- The longest running British med drama. We have to review it, season 36, what? Let's go! Pee-woop! (car honking) (car breaking) Good reaction. - [Young Woman] Hey! - By both parties. - Hey, what you doing? - Don't road rage, that's not healthy. - Abusing fellow road users
isn't very constructive, is it? (car engine going) (shoulder dislocating) Ah! - Never grab a moving vehicle. That is an argument/fight
you will never win. And whatever sound effect I just heard from her grabbing the car
door there, didn't sound good. Also, didn't sound super realistic. I'm assuming she's gonna have
like a dislocated shoulder here or something, but
it didn't sound real. It sounded too meaty, it
was like (meat squishing). - He must have driven off at some speed to dislocate your shoulder. - Dislocated shoulder,
the most common type of dislocation is an anterior
shoulder dislocation. - Hey Billy, how are you feeling? - Yeah, I'm all good, I'm
ready to rock and roll. - In general, I don't like
keeping patients in slings like this, because it actually
causes a increased rate of frozen shoulder where
you have decreased mobility, you get less range of motion,
thereby having less healing. - Look, thank you for everything, I just, I really wanna get back to my van. - Yeah so, x-rays look okay. - All right, well obviously, you can't drive with that shoulder. - I can't just leave it
there and, it's my home. - Yeah, yeah, it's your home, I get it. - It's my dad. He's in the back. He's got early onset dementia. You wouldn't know if you met him, he just forgets a bit sometimes. - Even mild dementia can become
problematic when it comes to tasks like managing your money, paying bills, being susceptible to scams. Think about it, if you
don't have a good memory, somebody can call and say,
you didn't pay a certain bill asking you for personal information. You can just give it up to him. And speaking of scams, if you
see someone that looks like me or using a name similar to me, giving out WhatsApp phone numbers, that's not me. Just like the fake accounts on Instagram, that's a fake account on
YouTube, report that bad boy. - You're gonna look for Clive, aren't you? - Who's Clive? - Ugh, Lily's dad. - Look, I've just been calling the police. Let them deal with it. - The police are over stressed,
I'm saving them a job. - The ambulances looks
so different in the UK than they do in the US, I've never seen them that color, but I
guess they stand out, so, it actually makes sense
that they're this color. (dramatic music) - He's not here. - Did she just leave her dad in the van? Like I don't understand,
was he awake, was he alert? - Come on, Cardigan, waltzers. - And she said mild dementia, like mild dementia shouldn't
interfere with navigation. - Think I might need a bit of help. - Yeah, it's quite
nasty cut you got there. Let's try and stop it bleeding, shall we? - What are they gonna do?
- [Clive] I couldn't get up. - You got anything in there
I can use as a tourniquet? - Yeah, you can do a makeshift tourniquet, but those are never as good as
commercial grade tourniquets. Those can actually cut off the
circulation and you also need to make the decision of how
bad the person's bleeding out. You can stop the bleeding
with just some pressure. That's a better option. Having a tourniquet on,
especially a serious one for a long period of time
can cause harm to the limb. - Anything in there we
can use as a dressing? - What, like a nappy, maybe? - How about calling for help? Like they're making a tourniquet, but at the same time, they're
like, so what's up? Well, you got diapers? - That's the next best thing. - Did she just apply a
pad like this and hope that it's gonna stop the bleeding
in a high pressure system? No, put some pressure on it. - [Sam] I thought it was
extremely weird, he got on a ride at a carnival and there's no one there. - Look at me, ladies! - No, stop it, please. Can someone help? - Okay, okay, Clive,
let's get you back in. Clive, it's okay, it's okay. Clive, Clive look at me,
look at me, it's Faith. Remember, from the fairground? Now look at your arm, your arm
is bleeding, do you remember? - That's not mild dementia anymore. If you're starting to forget where you are and you start acting this inappropriately, that's already starting to
become moderate to severe. Also could point to
other medical problems. It could even be acute medical problems like normal pressure hydrocephalus. (ominous music) - Come on Ethan, let's get you inside. - No, I never want to come back here. - We need to get you
inside, get some treatment. You've got a virus. - Vitals look semi-realistic. We have a 91 pulse, a 96 pulse, ox. I do not see a blood
pressure on that machine. Maybe they didn't check it recently. - Ethan's got the Huntington's gene. - So Huntington's disease is a progressive neurologic disorder where,
essentially the brain and the neurologic system
starts breaking down over time. And it's a deadly, deadly illness. I mean like from the time
the disease presents itself, you have like 10 to 30 years
before death, it's that quick. And there are genetic
tests available for that. And it's even sometimes
a highly debated topic of whether you should be tested for this. If you're not doing it
for genetic planning for future children, finding
that out could seriously impact your life for
the good or for the bad. So it really depends on what
