RFDS: Royal Flying Doctor Service

(tranquil music) (airplane whooshing) (Rhiannon) To our new SMO.

Cheers!

-Hey, what did Nate say?

-Uh... (Rhiannon) Did you forget to call him?

(Pete) I'll talk to him tomorrow.

(Wayne) There's been a car accident.

It's Rhiannon and Pete's brother.

Now, stay with me.

We attempted resuscitation five times.

We did everything we could for her.

(Taylor) Uncle Pete?

(heavy breathing) I do need to get my shit together, and this is your house now too.

Hey Pete, we've got Wayne on the line.

(Mira) My name's Mira, you've been in an accident.

Are you guys married?

My boyfriend, he's a doctor.

(Ursula) Good for you, sister!

Hang on to that one.

Don't feel guilty, I'm good here.

Now I can take care of Uncle Timmy.

He took care of me, so... (Timmy) Having Mr.

Perfect as a father is great when you're a kid, but it's bloody hard when you're a grown man.

(Darren) I want to be an engineer.

(Pete panting) I know Dad drove into that tree on purpose.

(Darren) He wasn't well, Tay.

I wanna do something to honor your mum at the ball.

(Brian) Both of us and our business would like to pick up the shortfall and fully fund the Rhiannon Emerson Mental Health Clinic.

You did it!

(applause and laughter) -See?

-Yes!

What's the deal with the Southern Cross anyway?

Does it actually point South?

(Pete) What's here means something.

I'm going back to London.

I don't want to leave.

(laughter) (Pete sighs) (plane whooshing) (tranquil music) (Mira) White Cliffs Traffic, King Air Flydoc two fifty seven is 20 nautical miles to the south, inbound on descent.

Passing one zero thousand, will be joining downwind runway one two, circuit three zero White Cliffs.

All right, last one.

(muttering) Thank god.

-Chariot.

-Oh!

(Taylor) That is a good one!

That's all about the direction that you're heading.

(Pete) A bit nor-noreast, eh, Mira?

Affirmative.

Track 0-0-5, Radial 1-8-5.

You want a go, don't you?

-Nah, I'm good thanks.

-You scared?

(Pete) Of a mental health nurse who believes in tarot cards?

A little bit, yeah.

(Chaya) I told you, I work holistically.

Oh... good.

(Chaya) Are you worried it'll be bad?

I don't get worried.

Oh, you're worried it'll be good.

Go on.

Eh... (Pete chuckles) See, what exactly is the point of this game anyway?

Well, what is it?

Oh, just Death.

(Taylor and Chaya laugh) (Taylor) That's not bad!

Doesn't sound great!

It means new beginnings.

Change is coming.

It's a pretty big change.

Last time I picked it, I quit drinking, my job, and my marriage all within three months.

See, that's good!

You need a bit of a shake up!

What does that mean?

(Mira) Uh, we're on approach, folks so how about a little more cabin prep, a little less tempting fate, Petey?

Don't blame me!

So how busy does this rodeo get, anyway?

Hundreds of drunk cockies riding angry bulls and motorbikes.

Fairly busy.

(tires skidding) (propellers whirring) (Wayne) How's sunny Dubbo?

Wet again, why aren't you sleeping?

(Wayne) People seem to keep falling off things.

-Ooh, when's the big date?

-What date?

(Wayne) Thought you had a section briefing.

I do.

-Who's the date?

-Doctor Hottie.

You know, I thought becoming Ops Manager would get me some respect?

(Matty) Yeah, I'm rebelling!

Ever since you became manager of an entire section, I'm starting to have mummy issues all over again.

I love all my kids the same.

(Matty) Aw, that's just what Mum used to say.

I've got a doctor update if anyone's interested.

(Wayne) What, they finally found us one?

(Leonie) Unfortunately, no, and the arvo doctor's just pulled out sick.

(Wayne) Ugh, what?

(Graham) Who's Doctor Hottie?

(Matty) Dr. Scotty.

-The nephrologist?

-The hot nephrologist!

(Leonie) Anyway, I've left a message for the backup, I'll let you know when he confirms.

Now get home and get some sleep.

White Cliffs Rodeo, what do you reckon the chances of that are?

Mm... We live in hope?

(horses whinnying) (spectators whistling) (atmospheric Western music) (crowd cheering) (Chaya) Harry, cap with one?

