...

They can't take...

They can't cut off my leg! I'm getting married!

I know. They can't.

I'm sorry. No, they can't! (Sobs)

Listen to me, OK, they're going to do everything they can,

I promise you, Lindsay.

I promise you, Lindsay.

(Sobs) Oh, God!

What's going on over there?

Well, they're telling her she might lose her leg.

That's so sad.

(Sighs) All of those doctors

and not one of them's Sean Everleigh.

What are you doing to me? Get over it, Jo.

Oh, speak of the devil.

Sean, we were just talking about you.

Jo.

I've given Ben his antibiotic and ADT cover.

Great. He should be fine to go home in about half an hour.

Are we just gonna let him walk out of here, are we?

Von, any sign of that counsellor?

Um, held up with another patient.

Should be here within the hour though.

If you can talk him into staying.

I've already tried.

Then there's not much else we can do.

So that's it?

I could follow up with a home visit. Thanks, Von.

Yeah, great if he lets you in the front door.

Well, Cate, we do what we can.

Well, all the major bleeders are tied off.

Think we can lose the BP cuff?

Alright. Let's do it.

Hey, welcome back.

Hello. We can take this off you now.

Still can't feel anything.

It's just the nerve block, mate.

Alright. That's good. That's looking very good.

Well, we've tied off the main artery and we've stopped all the bleeding -

everything's looking as good as can be expected.

Yeah, for a leg a shark's chewed on.

Yeah.

Yeah. Alright.

We've just got a bit more work to do before we transfer you.

I'm sorry, it's taken so long.

That's no worries.

Hey, is my mate still around?

Do you reckon you could go out and tell him

that it's safe to come back in?

Cameron, Ben's pretty upset about what happened.

Yeah.

Who isn't?

He thinks he let you down.

That's stupid.

I mean, he...he was in there.

I...I thought I was a goner,

but he...he pulled me out.

And...and he saved my life.

Now, can you go and tell him...

..to stop being a bloody idiot?

And to get his arse back in here so I can tell him that?

Oh, well.

Hey...

Give him that.

And tell him...

..Zorro and Indie...

..will ride again.

There you are. I might have just the thing to get through to Ben.

Yeah?

Special delivery from Indie to his mate Zorro.

A token of his appreciation for saving his life.

Oh, it's worth a shot.

Hey, Ben...

Oh. He was here a moment ago.

Where'd he go - bathroom?

No, his bag's gone.

I might be able to catch up with him.

Did you get a chance to talk to your fiance?

Yeah, he's hopping on the next plane.

If only we got married when he first proposed.

What if he takes one look at this and runs a mile?

He's been after you way too long to leave you standing at the altar.

You really think so? Yeah. I do.

You're right. I'm not gonna think like that anymore.

Life's too short.

I'm getting married, Bart.

(Chuckles) You bet you are.

Whatever happens - next Saturday, in a wheelchair,

in a hospital bed, I'm getting married.

I'm not putting it off one more day.

Homer?

Dr Campion?

Why didn't you bring this to me the moment you suspected what it was?

Well, I tried, but you were pretty occupied with the shark bite

at that time.

Ah, yes, um,

head of surgery at St Angela's is Russell Dread, a mate of mine.

Dr Dread? Yes, unfortunate.

But he's a great cutter - she'll be in capable hands.

You think she'll lose her leg?

I dunno, Homer.

But if we hadn't got it when we did,

if you hadn't noticed it when you did,

her prognosis would be much worse.

We're all set, ready to roll, doc.

Actually, would it be alright if I ride with her in the ambulance?

Please?

Oh, go on. But don't linger. No.

I don't want you picking up any bad habits.

Of course not, Dr Campion.

Alright, let's go, mate.

(Calls) Ben?

Ben, open up.

Ben, can you hear me?

Open your eyes.

(Yells) I need some help here!

GABRIELLE: OK. Let's move. ERICA: I'll bag him.

SEAN: Cate, I want him hooked up to the monitors, stat.

What happened?

I don't know. I just found him like this.

No pulse. VON: I'll get the crash cart.

Come on, Ben.

Who was looking after this patient?

I was. We were.

He's hard to ventilate. His airway must be swollen.

What's his rhythm? MACHINE BEEPS

Still asystole.

Can't find a bloody vein. OK. Let's intubate.

Take over compressions.

Give him one milligram adrenaline subcutaneously.

Yep. Got it. I'll get a minijet primed.

Give me another laryngoscope.

I'll need a 7.5 ET tube. Yep.

Why the bloody hell is he crashing? No idea.

