1
00:00:04,003 --> 00:00:06,363
- Does that feel secure?
- Yeah.

2
00:00:08,003 --> 00:00:11,003
REPORTER: 'Have you got a grip
on the coronavirus?

3
00:00:11,003 --> 00:00:13,003
'How worried are you?

4
00:00:13,003 --> 00:00:15,203
'Will the measures be dramatic?'

5
00:00:15,203 --> 00:00:20,003
So, what I'm gonna do
is run you through seven exercises.

6
00:00:20,003 --> 00:00:22,003
MATT HANCOCK: 'Mr Speaker,
with your permission,

7
00:00:22,003 --> 00:00:25,003
'I'd like to update the house
on COVID-19.'

8
00:00:27,003 --> 00:00:28,003
I'll start with five pumps.

9
00:00:28,003 --> 00:00:30,003
We're going to do
deep breathing now,

10
00:00:30,003 --> 00:00:31,003
so that's with your tongue out.

11
00:00:31,003 --> 00:00:35,683
HANCOCK: 'As of this morning,
7,132 people

12
00:00:35,683 --> 00:00:38,003
'have been tested for the virus.'

13
00:00:38,003 --> 00:00:39,043
Speak as clearly as possible.

14
00:00:39,043 --> 00:00:41,003
Don't worry about
getting the words wrong.

15
00:00:41,003 --> 00:00:43,003
"When the sunlight strikes
raindrops in the air,

16
00:00:43,003 --> 00:00:46,003
"they act like a prism
and form a rainbow.

17
00:00:46,003 --> 00:00:48,003
"The rainbow is a division
of white light..."

18
00:00:48,003 --> 00:00:51,003
HANCOCK: 'The public can be assured
that we have a clear plan

19
00:00:51,003 --> 00:00:55,003
'to contain, delay, research
and mitigate,

20
00:00:55,003 --> 00:00:57,003
'and that we are working
methodologically

21
00:00:57,003 --> 00:00:59,003
'through each step
to keep the public safe.'

22
00:01:06,003 --> 00:01:09,003
No, no, I can still taste it.

23
00:01:09,003 --> 00:01:11,003
Yeah, that's a fail.

24
00:01:11,003 --> 00:01:14,003
These FFP3s are made for wider jaws.

25
00:01:14,003 --> 00:01:16,363
So, lifesaving for men, basically?

26
00:01:16,363 --> 00:01:17,523
Yeah.

27
00:01:17,523 --> 00:01:20,203
You might need a powered respirator
when the time comes.

28
00:01:20,203 --> 00:01:21,683
OK.

29
00:01:21,683 --> 00:01:23,683
But we've run out of those.

30
00:01:23,683 --> 00:01:25,003
OK.

31
00:01:25,003 --> 00:01:27,003
To be honest, I think
they're being reserved for the staff

32
00:01:27,003 --> 00:01:30,003
who are, you know...
What kind of doctor are you?

33
00:01:30,003 --> 00:01:33,003
Acute general medicine.
I'll be in the Cold Zone, so...

34
00:01:33,003 --> 00:01:35,003
Yeah, so not you.

35
00:01:35,003 --> 00:01:37,003
Staff in your areas
won't need that level of PPE,

36
00:01:37,003 --> 00:01:40,003
but if you really want one,
you can get them on Amazon.

37
00:01:40,003 --> 00:01:42,003
I mean, I wouldn't worry about it,
but if you want to.

38
00:01:42,003 --> 00:01:43,043
- Amazon?
- Yeah.

39
00:01:43,043 --> 00:01:46,003
They're about 300 quid, but...

40
00:01:46,003 --> 00:01:47,003
Great (!)

41
00:01:47,003 --> 00:01:49,523
BORIS JOHNSON: 'We are increasing
our stocks of equipment.

42
00:01:49,523 --> 00:01:52,003
'We are accelerating
our search for treatments,

43
00:01:52,003 --> 00:01:54,003
'we're pioneering work
on a vaccine.'

44
00:01:54,003 --> 00:01:57,003
TREVOR MCDONALD: 'How deadly is it?
How fast can it spread?

45
00:01:57,003 --> 00:01:59,003
'And how prepared are we
in Britain?'

46
00:01:59,003 --> 00:02:01,003
SIREN WAILS

47
00:02:01,003 --> 00:02:03,003
Oh, you can't come through
this way, love.

48
00:02:03,003 --> 00:02:05,003
I'm a consultant. I work here.

49
00:02:05,003 --> 00:02:07,003
Oh, well, you'll want
the service entrance, then.

50
00:02:07,003 --> 00:02:08,003
That's the new way in.

51
00:02:08,003 --> 00:02:11,003
JOHNSON: 'And I know
the people of this country

52
00:02:11,003 --> 00:02:12,683
'will rise to that challenge,

53
00:02:12,683 --> 00:02:17,003
'and we will come through it
stronger than ever.

54
00:02:17,003 --> 00:02:20,003
'We will beat the coronavirus
and we will beat it together.'

55
00:02:22,003 --> 00:02:24,003
CHATTER

56
00:02:42,003 --> 00:02:45,003
BANGING AND WHIRRING

57
00:02:53,203 --> 00:02:55,003
Thank you.

58
00:02:56,683 --> 00:02:58,003
- Morning, Abbey.
- Morning.

59
00:03:07,003 --> 00:03:08,003
Hiya.

60
00:03:08,003 --> 00:03:09,843
Hi, Abbey. You all right?

61
00:03:09,843 --> 00:03:11,003
Yeah.

62
00:03:12,003 --> 00:03:14,003
How are we looking?

63
00:03:14,003 --> 00:03:18,003
So, 26 overnight,
12 in the corridor,

64
00:03:18,003 --> 00:03:21,003
a couple in resus,
eight still waiting to be seen,

65
00:03:21,003 --> 00:03:24,003
and two pre-alert
ED have told me about.

66
00:03:24,003 --> 00:03:26,003
"Cold Zone." LOL (!)

67
00:03:26,003 --> 00:03:29,003
Aye. Nice mitral stenosis
in three for Emma, though.

68
00:03:29,003 --> 00:03:30,003
- Yeah?
- Yeah.

69
00:03:30,003 --> 00:03:32,523
- Can you come and help me, please?
- Yeah.

70
00:03:35,523 --> 00:03:37,843
OK. What do you need, Emma?

71
00:03:37,843 --> 00:03:40,363
I have a patient really sick
in the cupboard.

72
00:03:40,363 --> 00:03:42,003
- I don't know what to do.
- OK.

73
00:03:44,003 --> 00:03:45,683
Hello, sir.

74
00:03:45,683 --> 00:03:48,003
I'm Dr Henderson,
I'm one of the consultants.

75
00:03:48,003 --> 00:03:50,203
I'm just gonna pop you
a bit more upright.

76
00:03:50,203 --> 00:03:52,003
HE GASPS FOR BREATH

77
00:03:52,003 --> 00:03:54,203
OK, great. OK, what's the story?

78
00:03:54,203 --> 00:03:56,003
Erm...

79
00:03:56,003 --> 00:04:00,003
He has ischemic heart disease,
a CABG in 2011,

80
00:04:00,003 --> 00:04:02,003
erm... but well since.

81
00:04:02,003 --> 00:04:04,003
Walks every day with his wife.

82
00:04:04,003 --> 00:04:06,003
Start with ABC, Emma.

83
00:04:06,003 --> 00:04:07,523
You seem very breathless, Mister...

84
00:04:07,523 --> 00:04:10,003
Williams.

85
00:04:10,003 --> 00:04:11,003
Stats and obs?
Where's the monitoring?

86
00:04:11,003 --> 00:04:13,003
I don't know. They just told me

87
00:04:13,003 --> 00:04:14,003
to come and look at him
in the cupboard.

88
00:04:14,003 --> 00:04:18,043
OK. Emergency buzzer
and call for help, please, Emma.

89
00:04:18,043 --> 00:04:21,003
I'm just gonna have a little listen
to your breathing. Emma!

90
00:04:21,003 --> 00:04:22,523
- Yeah.
- Yeah, yeah.

91
00:04:26,003 --> 00:04:27,003
OK.

92
00:04:31,003 --> 00:04:34,003
OK, we're going to take
very good care of you, Mr Williams.

