Original subtitles

(SIREN WAILS)

We got two casualties. One fatality in the car with the P-plates.

There's a guy trapped in the other one.

You called Rescue? Yeah, they're on their way.

Do we know what happened? Not yet.

The female driver's haemodynamically stable. No loss of consciousness.

It looks like she's fractured her wrist

but she's refusing to let go of the steering wheel.

Hi. My name is Mike. I'm a surgeon at All Saints hospital.

Can you tell me your name?

Holly.

OK. Are you in any pain, Holly?

Try and answer yes or no without moving your head if you can.

No. Mm-hm.

How about this arm? It's OK.

You having any trouble breathing?

I'm fine.

It looks like a closed head injury. Is there anything else?

Nothing obvious but we'll keep looking.

DAVE: The driver's in a lot of pain. Says it's his right ankle.

Probably won't know how bad until Rescue cuts him out.

What have you given him?

Oxygen and a Penthrox inhaler for the pain.

Hey, my name's Jo. I'm the paramed...

Declan.

OK, Vlasek. We'll be ready.

MRU estimates they're half an hour away.

There are three casualties, two of which are teenagers.

OK. I'll let Von know she's needed.

What can I do? You can restock Resus.

I've done that. Should I be on standby?

No. I need beds cleared. Fine. I'm on it.

Well, looks like Frank's put an end to her throwing her weight around.

Hmm. Not before time.

JO: What happened?

DECLAN: I don't know. It was all so quick.

(GRUNTS) My... my leg is killing me.

Yeah, OK. (MOANS)

Once I get this cannula in I can give you some morphine.

Just have another suck on that Penthrox inhaler.

Just giving you some oxygen, Holly.

That'll help with your breathing.

We're supposed to be at our gig in a few hours.

Have you got any idea what happened here?

If we're gonna be late I need to call the promoters.

STEVE: I'm gonna travel in with my patient.

Unless you think I should take over from Jo.

No, it'll be fine. OK.

Jo, can you give me a hand? I'm busy.

I need your help over here. I'll get Declan.

(ENGINE STARTS) Sorry.

He who must be obeyed.

(SIREN WAILS)

What's her name? Holly.

She's in shock. See if you can get her to let go of the wheel.

Yep.

Ethan McLean. Rear seat passenger with suspected closed head injury.

GCS is 6. Intubated at scene.

FRANK: Get onto Radiology. Tell them I want an urgent CT scan.

CLAIRE: Sure. OK. On my count.

One, two, three.

We need a second large bore cannula IV

and bloods for group/hold and crossmatch.

I want a portable C spine and a chest X-ray.

I'll cannulate if you want. I've got it.

I'll do the bloods. Will you need more fluids?

Maintenance fluids are up. They'll be fine.

Can you stand back?! Have to get back to the crash site.

Good luck. I can be of use here.

Katerina, it's not up for debate. Clear some beds.

I'll get ready for a FAST. Yeah.

(MONITOR BEEPS)

(GROANS) Does that hurt?

A bit.

Holly, we're gonna take you to hospital to have that looked at

but right now I want to put a splint on your broken arm.

So can you take your hand off the steering wheel for me?

Will it take long?

I don't want to miss our gig.

No. It won't take long.

It's our first big festival. We're running late.

OK.

Just ease your grip on the steering wheel.

It's a massive opportunity. Ethan lined it up with one of his mates.

(SIREN BLARES) Otherwise we wouldn't get to play.

(PANTS) Just this hand, OK? Come on, Holly.

Scotty!

Holly. Scotty! Scotty!

Hey, Holly. Just stay looking at me, alright?

(SOBS) Good girl.

Come on. OK.

(MONITOR ALARM SOUNDS) Blood pressure's through the roof.

CHARLOTTE: Intracranial pressure must be increasing.

Administer mannitol and frusemide

and elevate the bedhead 30 degrees.

And set up for an arterial line.

Adding hydralazine. 2.5 milligrams.

Let's do bloods too. Check for osmolarity and BSL.

Blood pressure's settling. Well done, Homer. Quick response.

I finished the paperwork to check the beds.

If I can help...?

Um... do an inventory of the drug room.

Oh, come on. Everyone's gotta do it sometime.