(Announcer) Ladies and gentlemen... -Here you go, sir.

-What do I owe ya?

-That's on the house.

-Thanks.

(Taylor) You do have to take this though, okay?

Couple of coupons, handy information, Any questions, we're here all day.

-No worries, thanks.

-See you.

(crowd cheering) -What?

-Nothing.

You just remind me of your mum sometimes, that's all.

(Johnny) G'day White Cliffs!

It's good to be back boys and girls, ladies and gents, to the greatest rodeo in all of Australia!

(whistling and applause) (car horns honking) Where the crowd is hot, the beers are cold, and OH and S stands for One Helluva Shindig!

(crowd cheering) (horns honking) (Chaya) So, what's the attraction?

Uh, the thrill of not dying when you fall off, I suppose.

(Chaya) You ever done it?

(Pete) Once-- my brother was a cowboy.

Once was enough for me.

(Chaya) Did it hurt?

(Pete) Just my pride.

What, you wanna have a go?

(Chaya) Uh, I think if I wanted to awkwardly ride something for eight seconds, I would've stayed with my ex.

(Pete chuckles) (Johnny) Now buckle up, and watch these lads get bucked off.

Let's get this party started, shall we?

(crowd cheering) (horns honking) (woman whistles) Let the mayhem begin.

(Party Like You by The Cadillac Three plays) You got me feeling like a Saturday night You got me buzzing like a Miller Lite sign No last call inside Yeah, it's gonna be a wild ride And you know what you're doing When you do that lipstick dance on the cigarette And that moonlight and moonshine Hell I just want to cross the line with you That's right You got me rocking, rolling, like New Orleans Cut off booze like damn you know it Little bit a drink, little wink wink Tell me what you think I've been looking for a party like you You get dancing, hearts get stolen I love the way the night is going Little bit a drink, little wink wink Tell me what you think I've been looking for a party like you (Chaya) Okay, yeah, I think I'm starting to get it!

(Announcer) Ladies and gentlemen, we're about to get underway with the next man into the arena.

This young man can kick the fur off of a grizzly bear...

The ringer from Innaminka... Let's welcome, Cameron Archer!

(spectators cheer and applaud) (inaudible shouting) Yeah I'm a damn lucky guy (bull moos) (Announcer) Oh, he's come down extremely hard!

(Johnny) Cam!

(Announcer) Can we have our medical team into the arena straight away please?

(bull moos angrily) Okay, yep, I'm in.

(tense Western music) (Pete) What's his name, mate?

(Johnny) Cameron, Cameron Archer.

(Pete) Can you hear me?

Cameron?

All right, stretcher!

Get that bull back!

Okay, manual in-line stabilization.

Nice and easy while I get this helmet off.

Got him?

(owl hooting) (Wayne sighs) (owl continues hooting) Oh, can you please shut the f-- (cell phone ringing) (Wayne sighs) Speak.

(Pete) Sorry, did I wake you?

(Wayne) No, Mopoke outside has a death wish.

(Pete) I think they're protected, aren't they?

(Wayne) Yeah, well they're gonna need the Mafia.

(Pete) All right, just easy, easy just slow up a bit, slow up a bit.

There we go.

(Wayne) Let me guess, male, 20s, bull related.

You're a savant, uh, possible head and spinal, but I'll give you a call in ten with a zip rap.

Hey, are you all right?

Am I dead?

Not quite, mate.

Then why's the angel here?

You have brain damage is what you have, mate.

(Johnny) Nah, that's his regular brain.

(Pete) All right, Casanova, let's get you in the tent, have a look at you.

(bull mooing) Uh, any medications?

Uh, lithium, epilum and forax.

(horse whinnies) Are you bipolar?

Mate, I'm just about tri-polar.

(Pete chuckles) (Pete) Any past injuries or illnesses?

(Cameron) Appendix, ankle, wrist.

I've been picked up by the flying doctors three times, why's it never been you?

I'm on the mental health clinic.

Oh, that's lucky, 'cause I'm a basket case!

-You had a food today mate?

-A couple of snags.

(Pete) We'll get you into town for a CT just to make sure nothing's wrong with your head.

Don't need a CT to tell you that.

I'll be all right, it's not my first rodeo.

(Taylor laughs) (Prawnie) Hey, Sorry to bother yez.

(Pete) Ah, Prawnie, how are you?