93
00:04:34,003 --> 00:04:35,003
I'll be right back.

94
00:04:46,043 --> 00:04:49,003
I'm just gonna pop this mask on
for you.

95
00:04:49,003 --> 00:04:51,003
It's gonna help your breathing.

96
00:04:52,003 --> 00:04:53,003
OK, can you pop your head forward?

97
00:04:53,003 --> 00:04:55,003
Morning.

98
00:04:55,003 --> 00:04:56,003
- Hi.
- Resus?

99
00:04:56,003 --> 00:04:57,203
Yes, please.

100
00:04:57,203 --> 00:05:01,003
81-year-old male, no travel history,

101
00:05:01,003 --> 00:05:03,043
flash pulmonary oedema, CABG 2011.

102
00:05:03,043 --> 00:05:07,003
Otherwise well, walking three miles
a day till last week.

103
00:05:07,003 --> 00:05:11,003
We're gonna need suction, please,
then non-rebreathe, 15 litres.

104
00:05:11,003 --> 00:05:12,003
Neil, could you do an ABG?

105
00:05:12,003 --> 00:05:14,003
- Yeah.
- Frusemide, GTN?

106
00:05:14,003 --> 00:05:16,003
If his BP can take it, yes,
please. Have you got this?

107
00:05:16,003 --> 00:05:18,003
- Yeah. Go, go.
- The take's wild. Thank you.

108
00:05:20,843 --> 00:05:22,003
Hey, Emma.

109
00:05:24,003 --> 00:05:26,203
Could we please stop using
that bloody cupboard?

110
00:05:26,203 --> 00:05:29,003
Complaints go up, not sideways.

111
00:05:30,203 --> 00:05:32,523
Emma, have a doughnut.

112
00:05:33,683 --> 00:05:35,363
Hey...

113
00:05:35,363 --> 00:05:38,003
Hey, you did really well, OK?

114
00:05:38,003 --> 00:05:39,043
That shouldn't have happened.

115
00:05:39,043 --> 00:05:42,003
- Yeah, but it always happens.
- Abbey?

116
00:05:43,003 --> 00:05:44,003
Can we use you?

117
00:05:44,003 --> 00:05:46,003
Yeah. What's up?

118
00:05:46,003 --> 00:05:47,003
It's happening.

119
00:05:47,003 --> 00:05:50,003
Just had a call from LAS.

120
00:05:50,003 --> 00:05:52,003
Might be the first one.

121
00:05:52,003 --> 00:05:54,003
Blue-lit from Heathrow,
flew in from China.

122
00:05:55,003 --> 00:05:57,003
OK.

123
00:05:57,003 --> 00:05:59,003
Could you tell Ant, please?

124
00:05:59,003 --> 00:06:00,003
Yeah.

125
00:06:12,003 --> 00:06:13,003
OK?

126
00:06:13,003 --> 00:06:14,003
Yeah.

127
00:06:20,003 --> 00:06:22,003
Failed my first fit-test
a week ago.

128
00:06:22,003 --> 00:06:25,003
- Oh?
- Yeah. Thanks.

129
00:06:25,003 --> 00:06:27,003
Failed my second one as well.

130
00:06:28,003 --> 00:06:29,043
Oh, well done (!)

131
00:06:38,003 --> 00:06:40,043
EXHALES SHARPLY

132
00:06:44,003 --> 00:06:46,003
SIREN WAILS

133
00:06:51,003 --> 00:06:53,003
Straight to this one, please.

134
00:06:53,003 --> 00:06:56,003
OK, tell me about the patient, please.

135
00:06:56,003 --> 00:06:59,003
This is Tony. DOB 3/12/65,

136
00:06:59,003 --> 00:07:01,003
picked up from Heathrow,
blue-lighted here.

137
00:07:01,003 --> 00:07:04,003
- Get ready to move.
- Airway open, no airway assists in.

138
00:07:04,003 --> 00:07:06,003
- Ready, steady, roll.
- Rest rep rate is high at 40 pm.

139
00:07:06,003 --> 00:07:08,683
- Ready, steady, slide.
- Sats low throughout on oxygen.

140
00:07:10,003 --> 00:07:12,003
Let's make some room.

141
00:07:12,003 --> 00:07:14,003
He's completely obtunded.

142
00:07:14,003 --> 00:07:17,003
ABG, please,
and can we get some monitoring?

143
00:07:17,003 --> 00:07:18,003
Yeah.

144
00:07:18,003 --> 00:07:19,003
Do we have access?

145
00:07:19,003 --> 00:07:22,003
Just a pink.
He's completely shut down.

146
00:07:22,003 --> 00:07:23,363
Not shifting much air.

147
00:07:23,363 --> 00:07:26,003
OK, can we do an urgent
chest X-ray in here, please?

148
00:07:26,003 --> 00:07:27,363
On their way.

149
00:07:27,363 --> 00:07:30,003
Crep throughout.
Neil, do you have an airway?

150
00:07:30,003 --> 00:07:33,003
Yeah, but I'm having to help.
Sats are in the 70s.

151
00:07:33,003 --> 00:07:35,003
OK, he's tiring.
We need to get on and intubate.

152
00:07:35,003 --> 00:07:36,043
Yeah, agreed.

153
00:07:36,043 --> 00:07:39,003
Drugs from the fridge, please.

154
00:07:39,003 --> 00:07:41,683
- Jo?
- Sats are 52.

155
00:07:41,683 --> 00:07:44,003
- He's barely breathing now.
- Suction's there.

156
00:07:44,003 --> 00:07:45,003
Are ITU on their way?

157
00:07:45,003 --> 00:07:47,003
On their way.

158
00:07:47,003 --> 00:07:49,043
OK, drugs going in,
bougie ready, please.

159
00:07:49,043 --> 00:07:52,003
We're gonna need that ABG
as soon as we can, guys.

160
00:07:52,003 --> 00:07:55,523
Gonna need suction. Tube, please.

161
00:07:55,523 --> 00:07:58,003
He's arresting now.
MONITOR BEEPS

162
00:08:05,003 --> 00:08:06,003
Chantelle.

163
00:08:06,003 --> 00:08:08,003
Abbey, you and the team
have got to let me know

164
00:08:08,003 --> 00:08:10,003
if you're sending unstable patients
up to the wards.

165
00:08:10,003 --> 00:08:12,003
I know, I'm sorry.
I wanted to give you a heads up,

166
00:08:12,003 --> 00:08:14,003
but the take's been crazy.

167
00:08:14,003 --> 00:08:18,003
Archie Williams. He should really be
in ITU, but no beds.

168
00:08:19,003 --> 00:08:21,003
We just lost the first one in resus.

169
00:08:21,003 --> 00:08:22,683
Shit.

170
00:08:24,003 --> 00:08:28,003
- He doesn't have it, does he?
- No, he's flash pulmonary edema.

171
00:08:29,003 --> 00:08:31,003
Are the ITU outreach team
still gonna come and see him?

172
00:08:31,003 --> 00:08:33,843
Yeah, I know it's not ideal,
but they're rammed.

173
00:08:33,843 --> 00:08:35,003
The whole network is.

174
00:08:35,003 --> 00:08:37,003
We just can't be taking
high-dependency patients

175
00:08:37,003 --> 00:08:39,683
onto the general wards.
I mean, it's not safe.

176
00:08:39,683 --> 00:08:42,003
I know,
but he's got to go somewhere.

177
00:08:44,003 --> 00:08:47,003
FRENCH DOCTOR: 'All over Lombardy,
we are overwhelmed.

178
00:08:47,003 --> 00:08:49,003
'Emergency full,
intensive care full,

179
00:08:49,003 --> 00:08:51,363
'theatres, corridors.

180
00:08:51,363 --> 00:08:54,003
'It arrived so fast,
we were not prepared.

181
00:08:54,003 --> 00:08:57,363
'You must prepare
and find a way to double, triple,

182
00:08:57,363 --> 00:08:59,203
'more than triple the beds you have.

183
00:08:59,203 --> 00:09:01,003
'All the ventilators you have,

184
00:09:01,003 --> 00:09:03,003
'you will need
more than that number.'

185
00:09:04,003 --> 00:09:06,003
By how much more, would you say?

186
00:09:06,003 --> 00:09:08,003
How many more ventilated beds?

