Cardiac Arrest (1994–1996): Season 3, Episode 4 - The Red Queen - full transcript

Hey, Raj? Before you go,
you couldn't take a look at this baby, could you?

Only Dave's busy on a reduction.

— | was hoping to put my head down.
— It'll only take five minutes.

Hello, I'm Dr Rajah.
What seems to be the problem?

Erm...well, she was crying all night
and then she started being sick this morning.

— What did she vomit?
— Her feed.

(Raj) Standard baby sick.

— There's a bruise on her arm.
— | don't know where that came from.

— Are you Hayley's father?
— No, I'm Louise's boyfriend.

— Do you know anything about the bruise?
— No.

I'll be back in a second. Excuse me.



Could you bleep the paediatrician on call,
please? Thanks.

What?

— What?
— Don't say you've forgotten, mate.

— The cricket. It's today.
— Cor...

Nasreen wants me to see
that poxy new costume drama.

They're all full of pasty—looking women.
| reckon they're all anaemic from heavy periods.

Yeah. Maybe that's why
they're called period dramas.

ILL tell her we'll go another time. I'll be out as
soon as I've referred this baby to paediatrics.

— I've heard that one before.
— | will be there.

Promises, promises.

Nasreen wants me to see more of each other.

The lads want me to hang out with them.
When do | get to do what | want?

Nasreen just can't do without you, mate,

She is only flesh and blood after all.



Yeah.

Do you know what | mean?

Why does he pretend to be one of the lads
when he's obviously not?

| thought | was supposed to be the poof.

— Morning, Dr T.
— James.

— (Faint bleeping)
— Bleeper's on the blink.

Phil, | didn't realise
that you were so close to hearing

whether you were gonna face any charges.

They say there's a good chance
that I'LL be up for manslaughter.

I'm sure anxiety was behind
our recent contretemps.

No!

| trusted you to look out for me.

Look, | helped you. Can't you see
it's a simple matter of right or wrong?

Look, forgive me, Dr Turner.

I... Look, | need you to help me.

| need you to help explain
how that patient died.

Your testimony was unequivocal, Phil,
that you didn't seek senior advice.

You even tampered
with the medical records to prove it.

Under duress from management and you.

To change your story now would only serve
to add perjury to any charge against you.

Dr Turner, you're forcing me
to point the finger at you.

Forcing a case of your word against mine.

And my sincerest advice to you, Phil,

is to think this matter through more carefully.

For your own good.

— The monitor, the monitor.
— It's here, it's here.

Thank heavens you're here.
He's not got a Venflon, Doctor.

— Shouldn't someone be bagging him?
— Hand me a bag.

And then cardiac massage.
Where's the anaesthetist?

They put out a call to him.

— My SHO's on the other side of the hospital.
— There's a connection missing on the bag.

We're getting a trace.
Do you want to shock him?

— Is there no adrenaline out?
— Did you get that Venflon in?

— (Knock on door)
— Come in.

I'm sorry, Mr Docherty.
| wanted to have a word, please.

Of course, Phil

I'm sorry. | didn't know who | could tell.

| didn't know who could help me.

(Long, continuous beep)

We should give lignocaine, | think.

Sorry. My bleeper's on the blink.

Why is no one doing chest compressions?

And the ambu bag should be connected
to oxygen. Sod the lignocaine.

You're not applying the correct protocols.

Has he had atropine?

No.

Atropine 3 milligrams, 1 milligram of adrenaline.

I'm sorry, am | annoying you?

| was wondering if you were still allowed
to get this close to patients.

— Sorry. | was down on Geris.
— Count them down. Five to one.

Asystolic arrest. Random use of shocks and
drugs. Now applying first proper cycle of CPR.

Let's keep it going.
Another adrenaline, please. Thank you.

four, five...

One, two, three, four, five.

I'm sorry to have dumped this on you,
Mr Docherty.

| quite understand
if you don't want to get involved.

I'm sickened, Phil.

Sickened this was ever allowed to happen.

But there'll be a way out of this.
On that, you have my word.

Now, you go out there and play.

You leave this to me.

Thank you. (Sniffs)

(Andrew) OK. Thank you, everybody.

Liz? Don't go just yet.

Nasreen. Please listen.

| forgot the cricket match was today.

I'm really sorry but | don't see
why we can't go to the pictures tomorrow.

/ promised to see Mum tomorrow.
/ dont want to let Aer down.

