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These are the user uploaded subtitles that are being translated: 1 00:00:03,960 --> 00:00:06,320 - Does that feel secure? - Yeah. 2 00:00:07,960 --> 00:00:10,960 REPORTER: 'Have you got a grip on the coronavirus? 3 00:00:10,960 --> 00:00:12,960 'How worried are you? 4 00:00:12,960 --> 00:00:15,160 'Will the measures be dramatic?' 5 00:00:15,160 --> 00:00:19,960 So, what I'm gonna do is run you through seven exercises. 6 00:00:19,960 --> 00:00:21,960 MATT HANCOCK: 'Mr Speaker, with your permission, 7 00:00:21,960 --> 00:00:24,960 'I'd like to update the house on COVID-19.' 8 00:00:26,960 --> 00:00:27,960 I'll start with five pumps. 9 00:00:27,960 --> 00:00:29,960 We're going to do deep breathing now, 10 00:00:29,960 --> 00:00:30,960 so that's with your tongue out. 11 00:00:30,960 --> 00:00:35,640 HANCOCK: 'As of this morning, 7,132 people 12 00:00:35,640 --> 00:00:37,960 'have been tested for the virus.' 13 00:00:37,960 --> 00:00:39,000 Speak as clearly as possible. 14 00:00:39,000 --> 00:00:40,960 Don't worry about getting the words wrong. 15 00:00:40,960 --> 00:00:42,960 "When the sunlight strikes raindrops in the air, 16 00:00:42,960 --> 00:00:45,960 "they act like a prism and form a rainbow. 17 00:00:45,960 --> 00:00:47,960 "The rainbow is a division of white light..." 18 00:00:47,960 --> 00:00:50,960 HANCOCK: 'The public can be assured that we have a clear plan 19 00:00:50,960 --> 00:00:54,960 'to contain, delay, research and mitigate, 20 00:00:54,960 --> 00:00:56,960 'and that we are working methodologically 21 00:00:56,960 --> 00:00:58,960 'through each step to keep the public safe.' 22 00:01:05,960 --> 00:01:08,960 No, no, I can still taste it. 23 00:01:08,960 --> 00:01:10,960 Yeah, that's a fail. 24 00:01:10,960 --> 00:01:13,960 These FFP3s are made for wider jaws. 25 00:01:13,960 --> 00:01:16,320 So, lifesaving for men, basically? 26 00:01:16,320 --> 00:01:17,480 Yeah. 27 00:01:17,480 --> 00:01:20,160 You might need a powered respirator when the time comes. 28 00:01:20,160 --> 00:01:21,640 OK. 29 00:01:21,640 --> 00:01:23,640 But we've run out of those. 30 00:01:23,640 --> 00:01:24,960 OK. 31 00:01:24,960 --> 00:01:26,960 To be honest, I think they're being reserved for the staff 32 00:01:26,960 --> 00:01:29,960 who are, you know... What kind of doctor are you? 33 00:01:29,960 --> 00:01:32,960 Acute general medicine. I'll be in the Cold Zone, so... 34 00:01:32,960 --> 00:01:34,960 Yeah, so not you. 35 00:01:34,960 --> 00:01:36,960 Staff in your areas won't need that level of PPE, 36 00:01:36,960 --> 00:01:39,960 but if you really want one, you can get them on Amazon. 37 00:01:39,960 --> 00:01:41,960 I mean, I wouldn't worry about it, but if you want to. 38 00:01:41,960 --> 00:01:43,000 - Amazon? - Yeah. 39 00:01:43,000 --> 00:01:45,960 They're about 300 quid, but... 40 00:01:45,960 --> 00:01:46,960 Great (!) 41 00:01:46,960 --> 00:01:49,480 BORIS JOHNSON: 'We are increasing our stocks of equipment. 42 00:01:49,480 --> 00:01:51,960 'We are accelerating our search for treatments, 43 00:01:51,960 --> 00:01:53,960 'we're pioneering work on a vaccine.' 44 00:01:53,960 --> 00:01:56,960 TREVOR MCDONALD: 'How deadly is it? How fast can it spread? 45 00:01:56,960 --> 00:01:58,960 'And how prepared are we in Britain?' 46 00:01:58,960 --> 00:02:00,960 SIREN WAILS 47 00:02:00,960 --> 00:02:02,960 Oh, you can't come through this way, love. 48 00:02:02,960 --> 00:02:04,960 I'm a consultant. I work here. 49 00:02:04,960 --> 00:02:06,960 Oh, well, you'll want the service entrance, then. 50 00:02:06,960 --> 00:02:07,960 That's the new way in. 51 00:02:07,960 --> 00:02:10,960 JOHNSON: 'And I know the people of this country 52 00:02:10,960 --> 00:02:12,640 'will rise to that challenge, 53 00:02:12,640 --> 00:02:16,960 'and we will come through it stronger than ever. 54 00:02:16,960 --> 00:02:19,960 'We will beat the coronavirus and we will beat it together.' 55 00:02:21,960 --> 00:02:23,960 CHATTER 56 00:02:41,960 --> 00:02:44,960 BANGING AND WHIRRING 57 00:02:53,160 --> 00:02:54,960 Thank you. 58 00:02:56,640 --> 00:02:57,960 - Morning, Abbey. - Morning. 59 00:03:06,960 --> 00:03:07,960 Hiya. 60 00:03:07,960 --> 00:03:09,800 Hi, Abbey. You all right? 61 00:03:09,800 --> 00:03:10,960 Yeah. 62 00:03:11,960 --> 00:03:13,960 How are we looking? 63 00:03:13,960 --> 00:03:17,960 So, 26 overnight, 12 in the corridor, 64 00:03:17,960 --> 00:03:20,960 a couple in resus, eight still waiting to be seen, 65 00:03:20,960 --> 00:03:23,960 and two pre-alert ED have told me about. 66 00:03:23,960 --> 00:03:25,960 "Cold Zone." LOL (!) 67 00:03:25,960 --> 00:03:28,960 Aye. Nice mitral stenosis in three for Emma, though. 68 00:03:28,960 --> 00:03:29,960 - Yeah? - Yeah. 69 00:03:29,960 --> 00:03:32,480 - Can you come and help me, please? - Yeah. 70 00:03:35,480 --> 00:03:37,800 OK. What do you need, Emma? 71 00:03:37,800 --> 00:03:40,320 I have a patient really sick in the cupboard. 72 00:03:40,320 --> 00:03:41,960 - I don't know what to do. - OK. 73 00:03:43,960 --> 00:03:45,640 Hello, sir. 74 00:03:45,640 --> 00:03:47,960 I'm Dr Henderson, I'm one of the consultants. 75 00:03:47,960 --> 00:03:50,160 I'm just gonna pop you a bit more upright. 76 00:03:50,160 --> 00:03:51,960 HE GASPS FOR BREATH 77 00:03:51,960 --> 00:03:54,160 OK, great. OK, what's the story? 78 00:03:54,160 --> 00:03:55,960 Erm... 79 00:03:55,960 --> 00:03:59,960 He has ischemic heart disease, a CABG in 2011, 80 00:03:59,960 --> 00:04:01,960 erm... but well since. 81 00:04:01,960 --> 00:04:03,960 Walks every day with his wife. 82 00:04:03,960 --> 00:04:05,960 Start with ABC, Emma. 83 00:04:05,960 --> 00:04:07,480 You seem very breathless, Mister... 84 00:04:07,480 --> 00:04:09,960 Williams. 85 00:04:09,960 --> 00:04:10,960 Stats and obs? Where's the monitoring? 86 00:04:10,960 --> 00:04:12,960 I don't know. They just told me 87 00:04:12,960 --> 00:04:13,960 to come and look at him in the cupboard. 88 00:04:13,960 --> 00:04:18,000 OK. Emergency buzzer and call for help, please, Emma. 89 00:04:18,000 --> 00:04:20,960 I'm just gonna have a little listen to your breathing. Emma! 90 00:04:20,960 --> 00:04:22,480 - Yeah. - Yeah, yeah. 91 00:04:25,960 --> 00:04:26,960 OK. 92 00:04:30,960 --> 00:04:33,960 OK, we're going to take very good care of you, Mr Williams. 