187
00:09:09,003 --> 00:09:11,003
'Mine is a small unit here, 15 beds,

188
00:09:11,003 --> 00:09:13,003
'but we need we need 60-80 more,

189
00:09:13,003 --> 00:09:15,003
'so you can do the sums.

190
00:09:20,003 --> 00:09:24,003
'We're working 18-20 hours,

191
00:09:24,003 --> 00:09:26,003
'our medical students
are manually ventilating patients.'

192
00:09:26,003 --> 00:09:29,003
REPORTER: 'Prime Minister,
just two weeks ago in Italy,

193
00:09:29,003 --> 00:09:34,003
'there were 153 cases of coronavirus
and just three deaths.

194
00:09:34,003 --> 00:09:38,003
'Now, 16 million people
have been quarantined.

195
00:09:38,003 --> 00:09:40,003
'A reflection, if you like,

196
00:09:40,003 --> 00:09:44,003
'of the public health challenge
we are all facing globally.'

197
00:09:44,003 --> 00:09:46,003
FRENCH DOCTOR:
'We are rationing the ventilators.

198
00:09:46,003 --> 00:09:47,003
'At the moment, we have no choice.

199
00:09:47,003 --> 00:09:51,003
'Over 65, no ventilators at all.

200
00:09:51,003 --> 00:09:54,003
'Oxygen, too,
we are struggling with our supply.

201
00:09:54,003 --> 00:09:57,003
'The thing is, it doesn't matter
how much you can plan,

202
00:09:57,003 --> 00:10:00,003
'doesn't matter how much you are
reading the news or whatever,

203
00:10:00,003 --> 00:10:02,003
'the virus
is always gonna be ahead.

204
00:10:03,003 --> 00:10:06,003
'You can never be prepared enough.

205
00:10:06,003 --> 00:10:08,363
'I'm sorry, guys,
but that's the way it is.'

206
00:10:11,003 --> 00:10:12,003
Thank you, Doctor.

207
00:10:14,003 --> 00:10:16,003
REPORTER: 'There's been
a bit of confusing advice

208
00:10:16,003 --> 00:10:17,003
'about things like shaking hands.'

209
00:10:17,003 --> 00:10:18,203
JOHNSON: 'Yes.'

210
00:10:18,203 --> 00:10:20,003
'And I'm intrigued to know whether

211
00:10:20,003 --> 00:10:22,003
'you've developed
a personal policy yourself.'

212
00:10:22,003 --> 00:10:26,003
'I'm shaking hands continuously,
I was at a hospital the other night

213
00:10:26,003 --> 00:10:30,003
where I think there were actually
a few coronavirus patients,

214
00:10:30,003 --> 00:10:32,003
and I shook hands with everybody,
you'll be pleased to know,

215
00:10:32,003 --> 00:10:34,003
and I continued to shake hands.

216
00:10:34,003 --> 00:10:36,003
MACHINES BEEP

217
00:10:43,003 --> 00:10:44,003
Mr Ahmad.

218
00:10:45,003 --> 00:10:47,003
I'm Doctor Vyas. How are we doing?

219
00:10:47,003 --> 00:10:48,683
MOROSELY: All right.

220
00:10:48,683 --> 00:10:51,003
MR AHMAD COUGHS

221
00:10:53,683 --> 00:10:55,003
Let's just lift you up slightly.

222
00:10:55,003 --> 00:10:56,683
There we are.

223
00:10:56,683 --> 00:10:58,003
CONTINUES COUGHING

224
00:10:58,003 --> 00:11:00,003
Are you a smoker?

225
00:11:00,003 --> 00:11:01,003
No.

226
00:11:01,003 --> 00:11:03,003
Let's see.

227
00:11:07,203 --> 00:11:09,003
Let's take this off.

228
00:11:10,003 --> 00:11:12,003
COUGHS

229
00:11:14,523 --> 00:11:16,003
You're not feeling breathless?

230
00:11:16,003 --> 00:11:17,003
No.

231
00:11:17,003 --> 00:11:19,003
Have you been exposed
to any chemicals at work?

232
00:11:19,003 --> 00:11:21,003
I work in IT, mate.

233
00:11:21,003 --> 00:11:22,003
Right.

234
00:11:22,003 --> 00:11:24,003
I'm just gonna
stick this back on, yeah?

235
00:11:24,003 --> 00:11:26,003
What's your high score?

236
00:11:26,003 --> 00:11:28,003
556,000.

237
00:11:28,003 --> 00:11:32,003
- What? You need to get out more.
- What's yours?

238
00:11:32,003 --> 00:11:34,203
- About 10,000 something.
- Terrible.

239
00:11:37,003 --> 00:11:39,003
I think we have a hot case
in bed one.

240
00:11:39,003 --> 00:11:41,003
Everyone's been triaged
on the front door.

241
00:11:41,003 --> 00:11:43,003
- I know, but I need the side room.
- I can't just give you...

242
00:11:43,003 --> 00:11:46,003
Clare, please, can you just
get that done for me, please?

243
00:11:46,003 --> 00:11:48,003
- OK. Sure.
- Thanks.

244
00:12:00,003 --> 00:12:04,003
Hiya. I need some masks, please,
some FFP3s.

245
00:12:04,003 --> 00:12:05,003
Why?

246
00:12:05,003 --> 00:12:07,003
Query positive in the Cold Zone.

247
00:12:07,003 --> 00:12:10,003
- But...
- Can I please just take some FFP3s?

248
00:12:10,003 --> 00:12:13,003
I don't think it's allowed.
We've been told Hot Zone only.

249
00:12:13,003 --> 00:12:15,003
OK, why?

250
00:12:15,003 --> 00:12:16,003
We've just been told.

251
00:12:17,683 --> 00:12:19,003
Well, I need an FFP3.

252
00:12:20,003 --> 00:12:21,363
We've been told.

253
00:12:23,043 --> 00:12:25,363
HE SCOFFS

254
00:12:25,363 --> 00:12:27,003
Right. OK.

255
00:12:45,003 --> 00:12:47,003
- Emma?
- Yeah.

256
00:12:47,003 --> 00:12:49,003
Will you take one of these
and stick it on for me?

257
00:12:49,003 --> 00:12:50,003
Yeah, sure.

258
00:12:55,003 --> 00:12:56,003
Who's that?

259
00:12:56,003 --> 00:13:00,003
Oh, that's Mrs Ahmad, his wife.
Is everything all right?

260
00:13:02,003 --> 00:13:04,003
- Ant? Yeah?
- I'm not sure.

261
00:13:04,003 --> 00:13:06,003
- Should I scrub up?
- Yes, please.

262
00:13:11,003 --> 00:13:14,003
Hi, Mr Ahmad. We're just gonna
move you to a little side room.

263
00:13:14,003 --> 00:13:16,003
One's just become available.

264
00:13:16,003 --> 00:13:18,003
Sorry, can you make
some room there, please?

265
00:13:18,003 --> 00:13:20,003
Would you mind just moving
to one side, please?

266
00:13:28,003 --> 00:13:31,003
Can you get the door for me,
please, Clare, and then step away?

267
00:13:31,003 --> 00:13:33,003
Just leave that there for me,
please, Emma.

268
00:13:34,003 --> 00:13:37,003
Can I just get you to stay outside
for a sec, please, Mrs Ahmad?

269
00:13:37,003 --> 00:13:40,003
- Why, what's going on?
- No, no, no, she's gonna stay.

270
00:13:40,003 --> 00:13:42,003
Yeah, I'm fine here, thank you.

271
00:13:42,003 --> 00:13:44,523
Have you been with him all day?

272
00:13:44,523 --> 00:13:46,203
Yeah, of course.

273
00:13:46,203 --> 00:13:49,003
Why? What's wrong, Doctor?
HE COUGHS

274
00:13:59,003 --> 00:14:01,203
- What's going on?
- It's really weird.

275
00:14:01,203 --> 00:14:03,003
He's just sat there
happily on his phone,

276
00:14:03,003 --> 00:14:05,003
but his sats are in the 60s
on room air.

277
00:14:05,003 --> 00:14:08,003
What's his chest X-ray like?

278
00:14:08,003 --> 00:14:10,003
Virtual whiteout,
bilateral infiltrates,

279
00:14:10,003 --> 00:14:11,363
a really odd-looking X-ray.