(Prawnie groans) -Oh!

-Oh my god!

What happened?

(Prawnie) I uh, walked in front of a dart board.

(Pete) Yeah, that'll do it.

Um, Chaya, can you just-- (Chaya) Yeah, take a seat here, Prawnie, was it?

(Prawnie) Uh-huh, or Prawnhead, whatever works best for you.

(Cameron) No, no, no, here, take the bed, looks like you need it more than I do, thanks for the Panadol, doc.

No, no, hang on, hang on, you've still got to get looked at, you've got a major concussion.

I'll be right.

(Pete) Well, I strongly recommend you get a scan and get rest.

Promise I won't sue you.

Well, come back if you have any nausea, headaches, and Cam?

No driving, no drinking.

Oi, where are you going-- don't be an idiot!

It's gotten me this far.

Hope I see you around.

(Taylor) Are you gonna stop him?

(Pete) Well, I can't force him to get help.

Yeah, well can you try a little harder than that, Pete, like-- I can't get you to do the dishes, you want me to get bloody Billy the Kid on a plane?

(Taylor) Yeah, but he's clearly-- (Pete) He's got a bit going on, Tay!

(Taylor) Oh, you!

Oi-- didn't you hear him, you need to get a scan!

Ha-ha, are you a little worried about me?

No, just... worried about your family if you drop dead.

How 'bout you come and have a beer with us?

I'm working.

Yeah, you'd be monitoring the patient.

(Taylor chuckles) Are uh-- You always like this?

No, no sometimes I'm asleep.

(distant chatter) Oh well, another time, then.

(spectators cheer) (Johnny) How're you feeling, cupcake?

-Sore.

-Yeah, I bet!

(tense music) (Pete) Wayne, good news!

You don't have to come out for the cowboy.

Bad news is you've got a penetrating eye injury instead.

All right.

(cowboys conversing) Doctor Williams, hi, Leonie again in Dubbo, just following up on the one PM shift?

(Dr. Salah) Leonie?

(Leonie) Call me back when you get this.

Sorry!

(Dr. Salah) Take a seat.

(Leonie sighs) -Doctor issues.

-Ah.

You sure I can't convince you to join?

I don't do well with dust, bugs or heat.

Ah, well, that's a shame.

(Dr. Salah) So you had another positive pregnancy test.

Two, and the second time, the line was even stronger.

Plus, my boobs are killing me!

Have you been trying?

(Leonie) Oh, God, no!

I mean, I'm seeing someone, but, whatever we're trying, it's not that.

Well, the Beta HcG levels in your bloods were quite elevated.

God, I'm 49.

-I didn't think I could!

-Well... (Leonie) I mean, I knew I could, theoretically it's just that, my ex husband and I, we tried for years-- Well, I don't think pregnancy is the cause in this case.

Oh.

Okay, yes, that's-- High Beta HCG can indicate some other things.

Like what?

(Dr. Salah) There's a few possible reasons, but it can potentially be raised by a tumor.

A tumor?

Like cancer?

They're mostly benign.

But let's just take it one step at a time and start with some tests, okay?

(melancholy music) Yeah, okay, um...

I'll just... (tapping phone) When?

Are you busy now?

(adventurous country music) (horse whinnies) Go on, you can start with the bulls-eye gags.

(Wayne) Thank God for that, it's all I can think about!

(Pete) Better nickname than Prawnhead, though?

Eh, Bullseye?

(Wayne) Yeah, good news, no sign of orbital compartment syndrome or fluid leakage.

So am I gonna lose it?

I reckon if we keep you nice and still and get you to hospital, you'll be all right.

Matty, tell Mira we need a ground level cabin.

(Matty) Roger that.

God bless you, Doc.

I guess that's why he's the big boss around here, eh Pete?

That's what he tells us.

(Wane) Boss just means you work when no one else wants to, Prawnie.

Now let's get him some broad spectrum antis and a tetanus shot.

(Matty) Yeah, you want that in an IV or thrown at you from ten feet, Prawnie?

Hey, hey hey!

I hardly know you, mate.

(Matty) I'm sorry, I just, I thought that this-- I'm tugging your chain, I'm having a laugh.

Look at the head on him!

(men laughing) (Matty) He's good!

(Intercom) Paging Dr. Christenson to A&E.

Code blue, paging Dr. Christenson.

(Nurse) Leonie, are you ready?