93 00:04:33,960 --> 00:04:34,960 I'll be right back. 94 00:04:46,000 --> 00:04:48,960 I'm just gonna pop this mask on for you. 95 00:04:48,960 --> 00:04:50,960 It's gonna help your breathing. 96 00:04:51,960 --> 00:04:52,960 OK, can you pop your head forward? 97 00:04:52,960 --> 00:04:54,960 Morning. 98 00:04:54,960 --> 00:04:55,960 - Hi. - Resus? 99 00:04:55,960 --> 00:04:57,160 Yes, please. 100 00:04:57,160 --> 00:05:00,960 81-year-old male, no travel history, 101 00:05:00,960 --> 00:05:03,000 flash pulmonary oedema, CABG 2011. 102 00:05:03,000 --> 00:05:06,960 Otherwise well, walking three miles a day till last week. 103 00:05:06,960 --> 00:05:10,960 We're gonna need suction, please, then non-rebreathe, 15 litres. 104 00:05:10,960 --> 00:05:11,960 Neil, could you do an ABG? 105 00:05:11,960 --> 00:05:13,960 - Yeah. - Frusemide, GTN? 106 00:05:13,960 --> 00:05:15,960 If his BP can take it, yes, please. Have you got this? 107 00:05:15,960 --> 00:05:17,960 - Yeah. Go, go. - The take's wild. Thank you. 108 00:05:20,800 --> 00:05:21,960 Hey, Emma. 109 00:05:23,960 --> 00:05:26,160 Could we please stop using that bloody cupboard? 110 00:05:26,160 --> 00:05:28,960 Complaints go up, not sideways. 111 00:05:30,160 --> 00:05:32,480 Emma, have a doughnut. 112 00:05:33,640 --> 00:05:35,320 Hey... 113 00:05:35,320 --> 00:05:37,960 Hey, you did really well, OK? 114 00:05:37,960 --> 00:05:39,000 That shouldn't have happened. 115 00:05:39,000 --> 00:05:41,960 - Yeah, but it always happens. - Abbey? 116 00:05:42,960 --> 00:05:43,960 Can we use you? 117 00:05:43,960 --> 00:05:45,960 Yeah. What's up? 118 00:05:45,960 --> 00:05:46,960 It's happening. 119 00:05:46,960 --> 00:05:49,960 Just had a call from LAS. 120 00:05:49,960 --> 00:05:51,960 Might be the first one. 121 00:05:51,960 --> 00:05:53,960 Blue-lit from Heathrow, flew in from China. 122 00:05:54,960 --> 00:05:56,960 OK. 123 00:05:56,960 --> 00:05:58,960 Could you tell Ant, please? 124 00:05:58,960 --> 00:05:59,960 Yeah. 125 00:06:11,960 --> 00:06:12,960 OK? 126 00:06:12,960 --> 00:06:13,960 Yeah. 127 00:06:19,960 --> 00:06:21,960 Failed my first fit-test a week ago. 128 00:06:21,960 --> 00:06:24,960 - Oh? - Yeah. Thanks. 129 00:06:24,960 --> 00:06:26,960 Failed my second one as well. 130 00:06:27,960 --> 00:06:29,000 Oh, well done (!) 131 00:06:37,960 --> 00:06:40,000 EXHALES SHARPLY 132 00:06:43,960 --> 00:06:45,960 SIREN WAILS 133 00:06:50,960 --> 00:06:52,960 Straight to this one, please. 134 00:06:52,960 --> 00:06:55,960 OK, tell me about the patient, please. 135 00:06:55,960 --> 00:06:58,960 This is Tony. DOB 3/12/65, 136 00:06:58,960 --> 00:07:00,960 picked up from Heathrow, blue-lighted here. 137 00:07:00,960 --> 00:07:03,960 - Get ready to move. - Airway open, no airway assists in. 138 00:07:03,960 --> 00:07:05,960 - Ready, steady, roll. - Rest rep rate is high at 40 pm. 139 00:07:05,960 --> 00:07:08,640 - Ready, steady, slide. - Sats low throughout on oxygen. 140 00:07:09,960 --> 00:07:11,960 Let's make some room. 141 00:07:11,960 --> 00:07:13,960 He's completely obtunded. 142 00:07:13,960 --> 00:07:16,960 ABG, please, and can we get some monitoring? 143 00:07:16,960 --> 00:07:17,960 Yeah. 144 00:07:17,960 --> 00:07:18,960 Do we have access? 145 00:07:18,960 --> 00:07:21,960 Just a pink. He's completely shut down. 146 00:07:21,960 --> 00:07:23,320 Not shifting much air. 147 00:07:23,320 --> 00:07:25,960 OK, can we do an urgent chest X-ray in here, please? 148 00:07:25,960 --> 00:07:27,320 On their way. 149 00:07:27,320 --> 00:07:29,960 Crep throughout. Neil, do you have an airway? 150 00:07:29,960 --> 00:07:32,960 Yeah, but I'm having to help. Sats are in the 70s. 151 00:07:32,960 --> 00:07:34,960 OK, he's tiring. We need to get on and intubate. 152 00:07:34,960 --> 00:07:36,000 Yeah, agreed. 153 00:07:36,000 --> 00:07:38,960 Drugs from the fridge, please. 154 00:07:38,960 --> 00:07:41,640 - Jo? - Sats are 52. 155 00:07:41,640 --> 00:07:43,960 - He's barely breathing now. - Suction's there. 156 00:07:43,960 --> 00:07:44,960 Are ITU on their way? 157 00:07:44,960 --> 00:07:46,960 On their way. 158 00:07:46,960 --> 00:07:49,000 OK, drugs going in, bougie ready, please. 159 00:07:49,000 --> 00:07:51,960 We're gonna need that ABG as soon as we can, guys. 160 00:07:51,960 --> 00:07:55,480 Gonna need suction. Tube, please. 161 00:07:55,480 --> 00:07:57,960 He's arresting now. MONITOR BEEPS 162 00:08:04,960 --> 00:08:05,960 Chantelle. 163 00:08:05,960 --> 00:08:07,960 Abbey, you and the team have got to let me know 164 00:08:07,960 --> 00:08:09,960 if you're sending unstable patients up to the wards. 165 00:08:09,960 --> 00:08:11,960 I know, I'm sorry. I wanted to give you a heads up, 166 00:08:11,960 --> 00:08:13,960 but the take's been crazy. 167 00:08:13,960 --> 00:08:17,960 Archie Williams. He should really be in ITU, but no beds. 168 00:08:18,960 --> 00:08:20,960 We just lost the first one in resus. 169 00:08:20,960 --> 00:08:22,640 Shit. 170 00:08:23,960 --> 00:08:27,960 - He doesn't have it, does he? - No, he's flash pulmonary edema. 171 00:08:28,960 --> 00:08:30,960 Are the ITU outreach team still gonna come and see him? 172 00:08:30,960 --> 00:08:33,800 Yeah, I know it's not ideal, but they're rammed. 173 00:08:33,800 --> 00:08:34,960 The whole network is. 174 00:08:34,960 --> 00:08:36,960 We just can't be taking high-dependency patients 175 00:08:36,960 --> 00:08:39,640 onto the general wards. I mean, it's not safe. 176 00:08:39,640 --> 00:08:41,960 I know, but he's got to go somewhere. 177 00:08:43,960 --> 00:08:46,960 FRENCH DOCTOR: 'All over Lombardy, we are overwhelmed. 178 00:08:46,960 --> 00:08:48,960 'Emergency full, intensive care full, 179 00:08:48,960 --> 00:08:51,320 'theatres, corridors. 180 00:08:51,320 --> 00:08:53,960 'It arrived so fast, we were not prepared. 181 00:08:53,960 --> 00:08:57,320 'You must prepare and find a way to double, triple, 182 00:08:57,320 --> 00:08:59,160 'more than triple the beds you have. 183 00:08:59,160 --> 00:09:00,960 'All the ventilators you have, 184 00:09:00,960 --> 00:09:02,960 'you will need more than that number.' 185 00:09:03,960 --> 00:09:05,960 By how much more, would you say? 186 00:09:05,960 --> 00:09:07,960 How many more ventilated beds? 187 00:09:08,960 --> 00:09:10,960 'Mine is a small unit here, 15 beds, 188 00:09:10,960 --> 00:09:12,960 'but we need we need 60-80 more, 189 00:09:12,960 --> 00:09:14,960 'so you can do the sums. 190 00:09:19,960 --> 00:09:23,960 'We're working 18-20 hours, 191 00:09:23,960 --> 00:09:25,960 'our medical students are manually ventilating patients.' 