280
00:14:13,003 --> 00:14:14,843
You said sats in the 60s?

281
00:14:14,843 --> 00:14:17,003
Yeah, but ID won't let us test him.
No travel history.

282
00:14:18,003 --> 00:14:19,523
And the Hot Zone won't take him.

283
00:14:19,523 --> 00:14:22,043
"No travel history, no coronavirus."

284
00:14:25,003 --> 00:14:26,003
OK.

285
00:14:28,003 --> 00:14:30,003
Everybody stay out.

286
00:14:30,003 --> 00:14:31,003
Where you going?

287
00:14:31,003 --> 00:14:32,843
Just stay out. I'll call you.

288
00:14:34,003 --> 00:14:35,203
COUGHS

289
00:14:35,203 --> 00:14:39,003
Look, I need a coronavirus test
for a 45-year-old patient.

290
00:14:39,003 --> 00:14:41,203
I know he has no travel history...
- Right.

291
00:14:41,203 --> 00:14:44,203
...but there is the highest index
of clinical suspicion

292
00:14:44,203 --> 00:14:46,003
that this is an undiagnosed
coronavirus case.

293
00:14:46,003 --> 00:14:49,003
Absolutely, but the guidance says
with no travel history,

294
00:14:49,003 --> 00:14:50,043
we can't authorise testing.

295
00:14:50,043 --> 00:14:53,003
I was just standing there watching
a patient playing on his phone

296
00:14:53,003 --> 00:14:54,523
with his sats sitting in his boots,

297
00:14:54,523 --> 00:14:57,003
so the guidelines need to
go in the bin for a moment.

298
00:14:57,003 --> 00:14:59,003
We have to follow guidelines.
We have no choice.

299
00:14:59,003 --> 00:15:04,003
Huw, you know this thing
is spreading all over Italy.

300
00:15:04,003 --> 00:15:07,003
This is national guidance, OK?
It's from Public Health England.

301
00:15:07,003 --> 00:15:10,003
Talk to Mike and make sure
your patient's in a side room.

302
00:15:24,003 --> 00:15:26,003
He's crashing, he's crashing.

303
00:15:26,003 --> 00:15:29,003
- What's going on?
- I need help here, he's arresting.

304
00:15:29,003 --> 00:15:30,003
Ant, Ant, stop! Stop!

305
00:15:30,003 --> 00:15:33,003
Can we all glove and mask,
all of you, straight away, please?

306
00:15:36,003 --> 00:15:37,003
Adult cardiac arrest.

307
00:15:37,003 --> 00:15:39,003
I'm already exposed,
I'm getting started.

308
00:15:42,003 --> 00:15:45,003
- Shouldn't we have FFP3s?
- Hot Zone only.

309
00:15:45,003 --> 00:15:47,003
Jo can't come.
There's a query coronavirus.

310
00:15:47,003 --> 00:15:51,003
Emma, no, please, please, step back.
Thank you. Mrs Ahmad, I need you...

311
00:15:51,003 --> 00:15:52,003
What's wrong with him?

312
00:15:52,003 --> 00:15:54,003
Where's the defib?
Where's the crash trolley?

313
00:15:54,003 --> 00:15:55,523
Is he gonna be OK?

314
00:15:55,523 --> 00:15:57,683
Guys, stay out.
We're gonna wait for ITU. Thanks.

315
00:15:57,683 --> 00:15:58,843
Abbey?

316
00:15:58,843 --> 00:16:00,003
ITU on their way.

317
00:16:12,003 --> 00:16:13,003
Abbey, back, please.

318
00:16:16,003 --> 00:16:18,003
This is Yussuf Ahmad,

319
00:16:18,003 --> 00:16:21,003
45-year-old,
admitted with mild breathlessness.

320
00:16:21,003 --> 00:16:24,003
Febrile, bilateral creps
on examination.

321
00:16:24,003 --> 00:16:26,363
Sats in the 60s on admission.

322
00:16:26,363 --> 00:16:29,003
Total whiteout on chest film,

323
00:16:29,003 --> 00:16:31,203
but sat up chatting on oxygen.

324
00:16:31,203 --> 00:16:33,203
ITU DOCTOR:
Laryngoscope and a size 8 tube.

325
00:16:36,683 --> 00:16:38,003
Pause.

326
00:16:39,203 --> 00:16:40,683
Pause.

327
00:16:46,003 --> 00:16:47,003
Laryngoscope.

328
00:16:50,043 --> 00:16:51,203
Tube.

329
00:17:06,003 --> 00:17:08,003
I'm in. Restart compressions.

330
00:17:09,003 --> 00:17:11,003
Why are you guys in PPE?

331
00:17:11,003 --> 00:17:13,003
Just a precaution.
No travel history.

332
00:17:13,003 --> 00:17:14,523
We should all be in full PPE!

333
00:17:14,523 --> 00:17:16,203
Becky, you can take over?

334
00:17:16,203 --> 00:17:19,003
Five, four, three, two, one.

335
00:17:19,003 --> 00:17:20,003
Look, I think...

336
00:17:20,003 --> 00:17:22,363
I was clerking him earlier
without a mask on, Abbey.

337
00:17:22,363 --> 00:17:25,003
- I think you need to isolate.
- I didn't even put gloves on.

338
00:17:25,003 --> 00:17:27,523
- Ant, Ant...
- But he seemed fine.

339
00:17:27,523 --> 00:17:29,683
- Go home.
- They said the Cold Zone was clear.

340
00:17:29,683 --> 00:17:33,003
Listen to me. You've been exposed.
You need to go now.

341
00:17:33,003 --> 00:17:35,003
- What about...
- Please.

342
00:17:35,003 --> 00:17:37,003
Just go. I'll call you later, OK?

343
00:17:38,003 --> 00:17:40,003
- Yeah.
- It's OK.

344
00:18:24,003 --> 00:18:28,363
How is that feeling, huh? Good?

345
00:18:35,523 --> 00:18:37,003
Better, Mr Williams?

346
00:18:37,003 --> 00:18:38,003
New man.

347
00:18:38,003 --> 00:18:41,003
Thank you, Divina.

348
00:18:41,003 --> 00:18:43,003
You're welcome, Mr Williams.

349
00:18:43,003 --> 00:18:45,003
HE COUGHS

350
00:18:46,003 --> 00:18:48,003
Hi. Hi, hi.

351
00:18:48,003 --> 00:18:51,003
'Hi. Yeah, yeah. You OK?'

352
00:18:51,003 --> 00:18:53,003
Sorry I didn't get a chance
to call sooner.

353
00:18:53,003 --> 00:18:56,003
'No, no, it's fine.
It's all good. It's all good.'

354
00:18:56,003 --> 00:18:58,003
Everything OK?

355
00:18:58,003 --> 00:19:01,003
'Yeah, yeah. Just wondering
what's going on, though.'

356
00:19:01,003 --> 00:19:04,003
Er... We're not sure yet.

357
00:19:04,003 --> 00:19:08,003
Nothing's been confirmed, you know,
with testing or anything.

358
00:19:08,003 --> 00:19:11,003
But, well, Robyn doesn't
really tolerate the nebuliser,

359
00:19:11,003 --> 00:19:13,003
so if she would get coronavirus,

360
00:19:13,003 --> 00:19:14,003
she'd end up going straight
into kids' ED

361
00:19:14,003 --> 00:19:16,843
and I really wouldn't want
that to happen right now.

362
00:19:16,843 --> 00:19:19,003
'But, I mean, she's been...

363
00:19:19,003 --> 00:19:21,843
'she's been pretty good recently,
you know?

364
00:19:21,843 --> 00:19:24,003
KIDS YELL
'Guys, guys, please.

365
00:19:25,003 --> 00:19:27,203
'I don't think there are
many cases yet, are there?'

366
00:19:27,203 --> 00:19:29,003
I just...
I don't want it getting to her.

367
00:19:29,003 --> 00:19:32,003
Even if I've dodged it,

368
00:19:32,003 --> 00:19:34,003
it's gonna be in the schools now.

369
00:19:34,003 --> 00:19:37,003
'You all right, though?
When do you finish?'

370
00:19:37,003 --> 00:19:38,003
Not for a while.