OK. OK, with any luck,
the match'll be over by this evening.

| won't have a kip, I'll take you out instead.
| can't say fairer than that, can I?

— Of, you're a love.
— Thank you.

— / do love you.
— Yeah. | do too. Bye.

— Ooh!
— Sorry.

That's OK. I'm Amanda Harding,
the paediatric registrar.

| think I've got a non—accidental injury for you.

— Let's have a look.
— Patrick, have you got those notes, please?

— On the baby?
— Yeah.

You, er...ought to follow through more
with your bowling action.

She's a well looked—after baby.
Not even a nappy rash.

It's not what you'd expect
if this was non—accidental.

| was hoping to get to the cricket.
You OK to carry on from here?

— Sure.
— (Bleeping)

(Man) Dr Harding, contact...

Sorry. I've got a really prem baby on the unit.

Do an X-ray, will you, and I'll be right back.

We did everything that we could.

But we weren't able to revive him.

| really am very sorry.

Liz, | have been through it myself,
| am not trying to get at you,

but you need some teaching in resuscitation.

| don't see why you're picking on me. Didn't you
read that thing in the British Medical Journal?

Only a minority of doctors,
who were more senior than me,

knew how to conduct a proper resus.

Which is all the more reason why we should
deal with poor training when we find it.

Look. Either you speak to Dr Hudson or | will.

— Paul.
— How did it go?

I've been suspended too.

I'm sorry.

At least when you lose your job,
you can go back into industry.

— | did try and save you.
— Motivation: guilt.

Result: futile gesture.

(Knocks on door)

Mr Randall. He's had a comfortable night.

Do we have an ECG, please, Liz?

Hello.

Thanks.

— High take-off.
— | wondered about pericarditis.

This ECG isn't pathognomonic,
but it's a good thought. Thank you, Liz.

Is the pain better or worse
if you sit forward, sir?

| don't think it's any different.

| feel fine now. | was hoping to go home.

We're doing some blood tests
to see if there's been any damage to your heart.

You shan't go home
until we're satisfied there isn't any.

Could you sit forward for me, please, sir?

Is the consultant going to see me?

She just has. Yeah, you can go home today
if your blood test is normal.

Yes, Dr Hudson.

— I'm sorry. | thought, erm...
— You thought, erm...what?

(Claire) Yeah, what?
(Liz and Sarah) Yeah, what?

Wait a minute. | think that's it.

— You must have had a quiet night.
— Rough morning, though.

Mm. Good. So see you all
at the cricket match, then?

— Yep.
— Yes.

My husband and elder brother are making up
the numbers in the consultants’ team.

— Well, we'll be there.
— Good. Thanks.

— Er...Dr Hudson?
— Dr Hudson, | wanted to ask you something.

Yes, certainly.

| wondered if it would be possible for me to do
a course in advanced cardiac life support.

Do you have cause to worry
about your proficiency in resuscitation skills?

| just thought it would be good training.

— Liz, do you want to discuss anything with me?
— No.

OK. Liz, we already have one house officer
facing a manslaughter charge

because he didn't ask for help.
| am not going to let history repeat itself.

Thank you, Dr Hudson.

| wondered how Liz is doing.

— (Clears throat)
— Generally fine.

Excuse me.

Claire?

As registrar, | expect you
to take responsibility for teaching.

I'd like you to keep an eye on Liz
and set her straight if need be.

— I'd rather not.
— Explain.

She's ill—motivated,
inattentive and manipulative.

| am not comfortable with that amount of
contempt between two members of my team.

At least Andrew managed to sit on the fence.

Andrew sits on the fence
because he enjoys the sensation.

| think I'd like you to be
a bit more professional in this matter, Claire.

Please don't let it be something
over which you and | fall out.

(Docherty) Mr Tennant.

| believe you and | have reason to confer.

— Any sign of Raj yet?
— Is he not here yet?

| knew it. Our star player.
Off with his girlie again.

— Is Raj here, mate?
— |'ve not seen him.

— Hey, are you friends of his?
— He asked us to come to make numbers up.

You're from his cricket club, yeah? These are
the ringers we've got to bolster our team.

Ah. We need that. We're crap.

— I'm Baz.
— James.

All right? Andrew. How are ya?

In case anyone asks, you're doctors.
Dr Smith and Dr Patel

Just tell ‘em you're locums from Casualty.
No one will know you.