192 00:09:25,960 --> 00:09:28,960 REPORTER: 'Prime Minister, just two weeks ago in Italy, 193 00:09:28,960 --> 00:09:33,960 'there were 153 cases of coronavirus and just three deaths. 194 00:09:33,960 --> 00:09:37,960 'Now, 16 million people have been quarantined. 195 00:09:37,960 --> 00:09:39,960 'A reflection, if you like, 196 00:09:39,960 --> 00:09:43,960 'of the public health challenge we are all facing globally.' 197 00:09:43,960 --> 00:09:45,960 FRENCH DOCTOR: 'We are rationing the ventilators. 198 00:09:45,960 --> 00:09:46,960 'At the moment, we have no choice. 199 00:09:46,960 --> 00:09:50,960 'Over 65, no ventilators at all. 200 00:09:50,960 --> 00:09:53,960 'Oxygen, too, we are struggling with our supply. 201 00:09:53,960 --> 00:09:56,960 'The thing is, it doesn't matter how much you can plan, 202 00:09:56,960 --> 00:09:59,960 'doesn't matter how much you are reading the news or whatever, 203 00:09:59,960 --> 00:10:01,960 'the virus is always gonna be ahead. 204 00:10:02,960 --> 00:10:05,960 'You can never be prepared enough. 205 00:10:05,960 --> 00:10:08,320 'I'm sorry, guys, but that's the way it is.' 206 00:10:10,960 --> 00:10:11,960 Thank you, Doctor. 207 00:10:13,960 --> 00:10:15,960 REPORTER: 'There's been a bit of confusing advice 208 00:10:15,960 --> 00:10:16,960 'about things like shaking hands.' 209 00:10:16,960 --> 00:10:18,160 JOHNSON: 'Yes.' 210 00:10:18,160 --> 00:10:19,960 'And I'm intrigued to know whether 211 00:10:19,960 --> 00:10:21,960 'you've developed a personal policy yourself.' 212 00:10:21,960 --> 00:10:25,960 'I'm shaking hands continuously, I was at a hospital the other night 213 00:10:25,960 --> 00:10:29,960 where I think there were actually a few coronavirus patients, 214 00:10:29,960 --> 00:10:31,960 and I shook hands with everybody, you'll be pleased to know, 215 00:10:31,960 --> 00:10:33,960 and I continued to shake hands. 216 00:10:33,960 --> 00:10:35,960 MACHINES BEEP 217 00:10:42,960 --> 00:10:43,960 Mr Ahmad. 218 00:10:44,960 --> 00:10:46,960 I'm Doctor Vyas. How are we doing? 219 00:10:46,960 --> 00:10:48,640 MOROSELY: All right. 220 00:10:48,640 --> 00:10:50,960 MR AHMAD COUGHS 221 00:10:53,640 --> 00:10:54,960 Let's just lift you up slightly. 222 00:10:54,960 --> 00:10:56,640 There we are. 223 00:10:56,640 --> 00:10:57,960 CONTINUES COUGHING 224 00:10:57,960 --> 00:10:59,960 Are you a smoker? 225 00:10:59,960 --> 00:11:00,960 No. 226 00:11:00,960 --> 00:11:02,960 Let's see. 227 00:11:07,160 --> 00:11:08,960 Let's take this off. 228 00:11:09,960 --> 00:11:11,960 COUGHS 229 00:11:14,480 --> 00:11:15,960 You're not feeling breathless? 230 00:11:15,960 --> 00:11:16,960 No. 231 00:11:16,960 --> 00:11:18,960 Have you been exposed to any chemicals at work? 232 00:11:18,960 --> 00:11:20,960 I work in IT, mate. 233 00:11:20,960 --> 00:11:21,960 Right. 234 00:11:21,960 --> 00:11:23,960 I'm just gonna stick this back on, yeah? 235 00:11:23,960 --> 00:11:25,960 What's your high score? 236 00:11:25,960 --> 00:11:27,960 556,000. 237 00:11:27,960 --> 00:11:31,960 - What? You need to get out more. - What's yours? 238 00:11:31,960 --> 00:11:34,160 - About 10,000 something. - Terrible. 239 00:11:36,960 --> 00:11:38,960 I think we have a hot case in bed one. 240 00:11:38,960 --> 00:11:40,960 Everyone's been triaged on the front door. 241 00:11:40,960 --> 00:11:42,960 - I know, but I need the side room. - I can't just give you... 242 00:11:42,960 --> 00:11:45,960 Clare, please, can you just get that done for me, please? 243 00:11:45,960 --> 00:11:47,960 - OK. Sure. - Thanks. 244 00:11:59,960 --> 00:12:03,960 Hiya. I need some masks, please, some FFP3s. 245 00:12:03,960 --> 00:12:04,960 Why? 246 00:12:04,960 --> 00:12:06,960 Query positive in the Cold Zone. 247 00:12:06,960 --> 00:12:09,960 - But... - Can I please just take some FFP3s? 248 00:12:09,960 --> 00:12:12,960 I don't think it's allowed. We've been told Hot Zone only. 249 00:12:12,960 --> 00:12:14,960 OK, why? 250 00:12:14,960 --> 00:12:15,960 We've just been told. 251 00:12:17,640 --> 00:12:18,960 Well, I need an FFP3. 252 00:12:19,960 --> 00:12:21,320 We've been told. 253 00:12:23,000 --> 00:12:25,320 HE SCOFFS 254 00:12:25,320 --> 00:12:26,960 Right. OK. 255 00:12:44,960 --> 00:12:46,960 - Emma? - Yeah. 256 00:12:46,960 --> 00:12:48,960 Will you take one of these and stick it on for me? 257 00:12:48,960 --> 00:12:49,960 Yeah, sure. 258 00:12:54,960 --> 00:12:55,960 Who's that? 259 00:12:55,960 --> 00:12:59,960 Oh, that's Mrs Ahmad, his wife. Is everything all right? 260 00:13:01,960 --> 00:13:03,960 - Ant? Yeah? - I'm not sure. 261 00:13:03,960 --> 00:13:05,960 - Should I scrub up? - Yes, please. 262 00:13:10,960 --> 00:13:13,960 Hi, Mr Ahmad. We're just gonna move you to a little side room. 263 00:13:13,960 --> 00:13:15,960 One's just become available. 264 00:13:15,960 --> 00:13:17,960 Sorry, can you make some room there, please? 265 00:13:17,960 --> 00:13:19,960 Would you mind just moving to one side, please? 266 00:13:27,960 --> 00:13:30,960 Can you get the door for me, please, Clare, and then step away? 267 00:13:30,960 --> 00:13:32,960 Just leave that there for me, please, Emma. 268 00:13:33,960 --> 00:13:36,960 Can I just get you to stay outside for a sec, please, Mrs Ahmad? 269 00:13:36,960 --> 00:13:39,960 - Why, what's going on? - No, no, no, she's gonna stay. 270 00:13:39,960 --> 00:13:41,960 Yeah, I'm fine here, thank you. 271 00:13:41,960 --> 00:13:44,480 Have you been with him all day? 272 00:13:44,480 --> 00:13:46,160 Yeah, of course. 273 00:13:46,160 --> 00:13:48,960 Why? What's wrong, Doctor? HE COUGHS 274 00:13:58,960 --> 00:14:01,160 - What's going on? - It's really weird. 275 00:14:01,160 --> 00:14:02,960 He's just sat there happily on his phone, 276 00:14:02,960 --> 00:14:04,960 but his sats are in the 60s on room air. 277 00:14:04,960 --> 00:14:07,960 What's his chest X-ray like? 278 00:14:07,960 --> 00:14:09,960 Virtual whiteout, bilateral infiltrates, 279 00:14:09,960 --> 00:14:11,320 a really odd-looking X-ray. 280 00:14:12,960 --> 00:14:14,800 You said sats in the 60s? 281 00:14:14,800 --> 00:14:16,960 Yeah, but ID won't let us test him. No travel history. 282 00:14:17,960 --> 00:14:19,480 And the Hot Zone won't take him. 283 00:14:19,480 --> 00:14:22,000 "No travel history, no coronavirus." 