371
00:19:40,003 --> 00:19:41,003
'Here you are.'

372
00:19:42,363 --> 00:19:44,003
Do I get a hello?

373
00:19:45,003 --> 00:19:47,003
- 'Hello, Mum.'
- 'Hi.'

374
00:19:52,003 --> 00:19:53,003
I'll call you when I'm heading home.

375
00:19:53,003 --> 00:19:56,003
- 'Sorry. Sorry. You're OK, though?'
- It's fine.

376
00:19:56,003 --> 00:19:58,203
Yep, yeah. I better go, OK?

377
00:19:58,203 --> 00:20:00,683
- 'Bye-bye.'
- Bye. Bye-bye.

378
00:20:38,003 --> 00:20:40,003
PPE to the max in here.

379
00:20:42,003 --> 00:20:46,003
I'm not saying he's got COVID,
but we're suspicious, OK?

380
00:20:46,003 --> 00:20:48,003
We've swabbed him, so we'll see.

381
00:20:49,003 --> 00:20:51,363
"No travel history, no coronavirus."

382
00:20:51,363 --> 00:20:53,363
Well, he's sick enough
for a test now.

383
00:20:53,363 --> 00:20:55,683
Where are these rules coming from?

384
00:20:57,003 --> 00:20:58,003
If he has got the virus,

385
00:20:58,003 --> 00:20:59,043
it's coming in through
the front door.

386
00:20:59,043 --> 00:21:02,003
Anyone with a chest history
could have it.

387
00:21:02,003 --> 00:21:03,003
Or just anyone.

388
00:21:08,003 --> 00:21:12,003
BORIS JOHNSON: 'Fantastic NHS,
fantastic testing systems

389
00:21:12,003 --> 00:21:14,003
'and fantastic surveillance.'
PASSENGER COUGHS

390
00:21:14,003 --> 00:21:19,003
'We will make sure the NHS gets
all the support it needs

391
00:21:19,003 --> 00:21:23,003
'to continue their brilliant
response to the virus so far.

392
00:21:23,003 --> 00:21:24,843
'But at this stage,

393
00:21:24,843 --> 00:21:28,003
'with the exception of all the
points that I have just mentioned,

394
00:21:28,003 --> 00:21:29,003
'I want to stress

395
00:21:29,003 --> 00:21:32,203
'that for the vast majority
of the people of this country,

396
00:21:32,203 --> 00:21:36,003
'we should be going about
our business as usual.'

397
00:21:36,003 --> 00:21:40,363
OK, folks, we now have
our first two patients

398
00:21:40,363 --> 00:21:44,003
with suspected coronavirus
isolated in ITU.

399
00:21:45,003 --> 00:21:48,003
Both travel history from China.

400
00:21:48,003 --> 00:21:51,003
Both tested, but results not back.

401
00:21:51,003 --> 00:21:56,003
We've been told to double,
possibly triple our ITU footprint,

402
00:21:56,003 --> 00:22:00,003
and anticipate suspending
all elective surgery

403
00:22:00,003 --> 00:22:01,003
and redeploying staff.

404
00:22:01,003 --> 00:22:03,003
We're contacting dental colleagues.

405
00:22:03,003 --> 00:22:07,003
We're bringing back
clinic-based SPRs and research SPRs,

406
00:22:07,003 --> 00:22:10,003
and redeploying them
to Cold Zone wards.

407
00:22:10,003 --> 00:22:13,003
We are following
the Public Health England guidance

408
00:22:13,003 --> 00:22:16,003
and in daily contact
with NHS England.

409
00:22:18,003 --> 00:22:20,523
Er... Yeah. Questions?

410
00:22:20,523 --> 00:22:23,003
Yes, Mike...

411
00:22:23,003 --> 00:22:27,003
There are actually three
suspected COVID cases, not two.

412
00:22:27,003 --> 00:22:30,003
My team saw a case in the Cold Zone

413
00:22:30,003 --> 00:22:32,043
presenting with no travel history.

414
00:22:32,043 --> 00:22:35,843
He experienced a respiratory arrest,
and he is now in ITU.

415
00:22:37,003 --> 00:22:39,523
So, what's your question, Abbey?

416
00:22:41,003 --> 00:22:46,003
My concern is the Cold Zones, where
there's currently no PPE at all.

417
00:22:46,003 --> 00:22:49,363
I'm worried this puts my team,
all the teams, at risk.

418
00:22:49,363 --> 00:22:52,003
We're beginning to see
patients on the take presenting...

419
00:22:52,003 --> 00:22:55,003
I do hear you, but there really
aren't any serious concerns

420
00:22:55,003 --> 00:22:57,683
about community transmission
coming through to us from PHE.

421
00:22:57,683 --> 00:22:59,003
I'm voicing that concern, Mike.

422
00:22:59,003 --> 00:23:00,843
MURMURED AGREEMENT

423
00:23:00,843 --> 00:23:02,003
All right. OK.

424
00:23:02,003 --> 00:23:07,003
OK, look, everyone,
this is the national guidance.

425
00:23:07,003 --> 00:23:08,523
MAN: Based on what?

426
00:23:08,523 --> 00:23:10,003
On containment.

427
00:23:10,003 --> 00:23:12,003
The working assumption is that

428
00:23:12,003 --> 00:23:15,003
the few cases here in the UK
are contained.

429
00:23:15,003 --> 00:23:18,003
And for now, there's no reason
to assume otherwise.

430
00:23:18,003 --> 00:23:20,003
OK. Thanks so much, everyone.

431
00:23:20,003 --> 00:23:22,003
These will be daily briefings
from now on. I hope that's OK.

432
00:23:22,003 --> 00:23:24,003
So, I will see you all
tomorrow morning.

433
00:23:24,003 --> 00:23:27,003
All of us just packed in here again,
all together like this?

434
00:23:27,003 --> 00:23:30,003
It's just temporary,
until things get back to normal.

435
00:23:30,003 --> 00:23:32,003
I hope that's not a problem.

436
00:23:36,003 --> 00:23:37,003
Mike.

437
00:23:39,003 --> 00:23:40,003
Mike!

438
00:23:40,003 --> 00:23:44,363
We're all packed in here
with no masks or social distancing.

439
00:23:44,363 --> 00:23:46,003
I've already had to send my reg home

440
00:23:46,003 --> 00:23:48,003
because I think
he may have been exposed.

441
00:23:48,003 --> 00:23:49,003
No, no, not if he's Cold Zone only.

442
00:23:49,003 --> 00:23:52,003
But I think we're getting
coronavirus cases in the Cold Zone.

443
00:23:52,003 --> 00:23:54,523
Look, like I said, this has come
straight down to us from...

444
00:23:54,523 --> 00:23:56,003
From Public Health England. I know.

445
00:23:56,003 --> 00:23:58,003
I don't think they're making it up
on the spot.

446
00:23:58,003 --> 00:24:00,003
But what if they're out of date
and it's already spreading?

447
00:24:00,003 --> 00:24:02,003
Abbey, this is their lane.

448
00:24:02,003 --> 00:24:04,003
We need to have faith in their
ability to assess the epidem...

449
00:24:04,003 --> 00:24:07,043
- The staff on my ward have no PPE!
- Because they don't need it.

450
00:24:07,043 --> 00:24:10,003
In Cold Zones, they don't need it.
That's the guidance.

451
00:24:10,003 --> 00:24:12,003
PHONE BUZZES
I'm sorry. I have to take this.

452
00:24:22,003 --> 00:24:23,363
How's he doing?

453
00:24:23,363 --> 00:24:27,003
His gas exchange is deteriorating
despite maximal ventilation.

454
00:24:33,003 --> 00:24:35,003
PHONE BUZZES

455
00:24:37,003 --> 00:24:40,003
Yes. Put her through, please.

456
00:24:40,003 --> 00:24:41,003
That's his wife.

457
00:24:42,003 --> 00:24:43,203
Dr Ozkul here.

458
00:24:46,003 --> 00:24:49,363
Everything we're trying
just isn't enough.

459
00:24:49,363 --> 00:24:52,003
I'm sorry to say,
he's not going to survive.

460
00:24:52,003 --> 00:24:55,003
'No! Can I see him?'

461
00:24:55,003 --> 00:24:59,003
I'm so very sorry,
but we cannot let visitors inside.