No one'll be surprised
you don't know any medicine.

He'd better turn up, that girl's blouse.

— My little pony.
— The ladies’ handbag with the furry, pink lining.

Dr Kirkby?

| think you and | should have a talk.

Nothing broken. The paediatrician
can sort this out from now on.

They should be able to make out...

Raj, | don't know how long it'll be
before Amanda gets back.

No. | want to spend my time off
hearing the thud of leather on consultant,

not a baby crying.

All right, just till Amanda gets back. With any
luck, | should just make the second innings.

He's not turning up, the two-faced git.

— Well, James. Shall we make a start?
— Try and stop us, Dr T.

How would you like to call?

Heads.

Tails.

— | think we'll bat.
— OK.

— (Both) Good luck.
— (Andrew) We're bowling.

— Nothing broken on the X-ray.
— Oh, well, that's good.

Could you give us information
on how this might have happened?

Well, | don't know.

— Neil?
— No, | dunno.

We're not the police.
We're not making any accusations.

But if you can say if Hayley's
had some kind of accident,

it might help us to find out why she's poorly.

We're getting the paediatrician
to look at Hayley.

But she won't be here
for at least half an hour.

Would you mind
if we did some more X-rays in the meantime?

We just want you to do what's best for Hayley.

Yes, come on, Adrian. Couple there.

Oh, God...

What an advert
for the public school system they are.

(Posh voice) Tutored in all major sports. Not
like the comprehensive—school rabble like us.

OK. Let's talk.

Look, | can't keep this up any longer, Doctor.
It was my fault that Hayley hurt her arm.

— In what way was it your fault, Neil?
— Erm...

| gave Hayley a bath yesterday.

And I'm clumsy with babies
and | let her slip onto the bath.

— It's a minor injury. It will heal perfectly.
— | didn't think it was anything. Believe me.

| do believe you, Neil.

Hayley's father walked out on Louise
as soon as she got pregnant.

Il... | just wanna be...

Louise is the best girl
I've ever been out with.

And | don't want her to think
that I'm gonna be a bad father for Hayley.

OK, Neil.

Does Hayley have any other injuries?

No.

— No other injuries. Good. Any sign of Amanda?
— She said she'd be down.

OK if | leave her to find out why the baby’s
unwell? | ought to get to the crease.

| suppose some might say you've earned it.
| wouldn't.

— There's something really wrong with her.
— Raj?

Why won't she wake up?

Benzylpenicillin, 300mg.
Straightaway, please, Patrick.

It's possible Hayley has meningitis.
| can't say for certain.

But the antibiotics
will do her no harm if I'm wrong.

Louise, will you help me hold Hayley's arm?
I'm gonna have to put a needle in.

Little veins take a lot of practice.

| think you're right to treat for meningitis.

I'm not having any joy here.

I'm sorry, Hayley. No more bright light.

Temperature's still 36.8.

No fever, no real neck stiffness.

She needs to go straight up to the unit.

— I'll arrange for a CT.
— (Bleeping)

— (Woman) Dr Harding, urgent...
— Not again.

I've got a really poorly 32-weeker. A little
walnut with lines going in everywhere.

It's not safe to leave this one.

— I'll get a CT.
— Thanks.

— James, who is that lad?
— Casualty locum, Dr Turner.

Howzeeeee!

— Excellent.
— What a ripper!

Well bowled.

Isobel, | shall return.

— Hard lines, Graham.
— Bad light.

Graham will insist there was some foul play.

Blade of grass out of place.

He's fast.

Dr Turner, bowled Patel for 26.

— Ball tampering.
— Yes, dear.

(All giggle)

Not a happy baby.

Got the anaesthetist on standby.

— Sorry.
— (Patrick) Here we go.

Do you see what | see?

Yes.

Maybe | can get a look at her fundi now.

Widespread retinal haemorrhaging.

Pupils unreactive.

"lL admit her to the unit
and inform my consultant.

You get off to your cricket, Raj.
Thanks for everything.

Better go and talk to the parents.

— | want to come.
— Sure.

Bowler's end.

(Adrian) Yes!

Dr Patel's had his quota
if we're playing limited overs.

— Should have another bowler.
— Yeah, well, Raj is our other bowler.

It's not our fault
if your team—mate can't be bothered to turn up.

I'LL bowL

Oh, well...

— Yes!
— Yeah!