What if you need orthopaedic assistance?

Not likely at this stage.

It's Campion down in Emergency. What's happening with that CT scan?

Not long now, Holly. How are you feeling?

Get Scott.

DECLAN: How are the others?

Let's just concentrate on you for now.

I know what you're thinking - I caused this.

Did you?

No.

And I don't have Parkinson's or multiple sclerosis

or any of that stuff you said I might have.

Right, so you've had the tests, have you?

Nope and I'm not going to.

So you can keep your suspicions to yourself.

(GRUNTS) Shit.

It's killing me!

We're ready to go. Hold tight.

I'm gonna go with Holly to the hospital.

(MOANS)

You OK? Yeah.

Mike's looking after me.

We'll have a better idea how he's going once he's free.

(GASPS)

(SCREAMS)

This is Holly Russell - driver of one of the vehicles.

Splinted her wrist fracture

but she's got some pain palpation over her right flank.

Pain relief? Said she didn't want any.

Oh. Brave girl.

Holly, we're gonna take a few X-rays and some blood.

Then we'll organise an ultrasound

to see what's causing your back pain, OK?

When was your last tetanus shot, Holly?

I don't know. Um, my mum would know.

Can you call her and tell her I'm here?

Of course. OK, everyone. Ready?

One, two, three. (CRIES OUT)

You sure you don't want something for the pain?

Maybe. I didn't feel it as much before.

Holly, I have to go now

but Amy and Adam are gonna take care of you, OK?

Can you let me know where they put Ethan's guitar and Scotty's bass?

Alright. I'll radio through for you now.

Thank you. Can I talk to you for a sec?

Sure.

We'll be right back, Holly.

Her friend Scotty didn't make it.

Her other friend's in Resus with a head injury.

I don't know how serious it is. Thanks for telling us.

Alright, Holly. I'm gonna put a cannula in, OK?

You're not gonna feel a thing.

Are you in a band? Yeah.

I always wanted to learn guitar but I was hopeless.

What do you play? I don't.

Um, I sing.

(OVER RADIO) Steve, it's Jo. Are you there?

Yeah. Go ahead.

Holly keeps asking about her band's gear.

I promised I'd check to make sure it's safe.

Yep. All there. Is Declan OK?

Just taking the last piece of the car off now.

(CLANG!) (YELPS)

Steve?

What's happening?

Hold on. (MOANS)

(GASPS) Arggh!

Steve, was that Declan?

Gotta go. Is he OK?

X-rays are back. Thanks.

OK. Her C spine's clear so we can take the collar off.

And there's also some fluid around your right kidney

so I'd like to put a catheter in and take a urine sample.

More tests. Yeah, hopefully not too many more.

Did my mum call back? We've left messages.

She and Dad are down the south coast.

I'm sure they'll get back to us soon.

Just pop your head up for me. That's the way.

So what's your music like?

Death metal? Punk rock?

Folky? I guess.

Well, maybe I'll get to hear it one day

when you're rich and famous.

We made a... a demo CD in my TAFE course.

Yeah? Have you got a copy?

Uh...

Keep it. We've got millions.

Scotty's dead, isn't he?

Yeah, he is. I'm sorry.

What about Ethan?

The doctors are doing everything they can.

I don't remember what happened.

Is the other driver alright?

They're bringing him into hospital now.

I can't...

..I can't stop thinking about Scotty.

His hand was moving.

Try and stay calm. (SOBS)

Please just tell me. Was it me?

Was it my fault?

Has anyone called for me? Not that I know of.

I've left a million messages for my mother.

If she phones... Yeah.

It's important.

Right. Radiology say they'll be ready for Ethan in 10 minutes.

I'll take him. I can finish this later.

Bart's got it.

As soon as I've done this we'll head up there.

Yeah.

Yes, of course I'm bloody waiting.

Oooh, his fluids are almost finished.

Can you get another bag?

I'll sit with him till you come back.

Sure.

(MONITOR ALARM SOUNDS) I need some help here!

He's gone into VT.

There's no pulse. Charging 360.

What happened? I don't know.

Charged. Clear.

There's no response. Go again.

Charging.

Charged. Clear.

(SIREN WAILS)

Steve. What happened? Where is he?