(Leonie) Uh, can I keep my phone nearby to keep my eye on something?

(Nurse) Sorry, you can't even take your phone into the room with the magnet.

Unless you want it to explode.

(texting) You can follow me.

(pensive music) (Propellers whirring) (Mira) Adelaide approach Flydoc two fifty seven, maintaining flight level one six zero, cleared to descend via the star to niner thousand received tango.

Graham's on the phone.

(beeping) (Matty) Macy Gray, what's news?

(Graham) How far from Adelaide are you?

Uh, can almost see the churches, why's that?

(Graham) Is Wayne awake?

Bag's not telling him.

PSR?

How do you do that?

You're responsible for the assault charges.

Wayne... Wayne!

Ah-- Graham made me!

(beeping) This better be an aneurysm.

(Graham) Worse, situation with the backup doc.

(Wayne) He's not sick too, is he?

(Graham) Not sure, no one knows where he is.

What!

Never showed up, apparently, I'm on my way in now.

(Wayne) When are you out of action 'til?

(Graham) Out of hours 'til seven.

I can extend, Graham.

(Graham) Yeah, okay, but every 15 minutes will push you out an hour tomorrow so we'll keep trying.

Don't shoot the messenger, but the ambos are run ragged and it's gonna be at least a two hour wait in Adelaide.

Can't we just buy him some donuts, drop him off?

I've already asked, he's got four incoming, five outgoing, and a premmie arriving with MED STAR.

'Course.

All right, I'll stay with Prawnie, you two head back and cover the base.

Hopefully this doc shows up in the meantime.

Wait, how are you gonna get back?

Sleepwalk.

What does Leonie think about all this?

Good question.

Can't get a hold of her either.

What?

Where is she?

(CT machine whirring) (machine clicking) (spectators cheer) (horse whinnies) (announcer shouting) (Taylor) Hey!

So how is it?

(Darren) You know what?

Dubbo's actually pretty fun!

Oh, wash your mouth out!

I mean, my lamie's lame, but the boys are pretty good.

(phone cutting out) (Taylor) Darren?

Oi, you there?

Taylor?

(spectators cheer) Ah, sorry, what'd you say?

Someone must have hit eight seconds!

Can't believe I'm missing it!

So um, you miss me as well or just the bulls?

What?

Taylor?

Darren?

Oi, can you hear me?

Darren?

(Pete) How is he?

Yeah, good, as far as I can tell.

(Chaya) So wait, Darren is Wayne's son and he's an engineer, and you guys are together?

Yeah, when the satellites are working.

(Chaya) Okay, and Wayne and Mira are a thing?

Don't forget Graham, was married to the same flight nurse twice.

Wha-- so how come no one loves you, then?

Lost cause, I suppose.

(Taylor snickers) (Chaya) Ah, who was it?

A nurse-- doctor?

No, I don't kiss and tell.

Try both!

Oh, Taylor, tell me.

(Taylor) Okay, flight nurse, couple of years, pissed off back to New Zealand, (Pete) Who's side are you on?

(Chaya) And the doctor... (Pete) Hang on!

You were a flight nurse married to an engineer, weren't you?

-Yeah.

-Yeah.

Yeah, and now I'm a mental health nurse who lives in the desert, so, how do you think that went, Pete?

(metal clashing) (horn blaring continuously) What was that?

Um, grab that kit, Chaya!

(tires whirring) (woman) Over here, over here!

(horn draws nearer) Down there!

Oh yep, yep.

(horn blares) Shit... well... (RES worker) The access is back that way.

-Yep.

-Back here.

(horn stops) (Pete) All right, let's do a visual survey of the site.

(RES worker) Vehicle's safe!

(Chaya) Thanks!

(tense music) All right.

Hey, I'll take the driver, you take the passenger, same ABC's as always.

(Taylor) What can I do?

Uh, grab towels, tarp, water.

(Chaya) Ah, what's your name?

(Pete) We'll get you out, all right.

(Chaya) Adam?

(Pete) Cameron.

Cameron!

(phone buzzing) (Wayne) Leonie, Wayne again.

Anyway, please call me.

(indiscernible chatter) (Wayne sighs) (Prawnie) I'm feeling a bit peckish.

Can I get some chippies?

(Wayne) Sorry, mate.

No eating with a penetrating eye injury.

(Prawnie) I'm not gonna look at 'em!