— Well played, Claire.
— Howzat!

Why can't | go with Louise to see Hayley?

I'd like to speak to you first, please.

We have the results
of the brain scan and the blood tests.

— Is it meningitis?
— No.

— What else did you do to Hayley, Neil?
— | told you. It was an accident.

There is bleeding at the back of Hayley's eyes.

There are clots and haemorrhages
inside her head.

Hayley has severe brain damage, Neil.

Neil, did you harm Hayley?

No.

No.

(Applause)

Hors de combat.

| fear it's the old disc again.

Oh... Put a brave face on it for now.
IL make a fuss of you when | get you home.

Mr Docherty, retired hurt for three.

(Phil) | knew he'd not show up.

Putting a girlfriend before your mates
gets you right there.

You've uncovered
some useful players here, James.

They saw my notice in the doctors’ mess.

You two had me on my front foot so long,
| thought | was gonna get a DVT.

Should keep a Doppler machine by the wicket.

— So, er, where do you work?
— Casualty.

Well, if ever you fancy general surgery,
we can always make room for safe hands.

That was a lucky fluke if ever | saw one.
| think someone's earned a spanking.

(Clears throat) So what's going on
with the bimbo, Adrian?

— Charlotte.
— You must think | was born yesterday.

With your track record.

I'm very pleased you managed to attend, Isobel.

I've had a lovely day. And it's been
really nice being out with, erm...other couples.

Talking of other couples...

— Ernest, are you sure you're up to it?
— I'll soldier on, Graham.

Good man.

| was wondering
if you wanted me to throw the match too.

— Ernest? What were you saying?
— Er...forgive me, Isobel.

Dr Kirkby, Graham, would you come with me?

What?

Ernest, what's going on?

Now where are they going?

What's his lordship doing in at the weekend?

| don't know.

that this administration colluded in perjury
and tampering with medical notes

with serious harm
being done to a young doctor's reputation.

I've documented these irregularities
in my personal records.

Your point, Paul?

That I'm prepared to hand these records over
to Mr Docherty for public scrutiny.

That this hospital has advised
to have us on the inside pissing out

rather than the outside pissing in.

And how exactly do we achieve
such a happy state of affairs?

We fabricate evidence.

That owing to a clerical error,
not attributable to any individual,

the chemotherapy became unsafe.

All records relating to this procedure
are conveniently lost.

Not the first time hospital documents
mysteriously vanish

when a hearing's in the offing.

We settle out of court
with the family of the deceased.

Action against Dr Kirkby is discontinued.

| am reinstated. Sister Novac is reinstated.

Sister Landers is reinstated.

Lastly, Dr Turner steps down
as chairman of the Consultants Committee

to be succeeded by Mr Docherty.

Everything returns to being as it was.

No heroes and no villains.

No losers.

Well, Graham,
| consider your loss to be negligible

compared to that
of the dead man and his family.

This resolution is acceptable.
Thank you, gentlemen.

(Whispers)

Yes!

Nasreen, for the last time,
| am not mucking about with my mates.

— Bloody typical
— I'll see you later.

Dr Mortimer, LBW to Dr Turner for 59.

Given up, mate?

Up to you, now.

(Applause)

(Raj) We're not here to judge.

You just couldn't get her to settle.

She cried and cried.
You just couldn't take a second more.

But | never meant to hurt her.

You shook her.
You shook her very hard, didn't you, Louise?

Hayley has severe brain damage, Louise.

We think she's blind now.

It's possible she could die from her injuries.

If she lives,
it's likely she'll be mentally retarded.

She may have spasticity.

She may have epilepsy.

She just kept crying.

(Neil) Are the police coming?

The paediatrician’s contacted social services.

They'll call the police.

Will they let me hold her?

I'd give anything to hear her cry now.

Hayley won't cry any more.

(Julie) | don't need anyone
to fight my battles for me.

| stood up on a point of principle. Don't expect
me to thank you for your shady deals.

— | didn't come here for a thank you, Julie.
— [It wasn't me who ran off with a bimbo.

Call us even.

Yeah. She seemed such a caring mother.

She needed help and there was no one.

(Applause)

Ho—ho—ho! Oh, well done, my boy!

Well done yourself.

— Thank you, Mr Docherty.
— (Andrew) Played, Phil.

Thank you, Andrew.

(ALL chatter)

You should join us. You gonna be a doctor now?