We moved the car door and found out

that his ankle had been partially degloved.

Right, well, did you stem the bleeding?

It's all under control.

Where's the band's gear? They took it to the vehicle depot.

Right. We all packed? Yep. Let's go.

He's back in sinus rhythm. Blood pressure's 120/70.

He's still throwing ectopics, though. Let's give him some sotalol.

How'd this happen? Where was the nurse?

I was getting more fluids.

Just as bloody well Katerina was here.

We got his medical history yet? They're still looking for them.

Well, let's hope there's something in there that can explain this VT.

Could be an electrolyte imbalance.

Surely the bloods would have shown that.

Anyone bother to check them? They were normal.

Well, send off another set. See if there's any change.

He's still due in Radiology, isn't he?

Yeah, he is. Can you take him up? Yep.

I'll give them a call - say that you're coming.

And tell them to fast-track it.

Don't take no for an answer. I won't.

Good job.

Compound fracture of the right ankle. Partial degloving.

How are his neurovascular obs?

Leg has a weak pulse. It's cool to touch.

Right. That means your injury's affecting the blood to your foot.

We'll need to take an X-ray to assess the damage, OK?

What happened to the guys in the other car?

Two of them are in here.

Other one wasn't quite so lucky. There was a girl too, right?

Driving? She's being looked after.

Do you remember much about the accident?

Only bits and pieces. Like what?

I don't know. Sound of the impact.

The pain. Nothing about what caused it?

No. You sure?

On my count. Smooth as we can.

One, two, three.

(GRUNTS)

Gabrielle, can you please take bloods

and re-dress that leg with an antiseptic dressing?

Yep.

I'll just X-rays for your C spine and ankle, OK?

Could I have a word?

What was that about?

What? Mike Vlasek, PI.

I think there's more going on here medically than just his leg.

Such as?

You might want to run some neurological tests.

What, just for fun?

You're a hot shot doctor.

You'll figure it out.

Mike.

Please.

I'd really appreciate a fresh eye on this.

Have you heard from Debra?

Not today.

She didn't show for dinner last night

and she's not answering my calls.

Oh, well, hopefully she'll call by the end of your shift.

Holly, this is Von. She's gonna organise some support for you.

Hello. What kind of support?

Well, when someone's had an accident,

we suggest they get some sort of counselling.

I don't want counselling.

I just want this to never have happened.

Have you heard from Scotty's parents?

I'm sure they'll ring us soon.

It was his birthday on Sunday.

Oh. His dad gave him his old bass.

And today was supposed to be the first day he was playing it onstage.

We should be at the gig right now.

If I'd just braked sooner or... Shh.

I know it doesn't seem like it now

but you will get through this.

What if I'd let Scott drive? He's got his full licence.

Even so, some things are out of our control.

Well, the good news is your C spine is clear

so we can remove that hard collar.

Great.

But you will need an operation on that ankle.

(SIGHS) Is there any more news on the people in the other car?

Not that I know of, I'm sorry.

Are they gonna be OK, are they?

Oh, I really can't say.

(GRUNTS) Are you ready?

Yep. Afraid so.

Declan, we're going to need to re-bandage your leg

and I'm not even going to pretend that this won't be painful.

OK. Another bolus of morphine.

We're in.

(SIGHS)

One, two, three.

(GASPS)

Alright, Declan, just try and relax.

I would if I could.

It's alright.

Three.

(SCREAMS) Please. I can't stand it.

We can't do anything with him in this much pain.

Set up for a femoral block. Yeah, sure.

OK, I'm sorry.

We are going to inject an anaesthetic into your femoral nerve,

and that will block sensation to your entire leg.

Great. 'Cause I don't want to feel anything.

Ethan's CT scans.

He's got a subdural haematoma.

He's going to have to go to theatre for craniotomy and evacuation.

I'll call the neurosurgeon. Second set of bloods came back.

Everything was OK except for potassium, which was high.

How high? 7.5.

Bloody hell. Is there any chance the first set might have been wrong?

Not likely.

Right. We got his medical records yet?

Er, still looking.

It'd be nice to know if he was on any other drug.

It's Bart West from the E.D. Yeah, sure.

Maybe he's a diabetic.

What's his renal function like?