284 00:14:24,960 --> 00:14:25,960 OK. 285 00:14:27,960 --> 00:14:29,960 Everybody stay out. 286 00:14:29,960 --> 00:14:30,960 Where you going? 287 00:14:30,960 --> 00:14:32,800 Just stay out. I'll call you. 288 00:14:33,960 --> 00:14:35,160 COUGHS 289 00:14:35,160 --> 00:14:38,960 Look, I need a coronavirus test for a 45-year-old patient. 290 00:14:38,960 --> 00:14:41,160 I know he has no travel history... - Right. 291 00:14:41,160 --> 00:14:44,160 ...but there is the highest index of clinical suspicion 292 00:14:44,160 --> 00:14:45,960 that this is an undiagnosed coronavirus case. 293 00:14:45,960 --> 00:14:48,960 Absolutely, but the guidance says with no travel history, 294 00:14:48,960 --> 00:14:50,000 we can't authorise testing. 295 00:14:50,000 --> 00:14:52,960 I was just standing there watching a patient playing on his phone 296 00:14:52,960 --> 00:14:54,480 with his sats sitting in his boots, 297 00:14:54,480 --> 00:14:56,960 so the guidelines need to go in the bin for a moment. 298 00:14:56,960 --> 00:14:58,960 We have to follow guidelines. We have no choice. 299 00:14:58,960 --> 00:15:03,960 Huw, you know this thing is spreading all over Italy. 300 00:15:03,960 --> 00:15:06,960 This is national guidance, OK? It's from Public Health England. 301 00:15:06,960 --> 00:15:09,960 Talk to Mike and make sure your patient's in a side room. 302 00:15:23,960 --> 00:15:25,960 He's crashing, he's crashing. 303 00:15:25,960 --> 00:15:28,960 - What's going on? - I need help here, he's arresting. 304 00:15:28,960 --> 00:15:29,960 Ant, Ant, stop! Stop! 305 00:15:29,960 --> 00:15:32,960 Can we all glove and mask, all of you, straight away, please? 306 00:15:35,960 --> 00:15:36,960 Adult cardiac arrest. 307 00:15:36,960 --> 00:15:38,960 I'm already exposed, I'm getting started. 308 00:15:41,960 --> 00:15:44,960 - Shouldn't we have FFP3s? - Hot Zone only. 309 00:15:44,960 --> 00:15:46,960 Jo can't come. There's a query coronavirus. 310 00:15:46,960 --> 00:15:50,960 Emma, no, please, please, step back. Thank you. Mrs Ahmad, I need you... 311 00:15:50,960 --> 00:15:51,960 What's wrong with him? 312 00:15:51,960 --> 00:15:53,960 Where's the defib? Where's the crash trolley? 313 00:15:53,960 --> 00:15:55,480 Is he gonna be OK? 314 00:15:55,480 --> 00:15:57,640 Guys, stay out. We're gonna wait for ITU. Thanks. 315 00:15:57,640 --> 00:15:58,800 Abbey? 316 00:15:58,800 --> 00:15:59,960 ITU on their way. 317 00:16:11,960 --> 00:16:12,960 Abbey, back, please. 318 00:16:15,960 --> 00:16:17,960 This is Yussuf Ahmad, 319 00:16:17,960 --> 00:16:20,960 45-year-old, admitted with mild breathlessness. 320 00:16:20,960 --> 00:16:23,960 Febrile, bilateral creps on examination. 321 00:16:23,960 --> 00:16:26,320 Sats in the 60s on admission. 322 00:16:26,320 --> 00:16:28,960 Total whiteout on chest film, 323 00:16:28,960 --> 00:16:31,160 but sat up chatting on oxygen. 324 00:16:31,160 --> 00:16:33,160 ITU DOCTOR: Laryngoscope and a size 8 tube. 325 00:16:36,640 --> 00:16:37,960 Pause. 326 00:16:39,160 --> 00:16:40,640 Pause. 327 00:16:45,960 --> 00:16:46,960 Laryngoscope. 328 00:16:50,000 --> 00:16:51,160 Tube. 329 00:17:05,960 --> 00:17:07,960 I'm in. Restart compressions. 330 00:17:08,960 --> 00:17:10,960 Why are you guys in PPE? 331 00:17:10,960 --> 00:17:12,960 Just a precaution. No travel history. 332 00:17:12,960 --> 00:17:14,480 We should all be in full PPE! 333 00:17:14,480 --> 00:17:16,160 Becky, you can take over? 334 00:17:16,160 --> 00:17:18,960 Five, four, three, two, one. 335 00:17:18,960 --> 00:17:19,960 Look, I think... 336 00:17:19,960 --> 00:17:22,320 I was clerking him earlier without a mask on, Abbey. 337 00:17:22,320 --> 00:17:24,960 - I think you need to isolate. - I didn't even put gloves on. 338 00:17:24,960 --> 00:17:27,480 - Ant, Ant... - But he seemed fine. 339 00:17:27,480 --> 00:17:29,640 - Go home. - They said the Cold Zone was clear. 340 00:17:29,640 --> 00:17:32,960 Listen to me. You've been exposed. You need to go now. 341 00:17:32,960 --> 00:17:34,960 - What about... - Please. 342 00:17:34,960 --> 00:17:36,960 Just go. I'll call you later, OK? 343 00:17:37,960 --> 00:17:39,960 - Yeah. - It's OK. 344 00:18:23,960 --> 00:18:28,320 How is that feeling, huh? Good? 345 00:18:35,480 --> 00:18:36,960 Better, Mr Williams? 346 00:18:36,960 --> 00:18:37,960 New man. 347 00:18:37,960 --> 00:18:40,960 Thank you, Divina. 348 00:18:40,960 --> 00:18:42,960 You're welcome, Mr Williams. 349 00:18:42,960 --> 00:18:44,960 HE COUGHS 350 00:18:45,960 --> 00:18:47,960 Hi. Hi, hi. 351 00:18:47,960 --> 00:18:50,960 'Hi. Yeah, yeah. You OK?' 352 00:18:50,960 --> 00:18:52,960 Sorry I didn't get a chance to call sooner. 353 00:18:52,960 --> 00:18:55,960 'No, no, it's fine. It's all good. It's all good.' 354 00:18:55,960 --> 00:18:57,960 Everything OK? 355 00:18:57,960 --> 00:19:00,960 'Yeah, yeah. Just wondering what's going on, though.' 356 00:19:00,960 --> 00:19:03,960 Er... We're not sure yet. 357 00:19:03,960 --> 00:19:07,960 Nothing's been confirmed, you know, with testing or anything. 358 00:19:07,960 --> 00:19:10,960 But, well, Robyn doesn't really tolerate the nebuliser, 359 00:19:10,960 --> 00:19:12,960 so if she would get coronavirus, 360 00:19:12,960 --> 00:19:13,960 she'd end up going straight into kids' ED 361 00:19:13,960 --> 00:19:16,800 and I really wouldn't want that to happen right now. 362 00:19:16,800 --> 00:19:18,960 'But, I mean, she's been... 363 00:19:18,960 --> 00:19:21,800 'she's been pretty good recently, you know? 364 00:19:21,800 --> 00:19:23,960 KIDS YELL 'Guys, guys, please. 365 00:19:24,960 --> 00:19:27,160 'I don't think there are many cases yet, are there?' 366 00:19:27,160 --> 00:19:28,960 I just... I don't want it getting to her. 367 00:19:28,960 --> 00:19:31,960 Even if I've dodged it, 368 00:19:31,960 --> 00:19:33,960 it's gonna be in the schools now. 369 00:19:33,960 --> 00:19:36,960 'You all right, though? When do you finish?' 370 00:19:36,960 --> 00:19:37,960 Not for a while. 371 00:19:39,960 --> 00:19:40,960 'Here you are.' 372 00:19:42,320 --> 00:19:43,960 Do I get a hello? 373 00:19:44,960 --> 00:19:46,960 - 'Hello, Mum.' - 'Hi.' 374 00:19:51,960 --> 00:19:52,960 I'll call you when I'm heading home. 375 00:19:52,960 --> 00:19:55,960 - 'Sorry. Sorry. You're OK, though?' - It's fine. 376 00:19:55,960 --> 00:19:58,160 Yep, yeah. I better go, OK? 377 00:19:58,160 --> 00:20:00,640 - 'Bye-bye.' - Bye. Bye-bye. 378 00:20:37,960 --> 00:20:39,960 PPE to the max in here. 379 00:20:41,960 --> 00:20:45,960 I'm not saying he's got COVID, but we're suspicious, OK? 380 00:20:45,960 --> 00:20:47,960 We've swabbed him, so we'll see. 381 00:20:48,960 --> 00:20:51,320 "No travel history, no coronavirus." 