Sorry, mate.

(phone ringing) (Wayne) Purgatory, this is Wayne speaking.

Mate, are you on your way yet?

(phone cuts out) Wayne, you there?

(Wayne) Yeah, I've got you now.

(Pete) All right, MVA at White Cliffs rodeo, rolled ute, we've got two casualties.

I'm here with Chaya and the RES.

About to do a primary, but it doesn't look good.

I'm stuck in the PTF in Adelaide with Prawnie.

Mira and Matty are headed back to base.

Well good, divert them here with the doc.

-We don't have one.

-What?

(Wayne) Well, he never showed up.

Hey, well has Leonie got a replacement?

I'm not sure, she's AWOL too.

(Pete) Where's she?

(Wayne) I wish I knew.

Uh... okay, I'll call the ACC, see if I can get Sydney HEMS or a fixed wing.

I'll get Mira and Matty out to you as a nurse only.

All right-- Pete?

(Ambulance worker) Dr. Yates?

Oh, yes.

(RES worker) Is it safe to move him yet, mate?

(Pete) Yeah, yeah, bring him over, just nice and easy.

Keep his neck in line.

(Chaya) Are they coming?

(Pete) Hey, uh, Matty and Mira, no doc.

What?

(Pete) Yeah, nice and easy, nice and easy.

-Got those towels?

-Here.

Thanks.

(Taylor) Is he gonna be all right?

Can you go and wait for Matty at the strip?

(phone chimes) Can you try Port Augusta next?

-Anything?

-Not yet.

Dubbo and central are hammered, so are Ambo and New South Wales.

Refuel's done, wheels up in five.

Hey Gray, how far can I extend hours?

(Graham) You can have two, then it needs to be a mercy flight.

Okay.

(phone rings) Hey, you all right?

Sorry, my phone was out of action.

What happened with the backup doctor?

I was gonna ask you the same thing.

(Pete) Cam, so where exactly is the pain?

(Cameron) My leg...my shoulder.

Yeah, there's a lot of blood under there.

(Pete) I gotta ruin your pants, mate.

Cut your jeans.

You wearing your undies today, mate?

-Mmhm.

-Hey, you all right?

(Cameron groans) (Pete) Haemostatic gauze?

All right, mate, bit of pain, bit of a sting.

(Cameron moans) Or Port Augusta, do they have anyone?

Hi, this is Leonie Smith, Ops manager with RFDS South East, we have a situation.

Or Air Ambulance, do they have anyone?

A locum-- yes, I'll take a locum.

How far away are they?

A doctor, they've done a bit with Mount Isa.

Traveling through Wilcannia, about an hour away.

Yeah, that's close enough, is the road okay?

Apparently that's open.

(Wayne) All right, can we get him out there?

Already done.

Oi, oi!

And Wayne, I'm...

I don't know what happened with-- Sorry, a bit busy, can we discuss this later?

(cheering and applause) (Pete) Cam, we're just gonna check your back really quickly.

On my count, one, two, three.

(Cameron groans) (Chaya) You sore anywhere where I'm pressing, Cameron?

Nah, nah, yeah, yeah, yeah.

My shoulder, round there, (Pete) Just wiggle your toes for me, Cam.

Let's not risk it.

Full spinal precautions, just in case.

Let's roll back on three.

One, two, three.

(Cameron winces) (Chaya) What was that?

(Pete) What's what?

(Chaya) Thought I heard something.

It's just the wind, isn't it?

Give Wayne a sit rep. -Satellite phones!

-Should I go back up?

Yeah, can you?

-Yeah.

-Thanks.

(Pete) All right Cam, gonna put a collar on you.

Mate, it's very important you stay nice and still.

Yeah.

(Cameron) Is Johnny okay?

He's being looked after.

(Cameron) Where is he?

He's right there.

No, hey, that's Adz!

I think you're confused, mate.

(Cameron) No, he was in the back!

Hey?

In the tray, mate!

(muffled groaning) All right, you stay with him.

-Keep him still.

-Yep.

(distant honking and cheering) (groaning and coughing) No, no, no, no, Johnny!

Johnny!

Johnny!

John, lift up!

That's it, mate, cough, cough!

(Johnny coughs and spits) Chaya!

(airplane motor) Cameron?

Is that the kid that came off the bull?

Yeah, how far away are you?