462
00:24:59,003 --> 00:25:01,003
The risks at the moment
are just too...

463
00:25:01,003 --> 00:25:02,003
SHE SOBS

464
00:25:02,003 --> 00:25:04,003
I am very, very sorry.

465
00:25:17,003 --> 00:25:20,003
So, in summary,
Mr Williams is doing brilliantly

466
00:25:20,003 --> 00:25:23,003
when you think about
what he was like when he came in.

467
00:25:23,003 --> 00:25:25,003
You're doing so well, Mr Williams.

468
00:25:25,003 --> 00:25:27,203
Hopefully, hopefully,
home to Florence soon.

469
00:25:27,203 --> 00:25:30,003
She'll be pleased. Thank you.

470
00:25:30,003 --> 00:25:32,363
Thanks, Emma. I'm glad
you're feeling better, Mr Williams.

471
00:25:32,363 --> 00:25:34,003
- Bye-bye.
- Where's Ant this morning?

472
00:25:35,003 --> 00:25:38,003
I sent him home from the take
on Friday.

473
00:25:38,003 --> 00:25:40,003
He did CPR on the patient
who went straight to ITU.

474
00:25:40,003 --> 00:25:42,003
What, in the Cold Zone?

475
00:25:42,003 --> 00:25:44,843
I was concerned
about the possibility...

476
00:25:44,843 --> 00:25:46,003
Is there anything
we should be doing?

477
00:25:46,003 --> 00:25:48,003
It's just a precaution.

478
00:25:48,003 --> 00:25:49,003
Right.

479
00:25:50,003 --> 00:25:52,003
ANT COUGHS
'Hiya.'

480
00:25:52,003 --> 00:25:53,843
How you feeling?

481
00:25:55,003 --> 00:25:56,003
'Shite.'

482
00:25:59,003 --> 00:26:00,003
Look, Ant...

483
00:26:02,003 --> 00:26:06,683
...Mr Ahmad, the patient
you were exposed to, he...

484
00:26:06,683 --> 00:26:08,003
he didn't make it.

485
00:26:09,003 --> 00:26:10,843
I'm sorry.

486
00:26:12,003 --> 00:26:14,363
'Oh, right.'

487
00:26:14,363 --> 00:26:16,003
The results of his test
still aren't back.

488
00:26:16,003 --> 00:26:19,003
Don't ask me why.
Have you had yours?

489
00:26:21,003 --> 00:26:27,003
'Nope, I am not unwell enough,
and no travel history.'

490
00:26:27,003 --> 00:26:29,363
COUGHS

491
00:26:29,363 --> 00:26:32,003
I'll get you one, OK?
Well, I'll try.

492
00:26:32,003 --> 00:26:33,683
Here you go, Abbey.

493
00:26:33,683 --> 00:26:36,203
'Forget it. I've got to go.'

494
00:26:36,203 --> 00:26:38,003
Where have you got to be?

495
00:26:40,843 --> 00:26:42,523
'I've got to call Mum.'

496
00:26:42,523 --> 00:26:46,003
OK.
You take care of yourself, yeah?

497
00:26:46,003 --> 00:26:47,003
'Bye.'

498
00:26:56,043 --> 00:26:58,523
So, we'll try taking him
off the nasal canulae,

499
00:26:58,523 --> 00:27:01,043
and then we'll see
how you get on. OK?

500
00:27:01,043 --> 00:27:03,003
When did you get back?

501
00:27:03,003 --> 00:27:04,003
Excuse me one second.

502
00:27:08,003 --> 00:27:11,003
Guys, guys, guys,
what are you doing?

503
00:27:11,003 --> 00:27:13,003
Anyone on here could have it,
they're saying,

504
00:27:14,003 --> 00:27:15,683
Who's saying that?

505
00:27:15,683 --> 00:27:19,003
Chantelle told me you had said
it had got in the Cold Zone, so...

506
00:27:19,003 --> 00:27:21,003
I'm not sure we can
start making our own kit.

507
00:27:21,003 --> 00:27:22,003
We don't want to panic people.

508
00:27:22,003 --> 00:27:24,363
Well, then,
no-one's looking out for us.

509
00:27:24,363 --> 00:27:27,003
We don't know which of our patients
have got it and which haven't.

510
00:27:27,003 --> 00:27:30,003
Be honest, Abbey,
do you think we're safe?

511
00:27:30,003 --> 00:27:31,363
That's what we're being told.

512
00:27:31,363 --> 00:27:34,003
That's the advice
from Public Health England.

513
00:27:34,003 --> 00:27:37,003
But you would tell us
if you weren't sure, no?

514
00:27:39,003 --> 00:27:42,003
That's the national guidance, so...

515
00:27:51,003 --> 00:27:53,003
- Can you come take a look?
- Yeah.

516
00:27:53,003 --> 00:27:55,003
Got three query coronavirus
in resus.

517
00:27:55,003 --> 00:27:56,003
ITU's with one of them now,

518
00:27:56,003 --> 00:27:59,003
the other two looking like
they're heading that way.

519
00:28:03,683 --> 00:28:06,043
These are out of date.
Says 2016 underneath.

520
00:28:06,043 --> 00:28:07,203
Seriously?

521
00:28:07,203 --> 00:28:10,003
Sorry, not the FFP3s, Doctor.
There's been a downgrade.

522
00:28:10,003 --> 00:28:12,003
Excuse me?

523
00:28:12,003 --> 00:28:14,003
New guidance.
You can just use the basic stuff.

524
00:28:14,003 --> 00:28:15,843
Apron, surgical masks.

525
00:28:17,003 --> 00:28:18,003
What?

526
00:28:18,003 --> 00:28:20,043
You need to be doing
aerosol-generating procedures

527
00:28:20,043 --> 00:28:22,003
to get full PPE.

528
00:28:23,003 --> 00:28:26,003
Well, I've touched this one now.
Shall I just use it?

529
00:28:26,003 --> 00:28:27,003
Erm...

530
00:28:27,003 --> 00:28:28,043
This is insane.

531
00:28:30,003 --> 00:28:32,003
Mike Prentice was just here.
I'm sure you can catch him.

532
00:28:38,003 --> 00:28:39,003
Thank you.

533
00:29:03,003 --> 00:29:05,003
MACHINES BEEP,
CHATTER

534
00:29:12,003 --> 00:29:14,003
HEAVY BREATHING

535
00:29:20,003 --> 00:29:24,003
One of them is already dead.
He never got out of resus.

536
00:29:24,003 --> 00:29:27,003
Another's on his way to ITU,
the third's about to be.

537
00:29:28,003 --> 00:29:31,843
I am not going in there again
in a plastic pinny,

538
00:29:31,843 --> 00:29:34,003
and neither is my team.

539
00:29:34,003 --> 00:29:38,003
Yeah, the downgrade
is new national guidance.

540
00:29:38,003 --> 00:29:41,003
It's a three-line whip.

541
00:29:41,003 --> 00:29:42,523
Are you running out?

542
00:29:45,003 --> 00:29:48,003
- Look, Jo, I know it may seem...
- Who are you saving it for?

543
00:29:49,003 --> 00:29:51,843
Please, just tr...

544
00:29:55,003 --> 00:29:57,003
Just trust the guidelines.

545
00:29:58,003 --> 00:30:02,003
The downgrade means
restricted use of Level 3 PPE.

546
00:30:07,003 --> 00:30:11,003
There's a perception on the floor
that there's a mismatch

547
00:30:11,003 --> 00:30:15,003
between the new guidelines
and reality based on Italy.

548
00:30:15,003 --> 00:30:18,003
But that's Italy.
We're not on the same curve.

549
00:30:19,003 --> 00:30:23,003
Well, we're definitely behind them,
but we are on it.

550
00:30:23,003 --> 00:30:25,003
There's only one curve.

551
00:30:27,003 --> 00:30:30,043
OK, sure. So, what?

552
00:30:30,043 --> 00:30:34,003
The Department of Health are saying
that you don't need Level 3 PPE.

553
00:30:34,003 --> 00:30:36,003
And you think...

554
00:30:36,003 --> 00:30:42,043
I-I-I think the concerns around
the Lombardy experience are real.

555
00:30:42,043 --> 00:30:45,003
I've just got off the phone
from DoH.