382 00:20:51,320 --> 00:20:53,320 Well, he's sick enough for a test now. 383 00:20:53,320 --> 00:20:55,640 Where are these rules coming from? 384 00:20:56,960 --> 00:20:57,960 If he has got the virus, 385 00:20:57,960 --> 00:20:59,000 it's coming in through the front door. 386 00:20:59,000 --> 00:21:01,960 Anyone with a chest history could have it. 387 00:21:01,960 --> 00:21:02,960 Or just anyone. 388 00:21:07,960 --> 00:21:11,960 BORIS JOHNSON: 'Fantastic NHS, fantastic testing systems 389 00:21:11,960 --> 00:21:13,960 'and fantastic surveillance.' PASSENGER COUGHS 390 00:21:13,960 --> 00:21:18,960 'We will make sure the NHS gets all the support it needs 391 00:21:18,960 --> 00:21:22,960 'to continue their brilliant response to the virus so far. 392 00:21:22,960 --> 00:21:24,800 'But at this stage, 393 00:21:24,800 --> 00:21:27,960 'with the exception of all the points that I have just mentioned, 394 00:21:27,960 --> 00:21:28,960 'I want to stress 395 00:21:28,960 --> 00:21:32,160 'that for the vast majority of the people of this country, 396 00:21:32,160 --> 00:21:35,960 'we should be going about our business as usual.' 397 00:21:35,960 --> 00:21:40,320 OK, folks, we now have our first two patients 398 00:21:40,320 --> 00:21:43,960 with suspected coronavirus isolated in ITU. 399 00:21:44,960 --> 00:21:47,960 Both travel history from China. 400 00:21:47,960 --> 00:21:50,960 Both tested, but results not back. 401 00:21:50,960 --> 00:21:55,960 We've been told to double, possibly triple our ITU footprint, 402 00:21:55,960 --> 00:21:59,960 and anticipate suspending all elective surgery 403 00:21:59,960 --> 00:22:00,960 and redeploying staff. 404 00:22:00,960 --> 00:22:02,960 We're contacting dental colleagues. 405 00:22:02,960 --> 00:22:06,960 We're bringing back clinic-based SPRs and research SPRs, 406 00:22:06,960 --> 00:22:09,960 and redeploying them to Cold Zone wards. 407 00:22:09,960 --> 00:22:12,960 We are following the Public Health England guidance 408 00:22:12,960 --> 00:22:15,960 and in daily contact with NHS England. 409 00:22:17,960 --> 00:22:20,480 Er... Yeah. Questions? 410 00:22:20,480 --> 00:22:22,960 Yes, Mike... 411 00:22:22,960 --> 00:22:26,960 There are actually three suspected COVID cases, not two. 412 00:22:26,960 --> 00:22:29,960 My team saw a case in the Cold Zone 413 00:22:29,960 --> 00:22:32,000 presenting with no travel history. 414 00:22:32,000 --> 00:22:35,800 He experienced a respiratory arrest, and he is now in ITU. 415 00:22:36,960 --> 00:22:39,480 So, what's your question, Abbey? 416 00:22:40,960 --> 00:22:45,960 My concern is the Cold Zones, where there's currently no PPE at all. 417 00:22:45,960 --> 00:22:49,320 I'm worried this puts my team, all the teams, at risk. 418 00:22:49,320 --> 00:22:51,960 We're beginning to see patients on the take presenting... 419 00:22:51,960 --> 00:22:54,960 I do hear you, but there really aren't any serious concerns 420 00:22:54,960 --> 00:22:57,640 about community transmission coming through to us from PHE. 421 00:22:57,640 --> 00:22:58,960 I'm voicing that concern, Mike. 422 00:22:58,960 --> 00:23:00,800 MURMURED AGREEMENT 423 00:23:00,800 --> 00:23:01,960 All right. OK. 424 00:23:01,960 --> 00:23:06,960 OK, look, everyone, this is the national guidance. 425 00:23:06,960 --> 00:23:08,480 MAN: Based on what? 426 00:23:08,480 --> 00:23:09,960 On containment. 427 00:23:09,960 --> 00:23:11,960 The working assumption is that 428 00:23:11,960 --> 00:23:14,960 the few cases here in the UK are contained. 429 00:23:14,960 --> 00:23:17,960 And for now, there's no reason to assume otherwise. 430 00:23:17,960 --> 00:23:19,960 OK. Thanks so much, everyone. 431 00:23:19,960 --> 00:23:21,960 These will be daily briefings from now on. I hope that's OK. 432 00:23:21,960 --> 00:23:23,960 So, I will see you all tomorrow morning. 433 00:23:23,960 --> 00:23:26,960 All of us just packed in here again, all together like this? 434 00:23:26,960 --> 00:23:29,960 It's just temporary, until things get back to normal. 435 00:23:29,960 --> 00:23:31,960 I hope that's not a problem. 436 00:23:35,960 --> 00:23:36,960 Mike. 437 00:23:38,960 --> 00:23:39,960 Mike! 438 00:23:39,960 --> 00:23:44,320 We're all packed in here with no masks or social distancing. 439 00:23:44,320 --> 00:23:45,960 I've already had to send my reg home 440 00:23:45,960 --> 00:23:47,960 because I think he may have been exposed. 441 00:23:47,960 --> 00:23:48,960 No, no, not if he's Cold Zone only. 442 00:23:48,960 --> 00:23:51,960 But I think we're getting coronavirus cases in the Cold Zone. 443 00:23:51,960 --> 00:23:54,480 Look, like I said, this has come straight down to us from... 444 00:23:54,480 --> 00:23:55,960 From Public Health England. I know. 445 00:23:55,960 --> 00:23:57,960 I don't think they're making it up on the spot. 446 00:23:57,960 --> 00:23:59,960 But what if they're out of date and it's already spreading? 447 00:23:59,960 --> 00:24:01,960 Abbey, this is their lane. 448 00:24:01,960 --> 00:24:03,960 We need to have faith in their ability to assess the epidem... 449 00:24:03,960 --> 00:24:07,000 - The staff on my ward have no PPE! - Because they don't need it. 450 00:24:07,000 --> 00:24:09,960 In Cold Zones, they don't need it. That's the guidance. 451 00:24:09,960 --> 00:24:11,960 PHONE BUZZES I'm sorry. I have to take this. 452 00:24:21,960 --> 00:24:23,320 How's he doing? 453 00:24:23,320 --> 00:24:26,960 His gas exchange is deteriorating despite maximal ventilation. 454 00:24:32,960 --> 00:24:34,960 PHONE BUZZES 455 00:24:36,960 --> 00:24:39,960 Yes. Put her through, please. 456 00:24:39,960 --> 00:24:40,960 That's his wife. 457 00:24:41,960 --> 00:24:43,160 Dr Ozkul here. 458 00:24:45,960 --> 00:24:49,320 Everything we're trying just isn't enough. 459 00:24:49,320 --> 00:24:51,960 I'm sorry to say, he's not going to survive. 460 00:24:51,960 --> 00:24:54,960 'No! Can I see him?' 461 00:24:54,960 --> 00:24:58,960 I'm so very sorry, but we cannot let visitors inside. 462 00:24:58,960 --> 00:25:00,960 The risks at the moment are just too... 463 00:25:00,960 --> 00:25:01,960 SHE SOBS 464 00:25:01,960 --> 00:25:03,960 I am very, very sorry. 