-About fifteen?

-Yep.

(Matty) Oh, and Leonie has a doctor too.

He's on his way now.

Oh thank God, ETA?

Hopefully before us.

Now, do we have a pickup?

Yeah, Tanner's waiting for you at the strip.

(woman) Chaya, the nurse needs you!

(Pete) Right, can someone grab me the suction and the monitor please?

(muttered) Okay... All right.

It's all right, mate.

Pete!

(Pete) Yeah, here.

I've got an ejected passenger.

(Johnny gags) You're all right, mate, you're all right.

I need to clear his airways.

Log roll on three.

One, two, three.

(Johnny gags) How far away are they?

(Chaya) About fifteen, and a doctor's on the way.

(Pete) That's a bit clearer, that's good, mate, you're right.

(Chaya) Hey Pete, there's a big lump here.

(Pete) Uh, that's pretty boggy, could be a depressed skull fracture.

Let's roll him back on three.

One, two, three!

You're all right, Johnny.

Let's get access, get ondansentron into him.

Grab me the dump kit and the drug kit?

You right, Johnny?

This'll help you.

All right.

Come on, Johnny.

(slurping) Ah, GCS is about nine.

(Chaya) What happens if it gets lower than that?

Well, we have to get a definitive airway.

You wanna intubate?

(Pete) No, I absolutely do not.

How far away's his locum?

Uh, Matty said soon.

(Johnny coughs) (Pete) Johnny... Johnny!

It's all right, mate, Johnny.

Right, left pupil's dilated.

GCS is dropping, he needs an airway right now.

Can you attach prongs and pre-oxygenate?

I'm gonna prep.

Oi!

I'm Dr. Turner!

It's just blood and vomit.

Bougie.

(flies buzzing) (horse whinnies) (distant honking and cheering) (Pete) Yep, I felt that go through.

All right, ETT?

-And hold that.

-Yep.

Okay, bougie out.

Inflate the cuff, okay, bag?

(bag inflating) I've got fogging.

Chest rise... All right, let's connect the CO2 and ventilator.

-Hold that tube.

-Yeah.

-Yep, got CO2.

-Okay.

(Pete) BP and heart rate stabilizing stats to 93.

(Dr. Turner) I'm gonna have a listen.

(bird chirping) Good air entry on the right.

Bugger.

We can check blood gas onboard if you want?

Yeah, that'd be good.

Um, look I've secured the tube at 26 centimeters at the teeth so whatever you do, don't touch it.

(Pete) Okay, Roger that.

(Dr. Turner) Are you gonna be okay with the ventilator patient alone?

Yeah, no worries.

Just glad you were here.

All right, good luck.

Yeah.

(Mira) Pete, Mira, can you hear me?

Yeah, yeah, we're packing up now.

(Mira) Well we've already used the two hour extension before we need a mercy flight.

(Pete) We'll be there in five.

(Pete) Mira, you give us a hand up the front.

(Mira) Yeah, on it.

(tires screech) (Pete) All right, sliding on three.

One, two, three.

(Chaya) Hey, halt, halt!

-Hey, hey, hey!

-Yeah, easy, legend!

-Lay back, lay back.

-Is that Johnny?

(Taylor) Shh, it's okay, they're helping him.

Lay back.

-How we looking, Mira?

-Quick as we can.

(Pete) All right, okay,let's get Johnny on the main bed, -Cameron on the back with you!

-I don't wanna-- (Taylor) Look, you're getting on that plane whether you like it or not, all right?

(Cameron) It's all my fault, it's all my fault.

(Taylor) People have made worse mistakes, I promise.

Just trust me, they're gonna take care of him, all right?

Mira, can I come?

I wanna go with him.

Uh, yeah, we're fine for weight.

Okay.

(propellers whirring) (Mira) VJC, Flydoc two fifty seven, departed White Cliffs at 1-8-0-0, into Broken Hill at 1-8-4-0.

Request fuel on arrival.

How good is that sunset?

(monitor beeping) So... White Cliffs Rodeo!

I told you!

Bloody tarot cards!

What?

You did a reading without me?

(Chaya) We did.

That's weird, stats just dipped a bit, 93.

(Matty) Double check the ventilator.

(Pete) Yep, connection's fine.

Volume's good, we're already at 100 percent O2.

(Chaya) Sat's 90.

(Pete) The rates are fine.