Urine output normal. Creatinine and urea were fine.

OK. Do a toxicology screen on him.

Yes, this is Bart West from the E.D.

I need a patient in for surgery as soon as possible.

Can you stay with Ethan until we take him up to theatre?

Of course. Check his obs regularly.

If there's any change in his ECG

or his blood pressure goes up, let me know.

No worries. I'll give him some insulin.

And dextrose too - that should treat the potassium

until we figure out what caused it.

Excellent.

This should take effect pretty quickly.

(SIGHS)

Oh!

That's much better.

You've had a bit of a rough trot, haven't you?

What do you mean?

You were in here before. Weren't you?

Black cat cross your path or something?

Yeah, must have.

OK, can you feel that?

Mm-mm, no.

(SIGHS)

You got a headache at all?

No.

Squeeze my hands for me.

What for?

While Gabrielle's re-bandaging, I'd like to run some neurological tests.

Did Mike tell you to do this?

He made a suggestion.

Well, I don't want any extra tests.

I'm here for my leg so just treat that.

Did you leave this for me?

If that's a referral for the specialist, then yes.

Alright, well, I appreciate your help

but there's not much about Huntington's I don't already know.

So...

It's your call but he is the best in the field.

BART: Look who I found!

Sorry about last night. I got my days mixed up.

You sounded stressed on the phone. Anything wrong?

You tell me.

Von said something, didn't she?

(GASPS)

Can you cover me for half an hour, keep an eye on my patients?

Sure. Cheers.

Debra! (SIGHS)

Debra! Don't just walk away.

Alright. I was at my oncologist.

I wanted to tell you myself. I was going to, I just didn't know how.

You had weeks.

We were still getting to know each other.

I just didn't want you to feel obliged to stick by me

just 'cause I had cancer.

I had a right to know.

(GASPS) Please don't hate me. I couldn't handle that.

I really couldn't.

Debra!

Mum. Mum!

I want a full check-up done - bloods, ECG and a chest X-ray.

For hyperventilation? She has cancer.

What happened? She collapsed outside.

I also want a bone and lung scan, liver ultrasound and cerebral CT.

I'll book her in as soon as possible.

Thanks.

I think you should let Bart handle this.

No. It's not good for you.

It's not good for your mother. I don't mind, Adam.

I'm not leaving you. Just prop yourself up.

I'll take over your MVA patient. Thanks.

And can you get onto the prison? We need her medical records.

I'll see what I can do.

Just relax, OK? Just breathe nice and slow.

Hi, I'm Bart. I'm taking over from Dr Rossi.

Everything OK? Yeah.

Have you heard from my parents? Still nothing yet.

But, Jo, the paramedic who brought you in,

She said the band's gear has been safely stored.

As if that matters now.

Hey, of course it matters.

Ethan's going to want to know where his guitar is when he wakes up.

Scotty's gear's there too.

His family. How am I going to face them?

Bart? Mmm?

There may be some damage to your kidneys.

We need to take you to Radiology, run a few more tests.

It's just a quick CT scan and an ultrasound. No big deal.

Can I wait till my mum gets here?

It's hard to say when that'll be.

We need the scans back as soon as possible.

Please. I can't do this by myself anymore.

I'm not going anywhere.

OK? I will stay with you the whole time.

You promise?

I promise.

Are they from the prison? Yep.

No new information there, though.

Can I have a look?

(SIGHS) 2005, Debra had persistent breast pain.

Put down as musculoskeletal. No lump found. Not investigated.

2006. Bruising. More complaints of the same pain.

No action taken.

Alright. 2007.

A different doctor felt a small lump but diagnosed it as a probable cyst.

She was never sent for a mammogram.

How does this happen?

She has aggressive multi-focal cancer and they didn't detect it for years.

Jails are big institutions. People fall through the cracks.

But if they'd caught it earlier?

Are you sure Bart shouldn't take over on this?

I'm sure.

Er, can we have a minute? Of course.

I was going to tell him.

When?

I'm not sure.

He said you were planning an overseas trip.

That was giving him false hope for the future.

I guess it was giving me hope too.

(SIGHS) For the first time in years, I had a son.

And I got to be Mum.

Mum to this...

..amazing, capable man.

(LAUGHS) God.