kind of personality you have, whether or not you wanna know. (deep exhaling) (car engine roaring) - Oi, watch it! - Sorry, turn away. - Maybe you should, uh! - Oh, that was a serious collision. My thing is, if you just
crashed into someone, have the courtesy to hit
that bad boy in reverse and pull out so the person's not trapped. - Keep still, I know it's
scary, but try and keep still. My name's Jade, what's your name? - Emma. - She's really good at
keeping this person calm. - [ER Doctor] What have we got? - Hi, this is Emma Nash, 31
years old, driver involved in an RTC car versus Lori
cab about 40 minutes ago. She was extra cared by the firefighters. Top to toe, buggy hematoma
on the side of her head, chest wall bruising from
the seatbelt, got laceration with arterial bleed on her
leg, RPC stable, GCS is 12. - This is literally not
how this should happen. This is a serious trauma,
she's bleeding out. We should have blood drawn already, we should have tests going, she should actually be fully
undressed because you need to do a visual exam to
see where she's bleeding, where the bruising's happening. If you've missed a laceration somewhere. Because that delay in diagnosis
could cost her her life. - Okay, you ready to incubate? - It should be a full team here, like everyone's to calm and cool. This doesn't seem realistic at all. What is he even doing? - Okay, let's get laryngoscope, ET tube and Ambu bag on standby, please. - Okay, those are the
right tools for intubation. I loved that, it was him opening her jaw, but she actually went,
and opened it for him. - What happened here? - [ER Doctor] Sorry, you can't be in here. - Emma, Emma, who did this, what happened? - Can I get you to wait outside, please? - This is why he needs more staff, so he's not doing this alone. This is so weird for me to watch. There's literally usually
seven more people in the room. Drawing labs, controlling
the patient's family, doing chest compressions
if need be, putting in IVs, gathering the patient's belongings, entering data into the
system, putting more orders. Like there's so many things that need to happen all at the same time. - You can't be in here right now. - She's my sister! - Also, you need to make sure that you've intubated correctly and it's not in the patient's stomach. Inside the patient's stomach. - I'm a doctor, just
tell me what happened. - Okay, I'll explain everything outside. - Oh my God, did he intubate
it into her stomach? No! - She's been seriously injured. I need to speak to the
neurosurgeons and they'll, they'll decide whether
she'll need surgery. - I wanna stay with her. - Can I get you to wait in reception? I promise I'll look after her. - This is such an awkward conversation. Nothing about this seems
genuine or authentic. - Uh, hello, yes, it's Ethan
Hardy calling from the ED. - He's calling for a neurosurgery consult, which like, okay, fine, you
can call that, place the order, whatever, call who you need to call it. But like the fact that
he's like not taking care of the patient right now is a big problem. - How long has she'd been like this? Didn't you check the placement
of the tubes in esophagus? - Oh no, that's why you need
more people in the room. Who is the one bagging the patient? Remember he didn't hook
her up to a ventilator, he hooked her up to a bag, so someone had to be sitting there, squeezing it and watching her pulse go up and her oxygen saturation go down. - You're here for Emma
Nash, is that right? You're her sister? - I am. - If this is about Emma, I'm her fiancee. - She suffered a significant head injury and she may need neurosurgery once the surgeons have assessed her. Her brain was starved of
oxygen for short while. And we won't know yet if there's
been any permanent damage. - What does that mean, how
did she end up like that? I thought you said this
was a car accident. - It's too early to tell. And if the neurosurgeons
can't offer an operation, we'll need to stabilize her. - You didn't say any of
this before, what changed? - No. - You intubated, patients
don't just lose oxygen. Something else happened,
something he's not telling me. - That's so not true. Patients absolutely do, in the process of intubation go a short
time without oxygen. It's not like a patient stops breathing and you right away are now inserted into the patient's airway. The fact that this doctor knows that something's wrong already is weird. Obviously they're being sketch. That's part of it, but, just
a whole weird situation. - I intubated her esophagus by mistake. - [Man] But you recovered
it straight away, you've tracked the O2 trace on it. - Yeah, yeah, I've done that. - I could've killed her. - [Man] It's a recognized
complication of an intubation. - It's true, when you're
intubating a patient, the risk is that you intubate
their esophagus by accident. That's why you check, you
can check the O2 sensor or you could put the little
stethoscope on the lovely chest and see if the chest is
rising, not the stomach. But another thing you can do is obviously get a portable chest x-ray for placement, but, that is obviously not
ideal because it takes longer. - [Stevie] Gonna introduce me? - Of course, sorry, Ethan now
our new consultant, Dr. Nash. - Stevie, please, and I know who you are. You're Dr. Hardy, right? - Yes, I am. - Well that's her daughter
or sister or whatever. (ominous music) Is she gonna do something bad? I don't know. But I do know you should watch my favorite med drama reviews here. So click that, check it out and as always, stay happy and healthy. (upbeat music)