I was only treating him for minor cuts and abrasions.

Cricoid pressure. Got it.

It's a laryngeal spasm - airway's swollen.

I can't see the vocal cords. Give me a smaller tube.

Yep. Make it a seven, and hurry.

Applying cricoid pressure.

Almost there. OK. I'm in.

Adrenaline one milligram in.

Still no pulse assistedly.

Give another milligram of adrenaline

and an IVI followed by saline flush.

GABRIELLE: What's this rash?

CATE: It wasn't there before.

Anaphylactic shock.

What's he been given? ADT and Ceftriaxone.

He could have had a reaction to either of them.

He told me he had no allergies. Well, he was wrong.

What did the silly bastard have to say

when you gave him the tooth?

What's going on?

Ben had a severe allergic reaction

to one of the medications he was given.

He what?

He had an allergic reaction...

We did everything we could...

..but...

What?

Ben never regained consciousness.

Yeah...

..this is a joke, right?

I'm sorry, Cameron.

No, no.

No, he...he...

He can't be dead.

I'm so sorry.

FRANK: Hey?

Says here I am supposed to be doing

an interdepartmental lecture on infection control

tomorrow morning at 9:00am.

Poor Kevin - he was a bit upset when I told him you insisted on doing it.

Gallagher, you get back here.

Can't, Frank. Busy. PHONE RINGS

(Answers phone) Em-oi-gency?

Well about bloody time.

Call dispatch. We're back in business.

Hallelujah. Vinnie?

Theatres are up and running.

Uh, yeah, yeah, I just got a page.

Is he, um...

He's gonna need some more surgery, but not straightaway.

Right. You didn't do too bad a job. For an arrogant, egotistical cowboy.

That's very kind of you. I'm sorry about his friend.

Yeah, we are too.

Here's my statement, Gabrielle. Oh, thanks.

Best to, uh, get it out of the way. Yeah.

Are you sure you don't want to talk about this?

No, I'll be right. You sure?

Yeah.

Alright, darl. Go home. Get some rest.

Yeah.

Hey, Cate?

Hey, um, I'm nearly finished - do you want to wait for me?

I'm not in the mood for a big night tonight, Jo.

No, I was thinking night in.

I'll cook, you talk.

Oh, that sounds good. Thanks.

Alright. 'Bye. See you in a bit.

Doc, we're back.

Thanks.

Hey, are you alright?

Carpe diem, Manny.

Yeah, right.

Hasta la vista, Doc.

Hey, um, one second. OK?

Bart?

Hey, uh, I'm in a bit of a hurry so...

Oh, um, how did it go with Lindsay?

Um, well, she's in surgery.

And, uh, she invited me to her wedding.

Hey, you were really good with her.

Like, I've seen doctors with years more experience

not handle that as well as you did.

Thanks. That's OK.

I just wanted you to know.

Look, Bart, I know you don't like me...

Look, it's not that I don't... It's OK. It's OK.

It's just that...

..you know, you think that I'm disrespectful to the patients

and, um, to my superiors

and that I gossip at work and stuff

and I do.

You know, you see so much crap here,

it just...you gotta handle it the best that you can

otherwise it's just gonna eat you up.

And I think you're way too nice for that.

Hey, you're gonna need a date for the wedding, right?

Uh, Jo...

Look, I don't really think that's... Oh, no, not me!

Erica.

I just saw her in the cafe

and, um, I bet she's just waiting for a dashing young doctor

to ask her out.

Go on.

Carpe diem.

MAN: Mind if I join you?

Be my guest.

I don't know if I'll be very good company.

That's OK.

I handled that SO badly.

No, you didn't.

The hardest part of the job is telling people bad news.

I just can't believe that we can work miracles,

saving a guy who almost lost his leg in a shark attack,

and his best mate dies from an allergic reaction -

sucks.

Sorry.

Don't be. It does suck.

I wish I could sit with every patient 100% of the time,

but I can't.

Sometimes things just happen

and there's nothing we can do to stop them.

Why does it all have to be so hard?

Hey, Homer. Everything OK?

Yeah, good.

Uh, Dr Dread sends his regards. Yeah, good doctor.

Bastard owes me a case of red though. Your shift not finished yet?

I was just gonna do some paperwork.

Hey, listen, while you're there -

infection control wants us to do a little talk

first thing tomorrow morning.

You're not doing anything tonight, are you?

No. Good. Good.

Because I've made you the E.D. representative.

You'll have to bone up on it, of course.

Yeah.

Thanks, Dr Campion. No, no, not at all, Homer.

You've earned it.

Make sure it's good though. Of course.