Do you have any idea how good that felt?

Yeah, I can imagine.

(LAUGHS, SOBS)

I thought, um... if I told him I was sick,

it might all change and I'd become a burden and, um...

..I'd never know if he actually cared about me

or it was just pity.

Well, you don't know him at all.

He's a good kid.

Oh, I know that.

Von.

I don't blame you for telling him.

(SIGHS) I would have done the same thing.

Oh, shit!

You feel like taking a break?

Why?

Get a coffee. Go for a walk or something.

Let me guess - I can pour my heart out to you.

You never know - it might actually help.

Well, that's very beautiful, Steve, but it's not going to happen.

Any news?

The two guys are waiting for theatre.

Holly's having a CT and ultrasound to assess the damage to her kidney.

Is she gonna be alright?

Oh, Bart's got it under control.

I think he's more worried about her mental state, though.

She's blaming herself for the accident.

I thought they didn't know what happened.

They don't.

That's pretty obvious given the P-plates.

Well, that's not fair.

That's what everyone's going to be thinking.

Provisional drivers have more accidents. It's just a fact.

Has Declan remembered anything?

Apparently not.

Do you believe him?

Forget it. I'll ask him myself.

Can I talk to your patient for a minute?

Don't be long.

There's a young girl over there blaming herself for the accident.

Did you know that?

No.

Well, now you do. What are you gonna do about it?

You've had two accidents within weeks of each other.

Don't try and tell me it's a coincidence.

I honestly don't know.

Was it your fault today?

Yes or no?

Come on, look me in the eye and tell me that it wasn't.

You put your best mate in a wheelchair

and today you killed a guy.

And you seriously injured two other people

and now you're gonna let someone else take the blame for that?

What's it gonna take for you to do the right thing?

Theatre just called for you. They'll be ready in 30 minutes.

That's good news.

Yeah, right. Thanks.

You OK?

Jo wasn't giving you a hard time, was she?

Nothing I don't deserve.

Wait. That's the other driver.

Are you alright? I'm so sorry! I'm sorry!

No. I am.

What?

It's my fault.

What do you mean?

My muscles seized up.

I could see the other car coming but I couldn't turn the wheel.

Why didn't you say something earlier?

'Cause I was scared.

I was scared because I think I might have MS.

Knock, knock. Hi.

Here's the deal - as Declan's doctor,

it would make my job a hell of a lot easier if I was across everything.

Which means no more secret meetings and no more cryptic diagnostic hints.

Is there anything else I should know?

Steve? You want to pop down and put your two cents in as well?

No, ma'am. Good.

Fair enough. I'm sorry about earlier.

Look, I don't know what rocket you put up him

but Declan's asked to be tested for multiple sclerosis.

He's also admitted to causing the accident.

Really?

He wants to see you.

He's due in theatre any minute.

Will I tell him you're on your way?

Debra's scans are back.

Cancer's spread to her spine and lungs.

I'm really sorry, Adam.

Well, I'd better tell her the news.

And you're up to this? Well, I have to be.

No, you don't. You're family. You do not have to be her doctor.

I know you're trying to give me an out but I'm not gonna take it.

If I'd known how this was gonna pan out...

Don't.

How long have I got?

It's hard to tell.

I could say a month and you could have a year.

Or vice versa. Everyone's different.

At least give me a ballpark.

Best guess...

..a few months.

I was hoping to make it to Christmas.

There are still a few options you could try.

Radiotherapy, chemotherapy could help with the pain.

It can't be easy.

I'm used to that.

There are some alternative therapies.

Do I look like the carrot juice type to you?

If I'm going out

it'll be with a really good red and a carton of full-strength ciggies.

(LAUGHS)

It's OK. I know I haven't got long.

I'm just sorry to put you through this.

Me?

I came here because I wanted to get to know you.

I never wanted you to suffer with me.

I'm glad you came.

You know how to make an entrance. Yeah. Always.

So I hear you've agreed to be tested.

After you told me what Mike said, I jumped on the Net.

I've got at least half the symptoms

so if it's not that, it's something else.

It's not ideal for a stuntman.

No.

It's over.

What do you think you'll do?

Honestly... I don't know.

But I'll have plenty of time to work it out.

We were good together, Jo.