556
00:30:45,003 --> 00:30:47,003
Why are DoH saying that Level 3 PPE
isn't required?

557
00:30:47,003 --> 00:30:51,003
They're very clear about the state
of things in the UK, so...

558
00:30:51,003 --> 00:30:53,003
No, no. Sure.

559
00:30:53,003 --> 00:30:56,003
I've got the Secretary of State
on speed dial here

560
00:30:56,003 --> 00:30:58,003
if you want to take it up the line.

561
00:31:08,003 --> 00:31:09,523
ABBEY:
...and we'll talk about next steps.

562
00:31:09,523 --> 00:31:12,003
Could you grab me a red form, please?

563
00:31:12,003 --> 00:31:15,683
Erm... Ros, could you pass me
Mr Bailey's notes, please?

564
00:31:15,683 --> 00:31:18,843
I just want to check
the next of kin details. Thank you.

565
00:31:20,523 --> 00:31:22,003
That's great, thanks.

566
00:31:22,003 --> 00:31:24,003
Divina?
DIVINA COUGHS

567
00:31:24,003 --> 00:31:25,003
Divina, what's the matter?

568
00:31:25,003 --> 00:31:29,003
Thirty-nine point one.
I can't stop coughing.

569
00:31:29,003 --> 00:31:31,003
I'm going home.
- Let me get you a test.

570
00:31:31,003 --> 00:31:33,003
The guidance has been changed again.

571
00:31:33,003 --> 00:31:38,003
Now no-one can get one unless
you're sick enough to be admitted.

572
00:31:38,003 --> 00:31:41,003
SHE GASPS AND COUGHS

573
00:31:41,003 --> 00:31:42,523
Divina...

574
00:31:47,003 --> 00:31:48,523
It's OK.

575
00:32:01,003 --> 00:32:02,043
Could you grab me that form, please?

576
00:32:02,043 --> 00:32:04,003
Yes. Yeah.

577
00:32:50,003 --> 00:32:52,003
Hey, Mummy's home!

578
00:32:52,003 --> 00:32:54,043
- Mum, Mum!
- Mum, Mum!

579
00:32:54,043 --> 00:32:56,363
Hey. No, remember,
Mummy's gonna have a shower.

580
00:32:56,363 --> 00:32:58,003
No, but I want
to show you something.

581
00:32:58,003 --> 00:33:00,523
I know, I'll be down in a minute.
Stay in the kitchen, OK?

582
00:33:00,523 --> 00:33:03,003
I won't be long. Love you.
- Mum!

583
00:33:03,003 --> 00:33:04,683
Five minutes, love.

584
00:33:12,003 --> 00:33:16,003
BORIS JOHNSON: 'And it's clear
that coronavirus, COVID- 19,

585
00:33:16,003 --> 00:33:18,003
'continues
and will continue to spread

586
00:33:18,003 --> 00:33:23,003
'across the world and our country
over the next few months.

587
00:33:23,003 --> 00:33:27,003
'We've done what can be done
to contain this disease,

588
00:33:27,003 --> 00:33:30,003
'and this has bought us
valuable time.

589
00:33:30,003 --> 00:33:32,003
'But it's now a global pandemic

590
00:33:32,003 --> 00:33:36,003
'and the number of cases
will rise sharply.

591
00:33:36,003 --> 00:33:40,003
'Indeed, the true number of cases
is higher, perhaps much higher

592
00:33:40,003 --> 00:33:43,003
'than the number of cases we have
so far confirmed with tests.'

593
00:33:43,003 --> 00:33:46,003
Let's get you into bay 3, please.

594
00:33:46,003 --> 00:33:51,003
'I must level with you,
level with the British public.

595
00:33:51,003 --> 00:33:53,003
'More families, many more families

596
00:33:53,003 --> 00:33:56,523
'are going to lose loved ones
before their time.'

597
00:33:59,843 --> 00:34:02,003
OK, let's move
that oxygen over, thank you.

598
00:34:02,003 --> 00:34:03,003
Brakes on.

599
00:34:03,003 --> 00:34:05,003
BREATHES HEAVILY

600
00:34:07,003 --> 00:34:10,003
Relax as you are for a second.
Let's get that side down.

601
00:34:10,003 --> 00:34:11,003
You're doing really well.

602
00:34:54,003 --> 00:34:56,003
...need to be seen first,

603
00:34:56,003 --> 00:34:59,843
and there are three ducks
in resus already.

604
00:34:59,843 --> 00:35:01,003
Thanks, mate, well done.

605
00:35:01,003 --> 00:35:04,003
Right, everyone.
It's going to be a hard night,

606
00:35:04,003 --> 00:35:07,523
but we have more FFP3s
from a building firm,

607
00:35:07,523 --> 00:35:10,003
from some vets and dentists.

608
00:35:10,003 --> 00:35:13,003
And school kids, amazingly,
have made some visors.

609
00:35:13,003 --> 00:35:14,003
THEY CHUCKLE

610
00:35:14,003 --> 00:35:16,003
Hannah's been on the phone
all afternoon.

611
00:35:16,003 --> 00:35:18,003
- Here we go.
- Ah, here they come.

612
00:35:18,003 --> 00:35:19,003
Cheers, guys.

613
00:35:19,003 --> 00:35:21,003
Thanks, lads.

614
00:35:23,003 --> 00:35:25,003
Oh-ho-ho!

615
00:35:25,003 --> 00:35:28,003
This one has your name
all over it, Neil.

616
00:35:28,003 --> 00:35:29,003
Very fancy.

617
00:35:30,363 --> 00:35:33,363
And we have around
two million pizzas from the public.

618
00:35:33,363 --> 00:35:37,003
So no moaning, even if they do
all have pineapple on them.

619
00:35:37,003 --> 00:35:39,003
Just kidding, they don't.

620
00:35:39,003 --> 00:35:43,003
So, heads down, stay safe.

621
00:35:43,003 --> 00:35:44,523
Speak to me if it gets too much.

622
00:35:44,523 --> 00:35:46,003
OK?

623
00:35:46,003 --> 00:35:47,003
Sure.

624
00:35:50,003 --> 00:35:53,843
Hey. Didn't think
I'd be seeing you tonight.

625
00:35:53,843 --> 00:35:56,203
Med reg off sick,
all the locums off sick, so...

626
00:35:56,203 --> 00:35:58,003
Bad luck.

627
00:35:59,003 --> 00:36:01,003
What's a "duck"?

628
00:36:01,003 --> 00:36:04,003
A patient with COVID lungs,
COVID bloods, COVID plain film,

629
00:36:04,003 --> 00:36:06,003
but no COVID test result back.

630
00:36:06,003 --> 00:36:08,003
If it looks like a duck,
walks like a duck...

631
00:36:08,003 --> 00:36:09,043
Yeah, got it.

632
00:36:09,043 --> 00:36:11,003
My F1s will help you out.

633
00:36:12,003 --> 00:36:14,003
What about their PPE guidelines?

634
00:36:16,003 --> 00:36:19,003
We only get Level 3 for resus.

635
00:36:19,003 --> 00:36:21,003
It's obvious
they're just short of kit.

636
00:36:21,003 --> 00:36:22,203
Yeah.

637
00:36:22,203 --> 00:36:26,003
Are you OK in hot resus?
You know, Divina's...

638
00:36:26,003 --> 00:36:27,523
Yeah, yeah.

639
00:36:38,003 --> 00:36:40,003
- Hello, Divina.
- Hi, Doctor.

640
00:36:40,003 --> 00:36:42,003
Do you want to bring me up to speed?

641
00:36:42,003 --> 00:36:44,003
We've been tweaking the high flow
since this morning,

642
00:36:44,003 --> 00:36:47,003
but she's on 100% now
and sats have dropped to 87.

643
00:36:47,003 --> 00:36:50,003
Here's her gas from 20 minutes ago.

644
00:36:50,003 --> 00:36:51,043
OK. Thanks.

645
00:36:58,003 --> 00:36:59,003
Divina...

646
00:37:00,843 --> 00:37:03,003
...I can see how tired
you are getting.

647
00:37:03,003 --> 00:37:06,003
I think we should take you
to ITU, OK?

648
00:37:06,003 --> 00:37:08,003
And if we have to move
to a ventilator,

649
00:37:08,003 --> 00:37:11,003
I will do the intubation myself.