465 00:25:16,960 --> 00:25:19,960 So, in summary, Mr Williams is doing brilliantly 466 00:25:19,960 --> 00:25:22,960 when you think about what he was like when he came in. 467 00:25:22,960 --> 00:25:24,960 You're doing so well, Mr Williams. 468 00:25:24,960 --> 00:25:27,160 Hopefully, hopefully, home to Florence soon. 469 00:25:27,160 --> 00:25:29,960 She'll be pleased. Thank you. 470 00:25:29,960 --> 00:25:32,320 Thanks, Emma. I'm glad you're feeling better, Mr Williams. 471 00:25:32,320 --> 00:25:33,960 - Bye-bye. - Where's Ant this morning? 472 00:25:34,960 --> 00:25:37,960 I sent him home from the take on Friday. 473 00:25:37,960 --> 00:25:39,960 He did CPR on the patient who went straight to ITU. 474 00:25:39,960 --> 00:25:41,960 What, in the Cold Zone? 475 00:25:41,960 --> 00:25:44,800 I was concerned about the possibility... 476 00:25:44,800 --> 00:25:45,960 Is there anything we should be doing? 477 00:25:45,960 --> 00:25:47,960 It's just a precaution. 478 00:25:47,960 --> 00:25:48,960 Right. 479 00:25:49,960 --> 00:25:51,960 ANT COUGHS 'Hiya.' 480 00:25:51,960 --> 00:25:53,800 How you feeling? 481 00:25:54,960 --> 00:25:55,960 'Shite.' 482 00:25:58,960 --> 00:25:59,960 Look, Ant... 483 00:26:01,960 --> 00:26:06,640 ...Mr Ahmad, the patient you were exposed to, he... 484 00:26:06,640 --> 00:26:07,960 he didn't make it. 485 00:26:08,960 --> 00:26:10,800 I'm sorry. 486 00:26:11,960 --> 00:26:14,320 'Oh, right.' 487 00:26:14,320 --> 00:26:15,960 The results of his test still aren't back. 488 00:26:15,960 --> 00:26:18,960 Don't ask me why. Have you had yours? 489 00:26:20,960 --> 00:26:26,960 'Nope, I am not unwell enough, and no travel history.' 490 00:26:26,960 --> 00:26:29,320 COUGHS 491 00:26:29,320 --> 00:26:31,960 I'll get you one, OK? Well, I'll try. 492 00:26:31,960 --> 00:26:33,640 Here you go, Abbey. 493 00:26:33,640 --> 00:26:36,160 'Forget it. I've got to go.' 494 00:26:36,160 --> 00:26:37,960 Where have you got to be? 495 00:26:40,800 --> 00:26:42,480 'I've got to call Mum.' 496 00:26:42,480 --> 00:26:45,960 OK. You take care of yourself, yeah? 497 00:26:45,960 --> 00:26:46,960 'Bye.' 498 00:26:56,000 --> 00:26:58,480 So, we'll try taking him off the nasal canulae, 499 00:26:58,480 --> 00:27:01,000 and then we'll see how you get on. OK? 500 00:27:01,000 --> 00:27:02,960 When did you get back? 501 00:27:02,960 --> 00:27:03,960 Excuse me one second. 502 00:27:07,960 --> 00:27:10,960 Guys, guys, guys, what are you doing? 503 00:27:10,960 --> 00:27:12,960 Anyone on here could have it, they're saying, 504 00:27:13,960 --> 00:27:15,640 Who's saying that? 505 00:27:15,640 --> 00:27:18,960 Chantelle told me you had said it had got in the Cold Zone, so... 506 00:27:18,960 --> 00:27:20,960 I'm not sure we can start making our own kit. 507 00:27:20,960 --> 00:27:21,960 We don't want to panic people. 508 00:27:21,960 --> 00:27:24,320 Well, then, no-one's looking out for us. 509 00:27:24,320 --> 00:27:26,960 We don't know which of our patients have got it and which haven't. 510 00:27:26,960 --> 00:27:29,960 Be honest, Abbey, do you think we're safe? 511 00:27:29,960 --> 00:27:31,320 That's what we're being told. 512 00:27:31,320 --> 00:27:33,960 That's the advice from Public Health England. 513 00:27:33,960 --> 00:27:36,960 But you would tell us if you weren't sure, no? 514 00:27:38,960 --> 00:27:41,960 That's the national guidance, so... 515 00:27:50,960 --> 00:27:52,960 - Can you come take a look? - Yeah. 516 00:27:52,960 --> 00:27:54,960 Got three query coronavirus in resus. 517 00:27:54,960 --> 00:27:55,960 ITU's with one of them now, 518 00:27:55,960 --> 00:27:58,960 the other two looking like they're heading that way. 519 00:28:03,640 --> 00:28:06,000 These are out of date. Says 2016 underneath. 520 00:28:06,000 --> 00:28:07,160 Seriously? 521 00:28:07,160 --> 00:28:09,960 Sorry, not the FFP3s, Doctor. There's been a downgrade. 522 00:28:09,960 --> 00:28:11,960 Excuse me? 523 00:28:11,960 --> 00:28:13,960 New guidance. You can just use the basic stuff. 524 00:28:13,960 --> 00:28:15,800 Apron, surgical masks. 525 00:28:16,960 --> 00:28:17,960 What? 526 00:28:17,960 --> 00:28:20,000 You need to be doing aerosol-generating procedures 527 00:28:20,000 --> 00:28:21,960 to get full PPE. 528 00:28:22,960 --> 00:28:25,960 Well, I've touched this one now. Shall I just use it? 529 00:28:25,960 --> 00:28:26,960 Erm... 530 00:28:26,960 --> 00:28:28,000 This is insane. 531 00:28:29,960 --> 00:28:31,960 Mike Prentice was just here. I'm sure you can catch him. 532 00:28:37,960 --> 00:28:38,960 Thank you. 533 00:29:02,960 --> 00:29:04,960 MACHINES BEEP, CHATTER 534 00:29:11,960 --> 00:29:13,960 HEAVY BREATHING 535 00:29:19,960 --> 00:29:23,960 One of them is already dead. He never got out of resus. 536 00:29:23,960 --> 00:29:26,960 Another's on his way to ITU, the third's about to be. 537 00:29:27,960 --> 00:29:31,800 I am not going in there again in a plastic pinny, 538 00:29:31,800 --> 00:29:33,960 and neither is my team. 539 00:29:33,960 --> 00:29:37,960 Yeah, the downgrade is new national guidance. 540 00:29:37,960 --> 00:29:40,960 It's a three-line whip. 541 00:29:40,960 --> 00:29:42,480 Are you running out? 542 00:29:44,960 --> 00:29:47,960 - Look, Jo, I know it may seem... - Who are you saving it for? 543 00:29:48,960 --> 00:29:51,800 Please, just tr... 544 00:29:54,960 --> 00:29:56,960 Just trust the guidelines. 545 00:29:57,960 --> 00:30:01,960 The downgrade means restricted use of Level 3 PPE. 546 00:30:06,960 --> 00:30:10,960 There's a perception on the floor that there's a mismatch 547 00:30:10,960 --> 00:30:14,960 between the new guidelines and reality based on Italy. 548 00:30:14,960 --> 00:30:17,960 But that's Italy. We're not on the same curve. 549 00:30:18,960 --> 00:30:22,960 Well, we're definitely behind them, but we are on it. 550 00:30:22,960 --> 00:30:24,960 There's only one curve. 551 00:30:26,960 --> 00:30:30,000 OK, sure. So, what? 552 00:30:30,000 --> 00:30:33,960 The Department of Health are saying that you don't need Level 3 PPE. 553 00:30:33,960 --> 00:30:35,960 And you think... 554 00:30:35,960 --> 00:30:42,000 I-I-I think the concerns around the Lombardy experience are real. 555 00:30:42,000 --> 00:30:44,960 I've just got off the phone from DoH. 556 00:30:44,960 --> 00:30:46,960 Why are DoH saying that Level 3 PPE isn't required? 