Reckon we could give it another shot?

I don't think so.

Do you want me to come up to theatre with you?

Yeah, I do.

Nothing works around here.

They Debra's discharge papers?

You'd think we could afford some decent pens.

I've made a list of palliative care options.

She's got me.

Thank you.

I need your signature just here.

What's this?

It's, uh, so I can steal all your money and skip town.

(CHUCKLES)

Won't get very far.

Um, Von said something about some kind of care.

Yeah. You're coming home with me.

No!

Yes, you are. Adam...

I've already had Von yapping at me and she didn't get very far

so don't even start.

This isn't how I wanted it to play out,

you... nursing me.

I know.

I just wanted to be a mum and have a son.

Well, this is what sons do. OK?

Our Resus patient is just out of theatre.

He's doing well. Oh, good.

Thanks for letting me know.

I know I overstepped the mark last week and it won't happen again

but, um... look at today.

We work well together.

Well, we have a good team. We've got a good boss.

You know, I think you could use some time in another department.

Why?

I'll put in a call to Orthopaedics.

Are you dumping me from the E.D.?

Well, it's good for interns to have a range of experience.

I'm a qualified orthopaedic surgeon.

I already have the experience.

And I run the intern program.

You need me here.

I'll make sure you can start tomorrow.

This is just to relax you before you go into theatre.

I've decided to send Katerina to another department.

Good decision.

One I should have made weeks ago, eh? No comment.

How's your patient? Uh, he's in theatre.

I'm booking him in for MRI next week.

What for? Declan thinks he has MS.

His arm seized up in the car

and apparently it's not the first attack he's had.

Hmm. Oh, Amy.

Um, Holly's parents just called for you. They're on their way in.

Thanks. Does that mean the accident wasn't Holly's fault?

That's what he says.

Amy, leave it to the police. She's beating herself up.

Amy!

Amy...

What did you give her?

Amy...

What did you give her?!

(MACHINE BEEPS) Help! HELP!

I saw her inject something into Holly's IV!

She's in VT. What did you give her?

Katerina...

BART: Charging to 360.

What did you give her?!

Potassium.

Jesus! She's got no pulse.

(DEFIBRILLATOR THUMPS)

Still no pulse.

Go again. Go again. BART: Charging to 360.

(PANTS) Come on. Clear.

(DEFIBRILLATOR THUMPS)

Hi. How's Declan? Out of theatre yet?

Yeah. He's doing well.

Physically or mentally? Both, surprisingly.

Well, he did the right thing coming forward.

Yeah. But he'll never work as a stuntman again.

I hate to say it's probably a good thing.

Would have only been putting himself and others in danger.

Yeah. That's what he said.

After all, there's more important things. It's just a job, right?

I mean, we all run around thinking work is so important,

that it's what makes us us, but it's not.

It really doesn't.

Which is why... I quit.

You what?

This is me giving you a week's notice.

Jo.

I'm leaving the MRU.

(MONITOR FLATLINES)

No, no, no! She can't! Give her more adrenaline.

Amy, it won't do any good.

So... so charge again. Bart, charge again!

She's gone, Amy.

Why did you do that?!

You killed her! Why did you do that?! SHE'S JUST A KID!

I'm sorry! I didn't mean it to go that far.

Let me go. Let me go!

Amy!

Take her to my office and call the police.

Don't touch anything. It's a crime scene.

(MOURNFUL GUITAR BALLAD)

SONG: ♪ There's no going back now

♪ Once you've spoken your mind (AMY CRIES)

♪ Once you've said what you've said

♪ Once you've left me behind

♪ You can't take it back now

♪ You made yourself clear

♪ Intentions laid down so cruel

♪ So rough and sincere

♪ Did you think at all? Did you know?

♪ Did you realise so much of your soul would show?

♪ You were crazy if you didn't see

♪ What you were doing to me. ♪

Don't blame yourself.

No-one could have predicted this would happen.

She pleaded to work with me, Charlotte,

and I just pushed her away.

You were maintaining a professional distance.

Oh, it was a cop out.

I just didn't know how to deal with her anymore.

Katerina had serious problems, Frank.

Pfft.

You were never gonna be able to fix that.

I could have... listened better.

I should have listened... better.