650
00:37:11,003 --> 00:37:12,003
All right?

651
00:37:14,003 --> 00:37:18,003
I promise you,
we will take the absolute...

652
00:37:18,003 --> 00:37:20,003
ALARM BLARES

653
00:37:20,003 --> 00:37:22,003
What's that?

654
00:37:22,003 --> 00:37:25,003
It's the low oxygen flow rate alarm.
Button on the wall, please.

655
00:37:33,843 --> 00:37:35,003
Are we running out of oxygen?

656
00:37:39,843 --> 00:37:42,003
I'll see you shortly, Divina,
all right?

657
00:37:42,003 --> 00:37:43,003
WEAKLY: OK.

658
00:37:43,003 --> 00:37:44,363
I'll call you as soon
as I've got a bed.

659
00:37:44,363 --> 00:37:47,003
Let's go for a trial of CPAP
in the meantime.

660
00:37:48,003 --> 00:37:52,003
Hi, guys,
I might need a bit of help,

661
00:37:52,003 --> 00:37:53,003
even if it's just for a few hours.

662
00:37:53,003 --> 00:37:57,003
We're... running out of beds,
vents...

663
00:37:57,003 --> 00:37:59,003
ALARM BLARES

664
00:38:01,003 --> 00:38:02,843
Maybe even oxygen.

665
00:38:02,843 --> 00:38:06,003
Look, I'm... I'm not gonna
make it home this weekend.

666
00:38:06,003 --> 00:38:07,003
Sorry, it's just...

667
00:38:08,683 --> 00:38:12,003
...it's just exploded.
They... they just keep coming.

668
00:38:14,003 --> 00:38:17,003
Don't take the children anywhere
this weekend, it's not safe.

669
00:38:17,003 --> 00:38:21,003
Home or the park,
but nowhere else, OK?

670
00:38:21,003 --> 00:38:24,003
'OK, OK. Are you all right?'

671
00:38:25,003 --> 00:38:27,003
Ambulance bay, please, Abbey.

672
00:38:27,003 --> 00:38:29,003
Yeah.

673
00:38:29,003 --> 00:38:30,523
I've got to go.
I'll call you in the morning.

674
00:38:30,523 --> 00:38:32,003
- 'OK.'
- OK, bye.

675
00:38:37,043 --> 00:38:40,003
What's going on?
Guys, why aren't you doing CPR?

676
00:38:40,003 --> 00:38:42,363
- We've been told not to.
- Where's your PPE?

677
00:38:42,363 --> 00:38:44,003
He arrested en route 20 minutes ago.

678
00:38:44,003 --> 00:38:47,003
We're just in aprons.
We can't do CPR.

679
00:38:47,003 --> 00:38:50,003
It's droplet-generating,
we just had to let him go.

680
00:38:51,003 --> 00:38:53,523
You're gonna have to call it
in the back of the truck,

681
00:38:53,523 --> 00:38:55,003
and we need to get
back out on the road.

682
00:38:59,683 --> 00:39:02,003
Look, I'm really sorry
to do this to you,

683
00:39:02,003 --> 00:39:04,003
but we need to get back on the road.

684
00:39:04,003 --> 00:39:05,363
Yeah.

685
00:39:52,003 --> 00:39:53,003
8:32.

686
00:39:55,003 --> 00:39:56,843
8:32 pm.

687
00:40:01,003 --> 00:40:04,003
TEARFULLY: I'm sorry, guys.
I am so sorry.

688
00:40:24,003 --> 00:40:26,523
'The country has
a perfectly adequate supply

689
00:40:26,523 --> 00:40:29,003
'of personal protective equipment,
PPE, at the moment.'

690
00:40:29,003 --> 00:40:31,003
There have been, I think,

691
00:40:31,003 --> 00:40:35,003
some... differential deliveries,
if you like, in some areas,

692
00:40:35,003 --> 00:40:37,003
which has caused
a degree of concern recently.

693
00:40:37,003 --> 00:40:38,683
That is completely resolved now.

694
00:40:38,683 --> 00:40:42,003
'And in fact, what we've done
in the last 36 hours

695
00:40:42,003 --> 00:40:45,003
'is set up
an entirely separate PPE...'

696
00:40:46,003 --> 00:40:49,003
- Sorry, trying to get past.
- Sorry.

697
00:40:51,363 --> 00:40:53,843
- Through here, yeah?
- Yeah.

698
00:40:53,843 --> 00:40:55,003
They just keep on coming.

699
00:40:57,003 --> 00:40:58,843
It's madness.

700
00:41:18,003 --> 00:41:19,003
I'm so sorry.

701
00:41:19,003 --> 00:41:22,003
We tried
everything we could en route.

702
00:41:22,003 --> 00:41:25,003
If you call the number
I've given you in the morning...

703
00:41:27,003 --> 00:41:28,003
Hi, Jo.

704
00:41:28,003 --> 00:41:31,683
Obviously, staff sickness
is through the roof.

705
00:41:31,683 --> 00:41:33,043
Because of the PPE situation.

706
00:41:33,043 --> 00:41:38,003
We're also having questions raised
about oxygen delivery.

707
00:41:38,003 --> 00:41:41,003
There's clearly
extreme pressure on beds.

708
00:41:41,003 --> 00:41:44,003
So, Gold Command have decided

709
00:41:44,003 --> 00:41:45,523
we need to declare
a critical incident.

710
00:41:45,523 --> 00:41:48,003
Really? Took you long enough.

711
00:42:19,003 --> 00:42:21,683
Hello, Divina.

712
00:42:21,683 --> 00:42:23,003
Welcome to ITU.

713
00:42:23,003 --> 00:42:26,043
It's nice to see you. We're gonna
take good care of you, all right?

714
00:42:26,043 --> 00:42:29,683
We're just gonna put
a little tube.

715
00:42:29,683 --> 00:42:32,003
It's gonna take a minute or two.

716
00:42:33,003 --> 00:42:36,003
It's gonna be very quick, OK?
I'm gonna do it myself.

717
00:42:36,003 --> 00:42:38,003
Nice and gentle.

718
00:42:38,003 --> 00:42:40,003
We're right here with you.
All right?

719
00:42:42,203 --> 00:42:45,843
Drugs are going in.
You'll start feeling it in a moment.

720
00:42:47,003 --> 00:42:50,003
OK, just relax.

721
00:42:51,003 --> 00:42:52,003
Nice.

722
00:42:56,003 --> 00:42:57,003
That's it.

723
00:42:58,843 --> 00:43:00,003
That's it.

724
00:43:10,043 --> 00:43:12,203
MACHINES BEEP

725
00:43:30,003 --> 00:43:34,523
JEREMY CORBYN: 'The World Health
Organisation said test, test, test.'

726
00:43:34,523 --> 00:43:37,003
CHRIS WHITTY:
'If the NHS became overwhelmed,

727
00:43:37,003 --> 00:43:40,003
'then people would die
from indirect deaths

728
00:43:40,003 --> 00:43:43,003
'because they did not have
the ability to get medical care.'

729
00:43:43,003 --> 00:43:45,523
CORBYN: 'The rest of the world
is providing staff

730
00:43:45,523 --> 00:43:48,003
'with full protective gear,
and we are restricting it.'

731
00:43:48,003 --> 00:43:49,003
What's your name?

732
00:43:49,003 --> 00:43:51,523
JOHNSON:
'I do think, looking at it all,

733
00:43:51,523 --> 00:43:56,003
'that we can turn the tide
within the next 12 weeks,

734
00:43:56,003 --> 00:44:02,003
'and I'm absolutely confident that
we can send coronavirus packing.'

735
00:44:02,003 --> 00:44:05,003
I need some help here!
He's stopped breathing!

736
00:44:05,003 --> 00:44:07,003
REPORTER: 'Do you not think
it is now right

737
00:44:07,003 --> 00:44:10,523
'to move to a more substantial
lockdown of the capital,

738
00:44:10,523 --> 00:44:13,843
'like they have in Italy,
in Spain?'

739
00:44:13,843 --> 00:44:16,003
MACHINES BEEP

740
00:44:18,003 --> 00:44:20,003
BEEPING INTENSIFIES

741
00:45:04,003 --> 00:45:06,003
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