557 00:30:46,960 --> 00:30:50,960 They're very clear about the state of things in the UK, so... 558 00:30:50,960 --> 00:30:52,960 No, no. Sure. 559 00:30:52,960 --> 00:30:55,960 I've got the Secretary of State on speed dial here 560 00:30:55,960 --> 00:30:57,960 if you want to take it up the line. 561 00:31:07,960 --> 00:31:09,480 ABBEY: ...and we'll talk about next steps. 562 00:31:09,480 --> 00:31:11,960 Could you grab me a red form, please? 563 00:31:11,960 --> 00:31:15,640 Erm... Ros, could you pass me Mr Bailey's notes, please? 564 00:31:15,640 --> 00:31:18,800 I just want to check the next of kin details. Thank you. 565 00:31:20,480 --> 00:31:21,960 That's great, thanks. 566 00:31:21,960 --> 00:31:23,960 Divina? DIVINA COUGHS 567 00:31:23,960 --> 00:31:24,960 Divina, what's the matter? 568 00:31:24,960 --> 00:31:28,960 Thirty-nine point one. I can't stop coughing. 569 00:31:28,960 --> 00:31:30,960 I'm going home. - Let me get you a test. 570 00:31:30,960 --> 00:31:32,960 The guidance has been changed again. 571 00:31:32,960 --> 00:31:37,960 Now no-one can get one unless you're sick enough to be admitted. 572 00:31:37,960 --> 00:31:40,960 SHE GASPS AND COUGHS 573 00:31:40,960 --> 00:31:42,480 Divina... 574 00:31:46,960 --> 00:31:48,480 It's OK. 575 00:32:00,960 --> 00:32:02,000 Could you grab me that form, please? 576 00:32:02,000 --> 00:32:03,960 Yes. Yeah. 577 00:32:49,960 --> 00:32:51,960 Hey, Mummy's home! 578 00:32:51,960 --> 00:32:54,000 - Mum, Mum! - Mum, Mum! 579 00:32:54,000 --> 00:32:56,320 Hey. No, remember, Mummy's gonna have a shower. 580 00:32:56,320 --> 00:32:57,960 No, but I want to show you something. 581 00:32:57,960 --> 00:33:00,480 I know, I'll be down in a minute. Stay in the kitchen, OK? 582 00:33:00,480 --> 00:33:02,960 I won't be long. Love you. - Mum! 583 00:33:02,960 --> 00:33:04,640 Five minutes, love. 584 00:33:11,960 --> 00:33:15,960 BORIS JOHNSON: 'And it's clear that coronavirus, COVID- 19, 585 00:33:15,960 --> 00:33:17,960 'continues and will continue to spread 586 00:33:17,960 --> 00:33:22,960 'across the world and our country over the next few months. 587 00:33:22,960 --> 00:33:26,960 'We've done what can be done to contain this disease, 588 00:33:26,960 --> 00:33:29,960 'and this has bought us valuable time. 589 00:33:29,960 --> 00:33:31,960 'But it's now a global pandemic 590 00:33:31,960 --> 00:33:35,960 'and the number of cases will rise sharply. 591 00:33:35,960 --> 00:33:39,960 'Indeed, the true number of cases is higher, perhaps much higher 592 00:33:39,960 --> 00:33:42,960 'than the number of cases we have so far confirmed with tests.' 593 00:33:42,960 --> 00:33:45,960 Let's get you into bay 3, please. 594 00:33:45,960 --> 00:33:50,960 'I must level with you, level with the British public. 595 00:33:50,960 --> 00:33:52,960 'More families, many more families 596 00:33:52,960 --> 00:33:56,480 'are going to lose loved ones before their time.' 597 00:33:59,800 --> 00:34:01,960 OK, let's move that oxygen over, thank you. 598 00:34:01,960 --> 00:34:02,960 Brakes on. 599 00:34:02,960 --> 00:34:04,960 BREATHES HEAVILY 600 00:34:06,960 --> 00:34:09,960 Relax as you are for a second. Let's get that side down. 601 00:34:09,960 --> 00:34:10,960 You're doing really well. 602 00:34:53,960 --> 00:34:55,960 ...need to be seen first, 603 00:34:55,960 --> 00:34:59,800 and there are three ducks in resus already. 604 00:34:59,800 --> 00:35:00,960 Thanks, mate, well done. 605 00:35:00,960 --> 00:35:03,960 Right, everyone. It's going to be a hard night, 606 00:35:03,960 --> 00:35:07,480 but we have more FFP3s from a building firm, 607 00:35:07,480 --> 00:35:09,960 from some vets and dentists. 608 00:35:09,960 --> 00:35:12,960 And school kids, amazingly, have made some visors. 609 00:35:12,960 --> 00:35:13,960 THEY CHUCKLE 610 00:35:13,960 --> 00:35:15,960 Hannah's been on the phone all afternoon. 611 00:35:15,960 --> 00:35:17,960 - Here we go. - Ah, here they come. 612 00:35:17,960 --> 00:35:18,960 Cheers, guys. 613 00:35:18,960 --> 00:35:20,960 Thanks, lads. 614 00:35:22,960 --> 00:35:24,960 Oh-ho-ho! 615 00:35:24,960 --> 00:35:27,960 This one has your name all over it, Neil. 616 00:35:27,960 --> 00:35:28,960 Very fancy. 617 00:35:30,320 --> 00:35:33,320 And we have around two million pizzas from the public. 618 00:35:33,320 --> 00:35:36,960 So no moaning, even if they do all have pineapple on them. 619 00:35:36,960 --> 00:35:38,960 Just kidding, they don't. 620 00:35:38,960 --> 00:35:42,960 So, heads down, stay safe. 621 00:35:42,960 --> 00:35:44,480 Speak to me if it gets too much. 622 00:35:44,480 --> 00:35:45,960 OK? 623 00:35:45,960 --> 00:35:46,960 Sure. 624 00:35:49,960 --> 00:35:53,800 Hey. Didn't think I'd be seeing you tonight. 625 00:35:53,800 --> 00:35:56,160 Med reg off sick, all the locums off sick, so... 626 00:35:56,160 --> 00:35:57,960 Bad luck. 627 00:35:58,960 --> 00:36:00,960 What's a "duck"? 628 00:36:00,960 --> 00:36:03,960 A patient with COVID lungs, COVID bloods, COVID plain film, 629 00:36:03,960 --> 00:36:05,960 but no COVID test result back. 630 00:36:05,960 --> 00:36:07,960 If it looks like a duck, walks like a duck... 631 00:36:07,960 --> 00:36:09,000 Yeah, got it. 632 00:36:09,000 --> 00:36:10,960 My F1s will help you out. 633 00:36:11,960 --> 00:36:13,960 What about their PPE guidelines? 634 00:36:15,960 --> 00:36:18,960 We only get Level 3 for resus. 635 00:36:18,960 --> 00:36:20,960 It's obvious they're just short of kit. 636 00:36:20,960 --> 00:36:22,160 Yeah. 637 00:36:22,160 --> 00:36:25,960 Are you OK in hot resus? You know, Divina's... 638 00:36:25,960 --> 00:36:27,480 Yeah, yeah. 639 00:36:37,960 --> 00:36:39,960 - Hello, Divina. - Hi, Doctor. 640 00:36:39,960 --> 00:36:41,960 Do you want to bring me up to speed? 641 00:36:41,960 --> 00:36:43,960 We've been tweaking the high flow since this morning, 642 00:36:43,960 --> 00:36:46,960 but she's on 100% now and sats have dropped to 87. 643 00:36:46,960 --> 00:36:49,960 Here's her gas from 20 minutes ago. 644 00:36:49,960 --> 00:36:51,000 OK. Thanks. 645 00:36:57,960 --> 00:36:58,960 Divina... 646 00:37:00,800 --> 00:37:02,960 ...I can see how tired you are getting. 647 00:37:02,960 --> 00:37:05,960 I think we should take you to ITU, OK? 648 00:37:05,960 --> 00:37:07,960 And if we have to move to a ventilator, 649 00:37:07,960 --> 00:37:10,960 I will do the intubation myself. 650 00:37:10,960 --> 00:37:11,960 All right? 651 00:37:13,960 --> 00:37:17,960 I promise you, we will take the absolute... 