Pneumothorax?

(Pete) Ah, it could be, but the pressure hasn't increased.

Trachea hasn't deviated.

Still got CO2 on the capnogrophy.

Just gonna have a listen.

(monitor beeping) I can't hear chest sounds on the left.

What?

I think the tubes aren't in the right lung!

I'm gonna have a look, Matty, can you grab the airway kit?

I need the video.

Did the locum check both sides.

(Pete) Ah, yeah, thought he did, yeah, but the tube's 28 centimeters now.

-It's not in here!

-What?

(Matty) The McGrath, the video, it's not-- (Pete) Did we pack it?

(Chaya) The locum put it down.

But when he checked the chest, I think he put it on the kit, but it must've fallen somewhere.

Ah, it's all right, I'll go the Macintosh 4, I'll go direct.

Ah, geez, there's a lot of swelling.

I can't even see the upper line.

It's too far in.

Sat's 84.

(plane rumbles) (Mira) Sorry folks.

I think we need to try to re-adjust the tube.

Chaya, grab the syringe.

I thought the locum said not to touch it.

He's hypoxic on 100 percent oxygen, do we have a choice?

Right.

How far from home, Miz?

(Mira) About ten.

Should we wait?

(monitor beeping) No, it's too far, deflate the cuff.

I'm just gonna try and lift it up a little bit.

Oh!

(intense turbulence) (Mira) Sorry guys, this weather's come out of nowhere.

(Pete) Shit, shit shit, we need to retube!

-Chaya, grab the bougie.

-Ah, yep.

Size at ETT.

-Swap with me.

-Quick!

Swap with me, swap with me!

(Pete) There's blood, vomit, everywhere.

Here, bougie.

-Yep.

-Is that any better?

Oh mate, there's so much blood I can't even see the cords.

All right, do you feel that-- do you feel that?

(Matty) Nah, I don't know, do you think it's in?

(Pete) Uh, there's only one way to find out.

ETT, quick!

Oh yeah... yeah.

Okay, bougie out!

Yeah, bougie's out.

(Pete) Cuff up.

Connect the bag.

(monitor tone decreases) (Matty) Nah, nah, I'm not hearing any breath sounds.

No chest rise, no CO2 and fogging.

It's esophageal.

Okay, let's try again, uh, cuff the arm, tube out.

Matty, two person bag and mask.

(Matty) Okay.

All right.

(monitor tone decreases) Pete, Sat's 50.

(Matty) Is that me?

(Pete) No, he's not ventilating.

(Matty) Laryngospasm?

Well, no, no, can't be because the roc's running.

Let's try to reintubate.

Readjust the patient, careful with his neck.

Chaya, hockey stick that bougie.

(Pete sighs) Airway's swollen shut.

Feels just the same as before.

(Matty) Should we try to tube him again?

(Pete) Ah, all right, let's go the LMA, please?

(Chaya) Sat's 45.

-Bag.

-Here, mate.

(Pete sighs) (Pete) Can't get a chest rise.

No fogging, no CO2, okay, re-adjusting No... no.

No good, he's failing to ventilate.

What do you want to do now?

Well, we've tried everything.

We're in the vortex.

(Matty) Can't intubate, can't oxygenate.

(Pete sighs) Sat's 35.

-We need to do a crike.

-What about the turbulence?

(Pete) Well, we don't really have a choice, he needs a surgical airway now.

Hey Miz, about to make a cut back here, if there's any way around this weather, then-- (Mira) Yeah, copy that, doing my best, I just can't find my way around it.

(Pete) Sat's 30, there's no time.

Give me a size six ETT.

Okay, ah, palpating between the cricoid and thyroid cartilage.

Have you done this before?

On dummies and dead sheep, yeah.

Okay, about to make a cut.

(turbulence) (Mira) Sorry, keeping it as steady as I can.

No, no, it's all good.

Okay, making a vertical incision.

Okay, blunt dissecting down to the membrane.

Sat's 20.

(Pete exhales sharply) (Pete) Making a horizontal incision through the cricothyroid membrane...

Okay, crossing the midline, rotating... Okay, I'm in!

(blood spurting) Sharps.

(Chaya) Okay, bougie.

(Pete) Yep.

Okay.

Tube.

Yep.

Yeah, bougie out.

-Bougie's out.

-All right, cuff up.

Bag on.