652 00:37:17,960 --> 00:37:19,960 ALARM BLARES 653 00:37:19,960 --> 00:37:21,960 What's that? 654 00:37:21,960 --> 00:37:24,960 It's the low oxygen flow rate alarm. Button on the wall, please. 655 00:37:33,800 --> 00:37:34,960 Are we running out of oxygen? 656 00:37:39,800 --> 00:37:41,960 I'll see you shortly, Divina, all right? 657 00:37:41,960 --> 00:37:42,960 WEAKLY: OK. 658 00:37:42,960 --> 00:37:44,320 I'll call you as soon as I've got a bed. 659 00:37:44,320 --> 00:37:46,960 Let's go for a trial of CPAP in the meantime. 660 00:37:47,960 --> 00:37:51,960 Hi, guys, I might need a bit of help, 661 00:37:51,960 --> 00:37:52,960 even if it's just for a few hours. 662 00:37:52,960 --> 00:37:56,960 We're... running out of beds, vents... 663 00:37:56,960 --> 00:37:58,960 ALARM BLARES 664 00:38:00,960 --> 00:38:02,800 Maybe even oxygen. 665 00:38:02,800 --> 00:38:05,960 Look, I'm... I'm not gonna make it home this weekend. 666 00:38:05,960 --> 00:38:06,960 Sorry, it's just... 667 00:38:08,640 --> 00:38:11,960 ...it's just exploded. They... they just keep coming. 668 00:38:13,960 --> 00:38:16,960 Don't take the children anywhere this weekend, it's not safe. 669 00:38:16,960 --> 00:38:20,960 Home or the park, but nowhere else, OK? 670 00:38:20,960 --> 00:38:23,960 'OK, OK. Are you all right?' 671 00:38:24,960 --> 00:38:26,960 Ambulance bay, please, Abbey. 672 00:38:26,960 --> 00:38:28,960 Yeah. 673 00:38:28,960 --> 00:38:30,480 I've got to go. I'll call you in the morning. 674 00:38:30,480 --> 00:38:31,960 - 'OK.' - OK, bye. 675 00:38:37,000 --> 00:38:39,960 What's going on? Guys, why aren't you doing CPR? 676 00:38:39,960 --> 00:38:42,320 - We've been told not to. - Where's your PPE? 677 00:38:42,320 --> 00:38:43,960 He arrested en route 20 minutes ago. 678 00:38:43,960 --> 00:38:46,960 We're just in aprons. We can't do CPR. 679 00:38:46,960 --> 00:38:49,960 It's droplet-generating, we just had to let him go. 680 00:38:50,960 --> 00:38:53,480 You're gonna have to call it in the back of the truck, 681 00:38:53,480 --> 00:38:54,960 and we need to get back out on the road. 682 00:38:59,640 --> 00:39:01,960 Look, I'm really sorry to do this to you, 683 00:39:01,960 --> 00:39:03,960 but we need to get back on the road. 684 00:39:03,960 --> 00:39:05,320 Yeah. 685 00:39:51,960 --> 00:39:52,960 8:32. 686 00:39:54,960 --> 00:39:56,800 8:32 pm. 687 00:40:00,960 --> 00:40:03,960 TEARFULLY: I'm sorry, guys. I am so sorry. 688 00:40:23,960 --> 00:40:26,480 'The country has a perfectly adequate supply 689 00:40:26,480 --> 00:40:28,960 'of personal protective equipment, PPE, at the moment.' 690 00:40:28,960 --> 00:40:30,960 There have been, I think, 691 00:40:30,960 --> 00:40:34,960 some... differential deliveries, if you like, in some areas, 692 00:40:34,960 --> 00:40:36,960 which has caused a degree of concern recently. 693 00:40:36,960 --> 00:40:38,640 That is completely resolved now. 694 00:40:38,640 --> 00:40:41,960 'And in fact, what we've done in the last 36 hours 695 00:40:41,960 --> 00:40:44,960 'is set up an entirely separate PPE...' 696 00:40:45,960 --> 00:40:48,960 - Sorry, trying to get past. - Sorry. 697 00:40:51,320 --> 00:40:53,800 - Through here, yeah? - Yeah. 698 00:40:53,800 --> 00:40:54,960 They just keep on coming. 699 00:40:56,960 --> 00:40:58,800 It's madness. 700 00:41:17,960 --> 00:41:18,960 I'm so sorry. 701 00:41:18,960 --> 00:41:21,960 We tried everything we could en route. 702 00:41:21,960 --> 00:41:24,960 If you call the number I've given you in the morning... 703 00:41:26,960 --> 00:41:27,960 Hi, Jo. 704 00:41:27,960 --> 00:41:31,640 Obviously, staff sickness is through the roof. 705 00:41:31,640 --> 00:41:33,000 Because of the PPE situation. 706 00:41:33,000 --> 00:41:37,960 We're also having questions raised about oxygen delivery. 707 00:41:37,960 --> 00:41:40,960 There's clearly extreme pressure on beds. 708 00:41:40,960 --> 00:41:43,960 So, Gold Command have decided 709 00:41:43,960 --> 00:41:45,480 we need to declare a critical incident. 710 00:41:45,480 --> 00:41:47,960 Really? Took you long enough. 711 00:42:18,960 --> 00:42:21,640 Hello, Divina. 712 00:42:21,640 --> 00:42:22,960 Welcome to ITU. 713 00:42:22,960 --> 00:42:26,000 It's nice to see you. We're gonna take good care of you, all right? 714 00:42:26,000 --> 00:42:29,640 We're just gonna put a little tube. 715 00:42:29,640 --> 00:42:31,960 It's gonna take a minute or two. 716 00:42:32,960 --> 00:42:35,960 It's gonna be very quick, OK? I'm gonna do it myself. 717 00:42:35,960 --> 00:42:37,960 Nice and gentle. 718 00:42:37,960 --> 00:42:39,960 We're right here with you. All right? 719 00:42:42,160 --> 00:42:45,800 Drugs are going in. You'll start feeling it in a moment. 720 00:42:46,960 --> 00:42:49,960 OK, just relax. 721 00:42:50,960 --> 00:42:51,960 Nice. 722 00:42:55,960 --> 00:42:56,960 That's it. 723 00:42:58,800 --> 00:42:59,960 That's it. 724 00:43:10,000 --> 00:43:12,160 MACHINES BEEP 725 00:43:29,960 --> 00:43:34,480 JEREMY CORBYN: 'The World Health Organisation said test, test, test.' 726 00:43:34,480 --> 00:43:36,960 CHRIS WHITTY: 'If the NHS became overwhelmed, 727 00:43:36,960 --> 00:43:39,960 'then people would die from indirect deaths 728 00:43:39,960 --> 00:43:42,960 'because they did not have the ability to get medical care.' 729 00:43:42,960 --> 00:43:45,480 CORBYN: 'The rest of the world is providing staff 730 00:43:45,480 --> 00:43:47,960 'with full protective gear, and we are restricting it.' 731 00:43:47,960 --> 00:43:48,960 What's your name? 732 00:43:48,960 --> 00:43:51,480 JOHNSON: 'I do think, looking at it all, 733 00:43:51,480 --> 00:43:55,960 'that we can turn the tide within the next 12 weeks, 734 00:43:55,960 --> 00:44:01,960 'and I'm absolutely confident that we can send coronavirus packing.' 735 00:44:01,960 --> 00:44:04,960 I need some help here! He's stopped breathing! 736 00:44:04,960 --> 00:44:06,960 REPORTER: 'Do you not think it is now right 737 00:44:06,960 --> 00:44:10,480 'to move to a more substantial lockdown of the capital, 738 00:44:10,480 --> 00:44:13,800 'like they have in Italy, in Spain?' 739 00:44:13,800 --> 00:44:15,960 MACHINES BEEP 740 00:44:17,960 --> 00:44:19,960 BEEPING INTENSIFIES 741 00:45:03,960 --> 00:45:05,960 Subtitles by accessibility@itv.com 742 00:45:06,010 --> 00:45:10,560 Repair and Synchronization by Easy Subtitles Synchronizer 1.0.0.0 55507

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