(bag inflating) Okay, we've got-- chest rise, fogging, end tidal CO2.

Righto, we've got an airway.

Matty, tie the tube in place.

Chaya, connect the ventilator.

Breath sounds... on both sides.

(Chaya) Sat's still only 30.

Just give it a second.

It'll take time to come back up.

(monitor beeping) Ah, come on.

(Chaya) Sat's 35... 40...

Sat's 45 and rising.

50... 55... (Pete sighs in relief) (Matty sighs) (Pete) Um... all right!

Ah, let's do minutely obs, keep the ventilator at 100 percent, Chaya, istat for blood gas, and a bottle of ketamine... for me... mate.

(all laughing) (serene music) (Pete sighs) (Leonie) Hi... -Sorry, I'm sorry.

-What happened?

(Leonie) Well, I called Brian, but he never answered.

Did you follow up?

I messaged you, but there mustn't have been service, and, I got onto Air-- (Wayne) They okay?

(Chaya) Ah, these two are stable, any news on the other patient?

Wait, there was a third?

(Chaya) One was thrown from the ute, a locum intubated, um, but the tube was too far in and-- Pete had to go through the neck mid flight.

-What?

-Yep.

(gurney rolling) (Pete) 19 year old male, Sat's 98 percent, heart rate 62, BP's 118 on 80.

No potent airway and we hit the vortex so we had to perform a cricothyroidotomy in transit.

All okay?

(Pete) Yeah, he's stable.

And what about you?

Uh, yeah, heart rate's down to about 200.

(Wayne) Yeah, I'll go with the ambos.

Let's do a hot debrief later in the pub.

(Pete) No, no, no, no, you need to sleep, I'm good.

(Wayne) Sure?

(Pete) Yeah, yeah, we can talk tomorrow.

(pensive music) Uh, it's uh... (ambulance sirens) (Leonie sighs) Is Leonie coming?

(Graham) I'll check.

(Pete) All right, no, thank you for letting me know.

Okay, bye bye, bye, bye.

How are they?

All three safe and stable.

-Hey!

-Woo!

-That's awesome!

-Well done, Pete!

Thanks, man.

(Matty) We've gotta celebrate the only correct way: Karaoke!

(Chaya) No, no, I've had enough screaming for one day.

(Matty) Oh, come on, what's it gonna be, big guy?

First Cut's the Deepest?

(Pete laughs) Cuts Like a Knife?

What, you're not a Bryan Addams fan?

(Chaya) Well, the Spanish reckon toasting without alcohol brings you seven years of bad sex, but I think tonight is worth it.

Cheers!

-Cheers!

-Cheers!

-Cheers!

-Cheers!

(all laughing) (phone chimes) Oh, you want seven years of bad sex?

Move in with someone.

(all laugh) I used to get booty calls, and now I just get "dinner's getting cold" calls.

(Mira) I thought the ferret was the one who was supposed to be on the leash.

-Oh, very good!

-Oh ho!

(Matty) If not a bit kinky.

I'm gonna go too, lift, anyone?

(Mira) Oh yeah, actually, I might take one.

Might try a booty call on Wayne, what do you reckon?

(Pete) I'm not even sure that would work tonight.

(Graham) Yuck!

(Matty) If that guy doesn't get 12 hours of sleep at least, he might just self combust.

(Chaya) So... Parmy?

(Pete) Oh, I thought you'd never ask!

-Okay... all right!

-All right.

(distant chatter and music) (Leonie) Hi Scott, Sorry again about lunch today, just... something came up, and uh... that thing I had to talk about, it turned out to not be a thing, yeah, so um...

I'm pretty busy for the next few days, so, I don't know, we'll talk soon, okay, bye.

(melancholy music) Hey.

Is the boy okay?

Yeah, stable, they reckon.

And you, you're good?

Yep... Yeah.

So, what happened?

I've got a decade's worth of paperwork to do after that, so...

Right.

(owl hooting intermittently outside) (Pete sighs) Um... That was pretty impressive today.

Well, I'm bloody glad you were there.

(Chaya) So, that is what happens at a hot debrief!

(Pete) Well, yeah, but usually, they're with Graham.

Oh, he's cute!

He's a bit scratchy there.

Yeah...

I should probably get some rest.

Yeah... yeah, same.

Me too, same.

That's what I was thinking.

(pensive music) Good night, then.

(theme music)